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Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model

Received: 6 November 2018     Accepted: 14 December 2018     Published: 11 January 2019
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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.

Published in International Journal of Food Engineering and Technology (Volume 2, Issue 2)
DOI 10.11648/j.ijfet.20180202.13
Page(s) 27-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

ECMO, Theoretical Model, Nursing Quality, Evaluation Index System

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Cite This Article
  • APA Style

    Yunhong Lei, Jinglan Liu, Qing Tang, Liu Qiong, Zuyang Xi, et al. (2019). Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model. International Journal of Food Engineering and Technology, 2(2), 27-35. https://doi.org/10.11648/j.ijfet.20180202.13

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    ACS Style

    Yunhong Lei; Jinglan Liu; Qing Tang; Liu Qiong; Zuyang Xi, et al. Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model. Int. J. Food Eng. Technol. 2019, 2(2), 27-35. doi: 10.11648/j.ijfet.20180202.13

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    AMA Style

    Yunhong Lei, Jinglan Liu, Qing Tang, Liu Qiong, Zuyang Xi, et al. Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model. Int J Food Eng Technol. 2019;2(2):27-35. doi: 10.11648/j.ijfet.20180202.13

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  • @article{10.11648/j.ijfet.20180202.13,
      author = {Yunhong Lei and Jinglan Liu and Qing Tang and Liu Qiong and Zuyang Xi and ChaXiang Li and Yakong Liu and Minmin Chen and Fei Tian and Zhaohui Zhang and Zifeng Li and Luhuan Yang},
      title = {Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model},
      journal = {International Journal of Food Engineering and Technology},
      volume = {2},
      number = {2},
      pages = {27-35},
      doi = {10.11648/j.ijfet.20180202.13},
      url = {https://doi.org/10.11648/j.ijfet.20180202.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijfet.20180202.13},
      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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Constructing ECMO Care Quality Evaluation Index System Based on "Structure-Process-Outcome" Three-Dimensional Theoretical Model
    AU  - Yunhong Lei
    AU  - Jinglan Liu
    AU  - Qing Tang
    AU  - Liu Qiong
    AU  - Zuyang Xi
    AU  - ChaXiang Li
    AU  - Yakong Liu
    AU  - Minmin Chen
    AU  - Fei Tian
    AU  - Zhaohui Zhang
    AU  - Zifeng Li
    AU  - Luhuan Yang
    Y1  - 2019/01/11
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijfet.20180202.13
    DO  - 10.11648/j.ijfet.20180202.13
    T2  - International Journal of Food Engineering and Technology
    JF  - International Journal of Food Engineering and Technology
    JO  - International Journal of Food Engineering and Technology
    SP  - 27
    EP  - 35
    PB  - Science Publishing Group
    SN  - 2640-1584
    UR  - https://doi.org/10.11648/j.ijfet.20180202.13
    AB  - 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.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

  • Department of Intensive Care Unit, The First College of Clinical Medical Science, Three Gorges University/Yichang Central People’s Hospital, Yichang, China

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