Study On Establishing The Nursing-sensitive Quality Indicators In The Operating Room On The Basis Of Evidence-based

Objective:The study aimed at establishing sensitive, scientific, exercisable nursing quality evaluation indicators in the operating room on the basis of evidence-based which will help to evaluate and monitor nursing quality in Chinese hospitals’operating room.Methods:Based on the rigorous retrieval strategy, using the Johns Hopkins level of evidence and quality evaluation method to analyse literatures, the nursing quality sensitivity indicators in the operating room, their calculation formulas and data collection methods were summed up. Using Delphi method, according to the 5 Likert scale method, the initial formation of the importance of index entries, the rationality of the calculation formula and the operability of data collection methods were evaluated. By two rounds consultation of 51 Zhejiang experts, the sensitive nursing quality indicators in the operating room with calculation formulas and data collection methods were established, which are suitable for China’s national condition. The enthusiasm coefficient of experts, the authority coefficient of experts, the coefficients of variation and the harmonization coefficient W were used to examine the reliability and representation of expert consultation.Results:The 23 items of nursing-sensitive quality indicators of the operating room with connotation, calculation formulas, and data collection methods were established, which include the rate of operation start time delay, the rate of each operation cycle time,the rate of check the surgery patients and so on. After 2 rounds of expert consultation, the Enthusiasm Coefficients of experts both were 100%(>60%). The Authority Coefficient of experts was 0.85 and 0.86 (>0.7). The Coefficients of variation of the importance of all items ranged from 0.00 to 0.26, those of reasonability of calculation formulas of all items ranged from 0.03 to 0.26, those of operability to collect data of all items ranged from 0.07 to 0.24 (<0.30).Conclusions:The 23 items of nursing-sensitive quality indicators of the operating room with connotation, calculation formulas, and data collection methods were established. The reliability of the 2 rounds expert consultation showed that the expert consultations had good reliability and representation.