Development of a nursing-sensitive quality indicator system based on the structure-process-outcome theory in orthopedic wards

Abstract

Objective To establish a nursing-sensitive quality indicator system in orthopedic wards based on the structure-process-outcome theory, so as to guide clinical nursing. Methods Based on structure-process-outcome theory, the indicator definition and weight were identified by literature review, expert group discussion, Delphi method and Hierarchy analysis. Results The returning rates of questionnaires in the first and second round expert consultation were 94.87% (37/39) and 89.74% (35/39),respectively. The authority coefficient of the experts was 0.88,and the coordination coefficient of experts' opinion was 0.309.The program included 3 first indexes,14 second index, and 83 items. Conclusion The result of the study is scientific reliable and credible, Whichcan provide evaluation for the Clinical nursing operation. Key words: Orthopedic wards; Delphi technique; Quality indicators