Construction of nursing quality evaluation index system for kidney transplant patients: a Delphi method

Objective: To construct a nursing quality evaluation index system for kidney transplant patients after. Background:At present, there is no scientific, sensitive, practical, and targeted nursing quality evaluation index system for kidney transplant patients in China. Methods:Based on the "structure-process-outcome" three-dimensional quality model, a first draft of the nursing quality evaluation index system for renal transplant patients was developed through literature review, theoretical references, and semi-structured interviews, followed by a combination of Delphi and analytic hierarchy process to derive an authoritative index system and the weight of each level index. Results:A total of 30 experts from 11 provinces participated in this study. Two rounds of the Delphi questionnaire resulted in a recovery rate of 100 % and 95.8%. The expert authority coefficient was 0.846 and 0.852. The Kendall coefficient was 0.281, 0.296. Furthermore, a total of 3 first-level indicators, 11 second-level indicators, and 65 third-level indicators were obtained. The results of the weighted calculation showed that the index “Qualification rate of skills and knowledge training related to renal transplantation” (0.0926) was the highest, followed by “Implementation rate of medication guidance” (0.0655), “Development and update of the specific training program for renal transplantation” (0.0589), and “Implementation rate of postoperative dietary guidance” (0.0496). Conclusion:By constructing a nursing quality evaluation index system for renal transplant patients, specific and targeted evaluation criteria for the quality of care in the renal transplantation department are proposed, which can more efficiently respond to nursing care errors and provide promotion value. Implications for nursing management: As one of the tools to evaluate the quality of nursing, the nursing quality indicators for renal transplantation play a guiding role in nursing management and can determine the direction of nursing behavior adjustment, directly affecting the nursing quality. Establishing a scientific, sensitive, and practical nursing quality evaluation index can provide a reliable basis for evaluating hospital nursing quality.