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Volume 2, Issue 2, December 2018, Page: 27-35
Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model
Yunhong Lei, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Jinglan Liu, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Qing Tang, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Liu Qiong, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Zuyang Xi, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
ChaXiang Li, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Yakong Liu, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Minmin Chen, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Fei Tian, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Zhaohui Zhang, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Zifeng Li, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Luhuan Yang, Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China
Received: Nov. 6, 2018;       Accepted: Dec. 14, 2018;       Published: Jan. 11, 2019
DOI: 10.11648/j.ijfet.20180202.13      View  272      Downloads  23
Abstract
Objective: To construct a set of objective, relatively perfect and clinically applicable ECMO nursing quality evaluation index system, and to provide practical basis and reference for clinical nurses to implement ECMO nursing. Methods: The literature was analyzed and semi-structured interviews were used, through systematic references and searching keywords. Based on the "Structrue-Process-Outcome" three-dimensional theoretical model, the prototype of the ECMO nursing quality evaluation index system was constructed. 28 experts were selected and 2-round Delphi study on ECMO nursing quality evaluation indicators was performed, to evaluate the enthusiasm, authoritativeness, concentration and coordination of opinion of the experts, and to test the reliability and validity of the evaluation index system. The AHP method was used to determine the mean importance ratings, the standard variation of importance ratings, the coefficient of variation (CV) and full-score frequency K (%) of indicators at all levels in the evaluation index system. Results: Through literature review and searching keywords, an questionnaire including 3 first-level indicators, 15 second-level indicators and 62 third-level indicators was initially formed. The positive coefficient of the experts was 100% (20/20) and 96.42% (19/20) respectively, and the authoritative coefficient was 0.926 and 0.934 respectively in the first and second round of expert consultation. The weights of the three first-level indicators were 0.34, 0.52, and 0.31, respectively. The ECMO nursing quality evaluation index system including three first-level indicators, 15 second-level indicators, and 66 third-level indicators was determined. The effective recycling rates of the two rounds of Delphi surveys were 80% and 90%, respectively. The authoritative coefficients of experts in the two rounds were 0.889 and 0.88, respectively. The Kendall coordination coefficients of the two rounds of surveys were 0.259 and 0.161, respectively (P<0.05). Finally, an ECMO nursing quality evaluation index system including three first-level indicators, 15 second-level indicators and 66 third-level indicators was constructed, based on the "Structrue-Process-Outcome" three-dimensional model. Conclusion:The ECMO nursing quality evaluation index system is constructed based on the "Structrue-Process-Outcome" three-dimensional theoretical model, which is provided as a practical and operational assessment tool for clinical nurses in the implementation of ECMO care.
Keywords
ECMO, Theoretical Model, Nursing Quality, Evaluation Index System
To cite this article
Yunhong Lei, Jinglan Liu, Qing Tang, Liu Qiong, Zuyang Xi, ChaXiang Li, Yakong Liu, Minmin Chen, Fei Tian, Zhaohui Zhang, Zifeng Li, Luhuan Yang, Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model, International Journal of Food Engineering and Technology. Vol. 2, No. 2, 2018, pp. 27-35. doi: 10.11648/j.ijfet.20180202.13
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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