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Development of evidence‐based nursing‐sensitive quality indicators for emergency nursing: A Delphi study
Author(s) -
Ju QiaoYan,
Huang LiHua,
Zhao XueHong,
Xing MeiYuan,
Shao LeWen,
Zhang MeiYun,
Shao RongYa
Publication year - 2018
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14256
Subject(s) - nursing , delphi method , emergency nursing , quality (philosophy) , medicine , psychology , emergency department , computer science , philosophy , epistemology , artificial intelligence
Aims and objectives To establish evidence‐based nursing‐sensitive quality indicators for emergency nursing in China. Background China lacks nursing‐sensitive quality indicators necessary for assessing the quality of emergency nursing and essential to nursing management. Design Prospective. Methods A literature search for relevant evidence‐based studies was performed using several databases from January 2009–May 2014. Previously reported quality indicators were identified as appropriate for assessment by a panel of 40 experts in emergency medicine and nursing. Two successive rounds of Delphi surveys were conducted using questionnaires designed by the experts. Kendal's W coordination coefficients were calculated for indicator importance, rationality of calculation and feasibility of data collection. Results Thirty‐three quality indicators were initially proposed for expert evaluation. After round 1 of expert discussion, Kendal's W coordination coefficients were .152 for importance, .092 for rationality and .141 for feasibility of data collection (all p < .001). Seven unsuitable items were discarded in round 1 and 11 discarded in round 2, which also added one new item. Finally, the experts reached consensus on 16 items established as appropriate nursing‐sensitive quality indicators for emergency nursing care. Conclusion Evidence‐based nursing‐sensitive quality indicators were established through a consensus of experts in emergency nursing and medicine. Relevance to clinical practice The current findings may provide a theoretical basis for establishing an emergency nursing quality database and improving the quality of emergency nursing care in China.