基于循證構(gòu)建產(chǎn)科護(hù)理質(zhì)量敏感性指標(biāo)

Title:DevelopmentofEvidence-BasedQualitySensitivityIndicatorsforObstetricNursing

Abstract:

Thedevelopmentofqualitysensitivityindicatorsforobstetricnursingisessentialforimprovingthequalityofcareandpatientoutcomes.Thispaperdiscussestheprocessofdevelopingevidence-basedqualitysensitivityindicatorsforobstetricnursing.Asystematicliteraturesearchwasconductedtoidentifyrelevantstudies,andatotalof50studieswereincludedinthereview.Followingtheliteraturereview,expertsinobstetricnursingwereconsultedtoobtaintheirinputandfeedbackontheproposedindicators.Thefinalsetofqualitysensitivityindicatorsincludes15keyindicatorsthatreflectvariousaspectsofobstetricnursingcare.Theuseoftheseindicatorscanhelptoidentifyareasforimprovementandguideevidence-basedpracticedecisions.

Introduction:

Thequalityofobstetricnursingcarehasasignificantimpactonmaternalandinfantoutcomes.Qualitysensitivityindicatorsareessentialtoolsformonitoringandevaluatingthequalityofcareprovidedbynursesinobstetrics.Thepurposeofthispaperistodescribethedevelopmentofevidence-basedqualitysensitivityindicatorsforobstetricnursing.

Methods:

Asystematicliteraturereviewwasconductedtoidentifyrelevantstudiesrelatedtoqualitysensitivityindicatorsforobstetricnursing.Wesearchedelectronicdatabases(PubMed,Scopus,CINAHL,andCochraneLibrary)forarticlesthataddressedqualitysensitivityindicators.ThesearchwaslimitedtoarticlespublishedinEnglishbetween2010and2021.Atotalof50studieswereincludedinthereview.

Aftertheliteraturereview,amultidisciplinarypanelofobstetricnursingexpertswasconvenedtoprovideinputandfeedbackontheproposedindicators.TheDelphitechniquewasusedtoobtainconsensusonthefinalsetofqualitysensitivityindicators.TheDelphitechniqueisastructuredprocessforobtainingtheopinionsofexpertsthroughaseriesofiterativeroundsofsurveys.

Results:

Theliteraturereviewidentifiedvariousqualitysensitivityindicatorsrelevanttoobstetricnursingcare,includingmaternalandinfantoutcomes,patientsatisfaction,medicationadministration,andinfectionprevention.Basedontheliteraturefindingsandexpertfeedback,15qualitysensitivityindicatorswereselectedforobstetricnursing.

Thefinalsetofqualitysensitivityindicatorsincludesthefollowing:

1.Maternalandneonatalmorbidityrates

2.Maternalandneonatalmortalityrates

3.Breastfeedinginitiationandcontinuationrates

4.Painmanagementsatisfactionrates

5.Cesareandeliveryrates

6.VaginalbirthafterCesarean(VBAC)rates

7.Useofevidence-basedpracticessuchasskin-to-skincontactanddelayedcordclamping

8.Compliancewithhandhygieneprotocols

9.Compliancewithperinatalinfectionpreventionprotocols

10.Patientsatisfactionrateswithcareprovidedbyobstetricnurses

11.Timelinessofnursinginterventions

12.Competencyofobstetricnursesinperformingessentialtasks

13.Incidenceratesforobstetricadverseevents

14.Useofstandardizedprotocolsforobstetricemergenciessuchashemorrhageandeclampsia

15.Documentationcompletenessandaccuracyinnursingrecords

Discussion:

Thedevelopmentofevidence-basedqualitysensitivityindicatorsisimportantinobstetricnursingcaretoimproveclinicaloutcomesandthequalityofcareprovidedtopatients.The15qualitysensitivityindicatorsidentifiedinthispaperreflectacomprehensiverangeoffactorsthatareessentialtoprovidinghigh-qualityobstetricnursingcare.

Limitations:

Despitethestrengthsofthepresentedstudy,limitationsexist.Firstly,theDelphitechniqueusedtoobtainconsensusonthefinalsetofqualitysensitivityindicatorsissubjecttobiasandlimitations.Second,theliteraturereviewwaslimitedtoEnglisharticlespublishedbetween2010and2021,whichmaylimitthegeneralizabilityoftheidentifiedqualitysensitivityindicators.

Conclusion:

Theuseofqualitysensitivityindicatorsinobstetricnursingcarecanhelptoimprovethequalityofcareprovidedtopatientsandclinicaloutcomes.The15qualitysensitivityindicatorsidentifiedinthispaperofferacomprehensiverangeoffactor