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Using the Delphi method to develop nursing‐sensitive quality indicators for the NICU

Author

Listed:
  • Lin Chen
  • Li‐Hua Huang
  • Mei‐Yuan Xing
  • Zhi‐Xian Feng
  • Le‐Wen Shao
  • Mei‐Yun Zhang
  • Rong‐Ya Shao

Abstract

Aims and objectives To develop nursing‐sensitive quality indicators consistent with current medical practices in Chinese neonatal intensive care units. Background The development of nursing‐sensitive quality indicators has become a top priority in nursing management. To the best of our knowledge, there has been no objective, scientific and sensitive evaluation of the quality of neonatal intensive care unit nursing in China. Design A modified Delphi technique was used to seek opinions from experts about what should be used and prioritised as indicators of quality care in neonatal intensive care unit nursing. Methods Based on a literature review, we identified 21 indicators of nursing‐sensitive quality in the neonatal intensive care unit. Our group of 11 consultants chose 13 indicators to be discussed using the Delphi method. In October and November 2014, 39 neonatal intensive care unit experts in 18 tertiary hospitals spread across six provinces participated in two rounds of Delphi panels. Results Of the 13 indicators discussed, 11 were identified as indicators of nursing‐sensitive quality in the neonatal intensive care unit: rate of nosocomial infections, rate of accidental endotracheal extubation, rate of errors in medication administration, rate of treatment for pain, rate of peripheral venous extravasation, rate of compliance with handwashing techniques, incidence of pressure ulcers, incidence of noise, the bed‐to‐care ratio, the proportion of nurses with greater than five years neonatal intensive care unit experience and incidence of retinopathy. Conclusions The 11 neonatal intensive care unit nursing‐sensitive indicators identified by the Delphi method integrated with basic Chinese practices provide a basis for nursing management and the monitoring of nursing quality. Relevance to clinical practice This study identified nursing‐sensitive quality indicators for neonatal intensive care unit care that are suitable for current clinical practice in China.

Suggested Citation

  • Lin Chen & Li‐Hua Huang & Mei‐Yuan Xing & Zhi‐Xian Feng & Le‐Wen Shao & Mei‐Yun Zhang & Rong‐Ya Shao, 2017. "Using the Delphi method to develop nursing‐sensitive quality indicators for the NICU," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(3-4), pages 502-513, February.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:3-4:p:502-513
    DOI: 10.1111/jocn.13474
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    References listed on IDEAS

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    1. Sally Wilson & Anne‐Sylvie Ramelet & Sharon Zuiderduyn, 2010. "Research priorities for nursing care of infants, children and adolescents: a West Australian Delphi study," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 1919-1928, July.
    2. Sarah Burston & Wendy Chaboyer & Brigid Gillespie, 2014. "Nurse‐sensitive indicators suitable to reflect nursing care quality: a review and discussion of issues," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(13-14), pages 1785-1795, July.
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    Cited by:

    1. Catherine Hupé & Andréane Lavallée, 2017. "Internal and external validity of Chen et al.'s nursing‐sensitive quality indicators for the neonatal intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 6-7, December.
    2. Huixuan Zhou & Ge Bai & Jiechun Gao & Yinan Zhou & Emily Ma & Linlin Hu & Guangyu Hu & Pengyu Zhao & Feng Jiang & Li Luo & Yuanli Liu, 2018. "The development of indicator measure for monitoring the quality of patient-centered care in China’s tertiary hospitals," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-15, October.
    3. Ju‐Lin Gao & Xiao‐Min Liu & Wen‐Fang Che & Xia Xin, 2018. "Construction of nursing‐sensitive quality indicators for haemodialysis using Delphi method," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 3920-3930, November.

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