Construction of nursing care quality evaluation indicators for post-anaesthesia care unit in China.

Abstract

To establish a set of scientific and practical nursing care quality evaluation indicators for PACU in China. No unified nursing care quality evaluation indicators for post-anaesthesia care unit (PACU) were found in China. An international literature review, domestic cross-sectional survey and two-round e-Delphi study. The international literature review and domestic cross-sectional survey were conducted to identify the potential nursing care quality evaluation indicators for PACU. A total of 38 and 32 indicators were extracted from 24 articles and the cross-sectional survey respectively. Two rounds of e-Delphi study were conducted to collect opinions from a panel of 20 independent experts and establish the final version of the nursing care quality evaluation indicators for PACU. A GRRAS checklist was used to guide the reporting of this study. Of 20 experts, 19 completed the first round of e-Delphi study and 18 completed the second round, with a response rate of 95% and 90% respectively. The experts' authority coefficient in the two rounds of e-Delphi study was 0.91 and 0.90 respectively. The Kendall W value of the two rounds ranged between 0.108 and 0.385 (p<.01). Four structure indicators, 12 process indicators and seven outcome indicators were included in the nursing care quality evaluation indicators for PACU. With the methods of literature review, cross-sectional survey and e-Delphi study, we established a set of scientific and practical nursing care quality evaluation indicators for PACU, to improve the nursing care quality, reduce incidence of complications and ensure patient safety. The findings from this study enable nurses and managers in PACU settings to evaluate clinical nursing care quality using a robust framework.