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开发和验证一套用于危重症患者院内安全转运的方案包:采用德尔菲法的混合定性设计

Developing and Validating a Bundle for Safe Intra-Hospital Transporting of the Critically Ill Patients: Mixed Qualitative Design With Delphi Approach.

机构信息

Author Affiliations: Department of Critical Care and Emergency Nursing, Faculty of Nursing (Dr Mahran), Department of Anesthesia and Intensive care, Faculty of Medicine (Dr Sayed), Assiut University, Assiut, Egypt; Department of Medical Surgical Nursing, Faculty of Nursing, Galala University, Suez, Egypt (Drs Mekawy and El Demerdash); and Department of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt (Drs Abd El-Aziz and Ali).

出版信息

Crit Care Nurs Q. 2024;47(4):378-399. doi: 10.1097/CNQ.0000000000000518. Epub 2024 Sep 13.

DOI:10.1097/CNQ.0000000000000518
PMID:39265117
Abstract

The aim of this study was to develop a bundle to increase safety of intra-hospital transport in critically ill patients. A qualitative design with Delphi approach was conducted for creation of an intra-hospital transport bundle in 3 steps. First, doctors and nurses were questioned about their encounters with intra-hospital transport incidents. Second, several databases were looked through to find published checklists and recommendations for intra-hospital transport. Third, using this strategy, a bundle was created and reviewed with subject matter experts. The content validity index (CVI), which assesses the degree of expert agreement, was utilized to evaluate each item in the generated bundle. Two evaluation cycles were required before a minimal index could be reached. We looked at the content validity and important weighting of the items. The scale-CVI was calculated using the average of all the elements, and it was 1. The created bundle serves as a framework for directing doctors and nurses during intra-hospital transportation and offers continuity of care to improve patient safety. The techniques suggested in this study can be used to adapt this bundle to the needs of other hospitals.

摘要

本研究旨在制定一套方案以提高危重症患者院内转运的安全性。采用德尔菲法进行了定性研究,分 3 步制定了院内转运方案:首先,询问医生和护士在院内转运过程中遇到的情况;其次,查阅多个数据库,寻找已发表的院内转运检查表和建议;最后,使用该策略,结合专家意见制定并审查了一套方案。使用内容有效性指数(CVI)来评估生成方案中每个项目的专家意见一致性程度,需要进行两轮评估才能达到最低标准。本研究分析了方案中各项内容的有效性和重要性权重。使用所有要素的平均值计算量表-CVI,结果为 1。该方案为医生和护士在院内转运过程中提供了指导,保证了医疗服务的连续性,从而提高了患者的安全性。本研究中提出的技术可以用于调整该方案以满足其他医院的需求。

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