Kendall Coordination Coefficient Research Articles

Construction of early warning indicators of in-hospital cardiac arrest in adult inpatients

To establish early warning indicators for Chinese nurses to recognize in-hospital cardiac arrest (IHCA) of adult inpatients. Computer retrieval of Chinese and English databases such as CNKI, Wanfang Database, VIP, National Medical Library of the United States PubMed Database, Web of Science, Embase Database of the Netherlands Medical Abstracts, Cochrane Library Database and other international guidelines collaboration network (GIN), National Institute for Health and Clinical Optimization (NICE), Scottish Intercollegiate Guidelines Network (SIGN), BMJ best clinical practice and other guidelines was performed. The retrieval time limit for respiratory and cardiac arrest early warning indicators or risk identification related content of the adult inpatient in the professional website was until June 30, 2020. After literature research and expert group analysis, the research group drew up an expert correspondence questionnaire, and selected 32 medical and nursing experts from Beijing, Tianjin, Jilin, Shandong, Shaanxi, Sichuan, Zhejiang and other grade three first-class general hospitals from July to September 2022. The Delphi method was used to conduct two rounds of expert correspondence, forming the final version of the early warning index of cardiac arrest in adult inpatients. Five first-level indicators, 23 second-level indicators and 41 third-level indicators including vital signs, consciousness and pupils, postoperative blood drainage volume, lab results and other five aspects were initially formed. The effective response rates of the two rounds of expert correspondence were 100% (32/32) and 93.75% (30/32), respectively, the Kendall coordination coefficients W of the first round and the second round were 0.340 and 0.462, respectively, the expert authority coefficients Cr were 0.88 and 0.89, respectively, the mean value of importance assignment was 3.94-5.00, 4.07-5.00, and the coefficient of variation was 0-0.16, 0-0.14, with statistically significant differences (all P < 0.05). Finally, 5 primary indicators, 23 secondary indicators and 43 tertiary indicators were formed, including five aspects of vital signs, consciousness and pupils, postoperative blood drainage, lab results, symptoms and chief complaints. The expert consultation on the early warning indicators of IHCA for adult patients tends to be consistent and scientific, which is applicable to help nurses detect the changes of patients' condition as early as possible.

Services personalization in digital academic libraries: a Delphi study

PurposeThis paper aims to explore the realm of literature about personalization of digital library services. This paper focuses on users’ unique needs and will identify different types of personalized services. Therefore, this study has identified different types of services personalization in the context of digital academic libraries.Design/methodology/approachIn this research, the systematic review method has been used to obtain the relevant indicators of different types of personalization in the context of libraries. To explain basic indicators, a Delphi method has been used. The Delphi panel’s members consisted of 15 experts (faculty members, researchers, professional users and software designers). A purposeful sampling and the Delphi fulfillment process were performed in three rounds. After collecting data, descriptive statistics (mean and standard deviation), inferential statistics (binomial distribution test) and the Kendall coordination coefficient were used to determine the consensus rate among experts.FindingsA total of 103 indicators were extracted for different types of personalization through a systematic literature review. Of these, 90 indicators were considered significant in the experts’ view. Generally, content personalization, interactive personalization, collaborative personalization and information retrieval personalization are the main components of personalization types, each of which has its own indicators.Originality/valueThis study has dealt with the issue of what is personalized in the context of digital academic library. The findings should be helpful and effective in the development of a holistic view on personalization of services in digital libraries.

Decision-Making for Typical Pavement Structure Based on Life-Cycle Economic Evaluation and Key Performance Indicators

The economy and rationality of the typical structural scheme for asphalt pavement are directly related to the formation of its service target. Based on the original highway asphalt pavement structure in Jilin Province, the evaluation index system was established by the research of the literature, investigation and Delphi method, and the results of expert consultation were tested by indicators such as enthusiasm, authority and coordination. The Kendall coordination coefficient was 0.803, indicating a strong degree of evaluation consistency. Then, using the finite element method and pavement economic analysis method, the key parameters of pavement structure asphalt, pavement design performance and economy are calculated. Finally, the key indicators in the pavement design process are quantified by using analytic hierarchy process (AHP) and gray relational theory, the weight of each key indicator and the correlation degree of the pavement structure are calculated, and pavement structure 1 is determined to be the best solution. The results show that a decision model for typical structural types of asphalt pavement can be established by using an improved gray relational analytic hierarchy process. In this study, the decision-making model can quickly and conveniently determine the most suitable typical pavement structure, the selected structures are checked, and the calculation results meet the requirements of the specification. However, given the limited reference cases, the proposed pavement structure decision-making method needs to be verified and improved through more practical applications.

Revision and validation of the “Constitution in Chinese Medicine Questionnaire (Elderly Edition)” based on the Delphi process

This study aimed to revise the Constitution in Chinese Medicine Questionnaire (Elderly Edition) (CCMQ-EE), as well as evaluate its reliability and validity. The objective was to provide a more accurate Chinese medicine constitution identification tool for geriatric health management and help further research on the relationship between geriatric diseases and constitution type, etc . The Delphi method and a cross-sectional survey of the elderly population were used. From April to October 2021, experts in different fields were invited to participate in the questionnaire, and items were revised through the experts’ ratings and feedback. From December 2021 to February 2022, the revised CCMQ-EE was validated in the elderly population. The coefficients of variation of rationality and importance scores decreased to less than 0.25 in the third round of Delphi. The Kendall coordination coefficients of rationality and importance in the third round were 0.15 and 0.17 ( P = .031 and P = .007, respectively). The revised CCMQ-EE was established with 34 items. The factor loadings of subscales were between 0.39 and 0.92, and the fitting effects of other subscales were acceptable, except for the inherited special constitution. The Cronbach alpha and test–retest reliability coefficients of each subscale ranged from 0.65 to 0.83, and 0.66 to 0.96, respectively. The composite reliability and average variance extraction were between 0.66 and 0.84, and between 0.32 and 0.57, respectively. The reliability and validity of the revised CCMQ-EE were acceptable or satisfactory. The revised CCMQ-EE was developed through a three-round Delphi process and internal team discussion. After the verification in the elderly in Beijing area, its measurement performance was good. The updated questionnaire can probably replace the initial version to better promote health management and help healthy aging by identifying the constitution type of the elderly.

Construction of Training Program for Specialized Nurses in the Central Sterile Supply Department (CSSD) Based on Post Competency.

Objective The aim of this study is to analyze the construction of a training program for specialized nurses in disinfection supply center (CSSD) based on post competency. Methods Based on the theory of post competency, literature analysis, investigation, and expert consultation are used to establish training contents and methods. Results Two rounds of expert consultation were conducted in this study. In the first round of expert consultation, 22 questionnaires were sent out and 21 valid questionnaires were received with an effective recovery of 95.45%. Seven experts (31.82%) proposed 53 suggestions for modification. A total of 21 questionnaires were sent out in the second round of expert consultation and 21 were effectively received with an effective recovery rate of 100.00%. In the first round of expert consultation, the mean importance score of 63 third-level indicators was 4.00–5.00 points, the standard deviation was 0.00–1.00, and the full score rate was 46.54%–100.00%. In the second round of expert consultation, the mean importance score of 67 third-level indicators was 4.05∼5.00 points, the standard deviation was 0.00–0.88, and the full score rate was 20.00%∼100.00%. In the first round of expert consultation, the Kendall coordination coefficient was 0.187. In the second round of expert consultation, the Kendall coordination coefficient was 0.2196, and the differences were statistically significant after χ2 test (P < 0.05). The coefficient of variation of each index in the second round of expert consultation ranged from 0.00 to 0.21. Conclusion The CSSD-specialized nurse training program based on job competency constructed in this study takes job competency as the theoretical basis and uses a literature analysis method, survey research method, and expert consultation method to establish the content and method of training, the above methods are scientific and reasonable, and experts are motivated. It is highly authoritative, and the consultation opinions of experts at all levels of indicators tend to be consistent, which can provide reference for the training of CSSD specialized nurses.

Design of Breakdown and Checklist for Continuous Renal Replacement Therapy

Objective. This study aimed to improve the quality of continuous renal replacement therapy (CRRT). Methods. A pool of candidate indicators was established using literature retrieval, panel discussion, and experience summary. The first round of consultation was performed with the selected 18 experts by the Delphi method. Then, the checklist was modified according to the experts’ opinions for the second round of consultation to prepare the final checklist. Results. The positivity coefficients of experts in the two rounds of consultation were 100% and 88.9%, respectively, with the authority coefficient of 0.88. The Kendall coordination coefficients of the primary and secondary indicators were 0.296 and 0.303, respectively ( P &lt; 0.05 ). Finally, the breakdown and checklist were prepared, which involved 16 primary indicators and 56 secondary indicators. Conclusion. The scientific and reasonable breakdown and checklist prepared based on a consultation can provide scientific guidance for nursing during CRRT, reduce the incidence of adverse events, and improve work efficiency and satisfaction of medical care.

Results analysis on SARS-CoV-2 nucleic acid detection based on different target gene detection

Objective To compare the results of three SARS-CoV-2 nucleic acid detection reagents (reagent A, B and based on different target gene detection, and we analyze the consistency by preliminary evaluation of the application of each reagent. Methods Totally 43 samples of pharyngeal swabs were collected from our hospital and the designated treatment hospital, and detected by the real-time fluorescencereverse transcription-polymerase chain reaction (RT-PCR) in three SARS- CoV-2 nucleic acid detection reagent (reagent A, B and C) at the same time. Clinical diagnosis was divided into COVID-19 group ( n =31) and control group ( n =12). Fisher exact probability test and Kendall coordination coefficient W test were used to test the difference of positive rate and consistency of test results. Results The positive detection rate of reagent B was the highest at 90.32%, and there was no reexamination result.The positive detection rate of reagent A and reagent C were 77.42% and 74.19%, and more reexamination results were needed for reagent C. In the control group, reagent A and C did not test positive, but reagent B showed one positive result. The difference of positive detection rate among reagents was not statistically significant ( P >0.05), and the difference in consistency was statistically significant, with progressive significance Sig=0.00 and Kendall’s W coefficient value being 0.852, indicating that the consistency of test results of the three reagents was very high. Conclusion The three reagents showed good consistency in the nucleic acid test results for COVID-19. Reagent B has advantages in sensitivity, and reagent A and C are stable in specificity.Reagent B is most suitable for strict screening during an outbreak, but false positives should be noted. Reagent A and reagent C need to improve the quality of test samples for false negative and reexamination results, and the result interpretation method of reagent C is not good in the processing of large quantities of positive sample data. 摘要： 目的 比较三种不同靶基因检测 2019 新型冠状病毒(SARS-CoV-2)的检测结果，分析其一致性，初步评估各 试剂的应用情况。 方法 收集 43 份本院患者和定点治疗医院送来的咽拭子标本，根据临床诊断分为新型冠状病毒肺 炎(COVID-19)组 31 份和对照组 12 份，用三种 SARS-CoV-2 核酸检测试剂同时进行实时荧光逆转录聚合酶链反应(re⁃ verse transcription-polymerase chain reaction, RT-PCR)检测，检测结果的阳性率差异和一致性分别用 Fisher 精确概率检 验和 Kendall’s 协调系数 W 检验。 结果 在 COVID-19 组中试剂 B 的阳性检出率最高为 90.32%，且不存在需复检结果； 试剂 A 和试剂 C 的阳性检出率分别为 77.42% 和 74.19%，且试剂 C 出现的需复检结果较多；在对照组中试剂 A 和试剂 C 未检测出阳性，但试剂 B 出现一例阳性结果。COVID-19 组中各试剂的阳性检出率差异不具有统计学意义( P >0.05)；一 致性方面差异具有统计学意义，渐进显著性 Sig=0.00，Kendall’sW 系数值为 0.852，说明三种试剂检测结果的一致性程度 很高。 结论 三种试剂对 COVID-19 核酸检测的结果一致性很好，灵敏度方面试剂 B 较有优势，特异性方面试剂 A 和 试剂 C 较稳定。试剂 B 最适合疫情期间的严格排查，但应注意假阳性结果的出现；试剂 A 和试剂 C 针对假阴性和需复 检结果需要提高检测样本的质量，且试剂 C 的结果判读方式在处理大批量阳性标本数据时体验欠佳。

Construction of the teaching quality evaluation index system for clinical teachers of undergraduate nursing students based on teaching managers' perspective

Objective To construct the teaching quality evaluation index system for clinical teachers of undergraduate nursing students based on teaching managers' perspective so as to provide a basis for clinical teaching management of undergraduate nursing students. Methods From May 2018 to September 2019, the expert enquiry questionnaire on the teaching quality evaluation index system for clinical teachers of undergraduate nursing students based on teaching managers' perspective was developed by the literature review and expert interview. Delphi technique was used to select 20 nursing teaching management experts, 16 of them from 4 ClassⅢ Grade A teaching hospitals in Beijing, 4 of them from a nursing undergraduate university to carry out two rounds of expert enquiry. Results The initial construction of the teaching quality evaluation index system for clinical teachers of undergraduate nursing students based on teaching managers' perspective included 5 first-level indexes and 30 second-level indexes. The valid recovery rates, expert authoritative coefficients, Kendall coordination coefficients of two rounds of expert enquiry questionnaire were 100%, 0.83 and 0.86, 0.395 and 0.554 respectively (P<0.01) with the satisfied consistency test results and credible enquiry results. Conclusions The construction of the teaching quality evaluation index system for clinical teachers of undergraduate nursing students based on teaching managers' perspective is scientifically rigorous. The system has definite evaluation indexes, rational administrative levels, objective and reliable system which could provide a basis for clinical teaching management of undergraduate nursing students. Key words: Students, nursing; Undergraduate students; Clinical teachers; Quality evaluation; Delphi technique

Developing a tool for measuring the disaster resilience of healthcare rescuers: a modified Delphi study

BackgroundDisaster resilience is an essential personal characteristics of health rescue workers to respond to disasters in an effective manner, and maintain a state of adaptation after deployment. It is essential for disaster managers to recruit, assess, and prepare healthcare rescuers with this characteristic. A specific tool for measuring the disaster resilience of healthcare rescuers has yet to be devised.ObjectiveThe purpose of this study was to establish the content validity of a tool for measuring the disaster resilience of disaster rescue workers.MethodsA modified Delphi approach was employed. Experts in disaster work and research were invited to rate the domains and items of a prototype tool for measuring disaster resilience in healthcare rescue workers. The panel of experts rated the relevance of the items using a 4-point Likert scale. The median and interquartile range, as well as the level of agreement, were calculated for each item using the Kendall coefficient W, to assess the consensus of the experts. The content validity index (CVI) was calculated to assess the content validity of this tool.ResultsA total of 22 and 21 experts were involved in the first and second rounds of this modified Delphi study (response rate of 91.7 and 95.5%), respectively. After two rounds of expert query, an eight-domain and 27-item disaster resilience measuring tool was established. The median range of all of the included items was 3.50 to 4.00 and the interquartile range was 0.00 to 1.00, and all items achieved ≥85% agreement. The Kendall coordination coefficient W was 0.21 and 0.33 in the first and second rounds, respectively, with P < 0.01. The I-CVI ranged from 0.85 to 1.0, while the S-CVI/UA and S-CVI /Ave were 0.69 and 0.97, respectively.ConclusionConsensus was reached on a disaster resilience measuring tool covering 27 items. The content validity of this tool for measuring the disaster resilience of healthcare rescuers was excellent. This tool is validated and ready to be tested in a pilot study to assess its psychometric properties.

Development of an index system for evaluating enhanced recovery after lung cancer surgery based on Donabedian Model

Objective To establish a scientific and reasonable evaluation index system of perioperative accelerated rehabilitation for lung cancer patients. Methods From March 2018 to January 2019, based on the Donabedian model, the evaluation index system of perioperative accelerated rehabilitation of lung cancer patients was established through literature review, semi-structured interview and Delphi methods. Results The authority coefficients of experts was 0.89, and the Kendall coordination coefficient was 0.411. After two rounds of inquiry, the evaluation index system of perioperative accelerated rehabilitation for lung cancer patients includes 3 primary indicators, 10 secondary indicators and 55 tertiary indicators. Conclusions Based on Donabedian model, the evaluation index system of perioperative accelerated rehabilitation of lung cancer patients is scientific and practical, which can provide scientific basis for the quality evaluation of perioperative accelerated rehabilitation of lung cancer patients.. Key words: Lung neoplasms; Enhanced recovery; Evaluation index; Delphi method; Donabedian Model

Research on Design of a Disaster Medicine Course for Clinical Medical Student

Introduction:Currently, there is no uniform and standard disaster medicine course for students in medical school.Aim:To design a disaster medicine course model based on knowledge structure, teaching and evaluation methods according to experts’ advice and interest of undergraduates majoring in clinical medicine.Methods:The first and second level catalog defined as chapters and sections for the disaster medicine curriculum were drafted based on literature and summary of fragmentary experience. The teaching syllabus with methods of teaching and evaluation was initially outlined. The expert consultation form and student questionnaire were designed and validated. Experts in disaster medicine in China were consulted and students in our medical school were investigated. Delphi Methods was used and the chapters and sections were adjusted and weighed according to experts’ advice through the Analytic Hierarchy Process. The teaching and evaluation methods for each knowledge module were obtained based on suggestions from experts and students.Results:A total of 31 experts were consulted. 320 students were inquired. By two rounds of consultation with Kendall coordination coefficient W value 0.207, chi-square value 128.781(p=0.01), consensus about the knowledge structure for the curriculum were achieved, which consisted of 6 chapters (as Introduction to disaster medicine, incident command, medical knowledge and skills in disaster, public health, ethics in disaster, information management, with the weights of 0.1486, 0.1999, 0.4209, 0.0785, 0.0748, 0.0774 respectively)and 25 sections. Teaching methods for different knowledge module were determined, which included lecture, demonstration, case discussion, drill and sand table simulation. And the evaluation methods were affirmed as a quiz, written examination, skill test and teamwork test assessed by intra-group and inter-group evaluation.Discussion:Through scientific investigation of experts in disaster rescue and undergraduates majoring in clinical medicine, a disaster medicine course model for clinical medical students was established.

Research on the Design of a Training Course for an International Emergency Medical Team

Introduction:Currently, Technical Advisors of the World Health Organization’s (WHO) Emergency Medical Teams (EMT) Secretariat are conducting standardized verification work for international emergency medical teams in various countries and organizations. However, a uniform and standard training course for an International EMT is lacking.Aim:To design a training course model based on knowledge structure, teaching, and evaluation methods for an International EMT.Methods:The first and second level catalogue defined as chapters and sections for the International EMT training curriculum were drafted based on literature and summaries of fragmentary experience. The teaching syllabus with the method of teaching and evaluation was initially outlined. The expert consultation form was designed and validated. Experts from International EMTs from various countries were consulted and investigated. The Delphi method was used, and the chapters and sections were adjusted and weighed according to experts’ advice through the Analytic Hierarchy Process. The teaching and evaluation methods for each knowledge module were obtained based on suggestions from experts.Results:A total of 25 experts were consulted. By 2 rounds of consultation with a Kendall coordination coefficient W value of 0.210 and chi-square value of 78.61 (p&lt;0.05), consensus about the knowledge structure for the curriculum was achieved, which consisted of 6 chapters: (1) introduction of International EMT, (2) Disaster medicine, (3) Global health, (4) Care in austere condition, (5) Medical technology, (6) Field training, with the weights of 0.1415, 0.1584, 0.1536, 0.1827, 0.1728, and 0.1909, respectively, and 32 sections. Teaching methods for different knowledge modules were determined, which included lecture, demonstration, discussion, drills, and tabletop simulation. The evaluation methods were affirmed via a quiz, written examination, skill test, and teamwork test assessed by intra-group and inter-group evaluation.Discussions:Through scientific investigation of experts from International EMTs, a training course model for International EMT was established.

Development of inclusion criteria of community-based palliative care

Objective To explore the inclusion criteria of community-based palliative care service. Methods From July 2017 to September 2017, three rounds of Delphi consultation for development of inclusion criteria of community-based palliative care was conducted. With judgment sampling method, 23 senior executives and managers from 6 pilot units of palliative care service in Shanghai were selected and invited to participate in the consultation, which included the importance, coercion and completeness of the inclusion criteria. According to the consulting results, the inclusion criteria of community palliative care services was developed. Results The median age of experts was 35 years (29-55 years, with a quartile spacing of 7 years). The average working experience of experts was (13.7±7.5) years, in which that for palliative care was (4.1±1.6) years. The authority coefficient was 0.82, and the Kendall coordination coefficient was 0.337 (P<0.01) for the importance of inclusion criteria. In the developed criteria, the four mandatory inclusion criteria were patient needs, the provision ability of community health service centers, compliance with legal requirements and compliance with the concept of palliative care service; and the five non-mandatory inclusion criteria were heavy needs and demands, high cooperation from patients and their families, high satisfaction of patients and their families, within the scope of community health service centers and clinical guidelines for the operations. Conclusion The experts of this research have high enthusiasm and authority, and the developed inclusion criteria of community palliative care service contents are reasonable and feasible. This studymay provide reference for setting up the contents adjustment mechanism of community-based palliative service. Key words: Delphi technique; Community health services; Palliative care

Research on optimization of index system design and its inspection method

Purpose To construct a scientific and reasonable indicator system, it is necessary to design a set of standardized indicator primary selection and optimization inspection process. The purpose of this paper is to provide theoretical guidance and reference standards for the indicator system design process, laying a solid foundation for the application of the indicator system, by systematically exploring the expert evaluation method to optimize the index system to enhance its credibility and reliability, to improve its resolution and accuracy and reduce its objectivity and randomness. Design/methodology/approach The paper is based on system theory and statistics, and it designs the main line of “relevant theoretical analysis – identification of indicators – expert assignment and quality inspection” to achieve the design and optimization of the indicator system. First, the theoretical basis analysis, relevant factor analysis and physical process description are used to clarify the comprehensive evaluation problem and the correlation mechanism. Second, the system structure analysis, hierarchical decomposition and indicator set identification are used to complete the initial establishment of the indicator system. Third, based on expert assignment method, such as Delphi assignments, statistical analysis, t-test and non-parametric test are used to complete the expert assignment quality diagnosis of a single index, the reliability and validity test is used to perform single-index assignment correction and consistency test is used for KENDALL coordination coefficient and F-test multi-indicator expert assignment quality diagnosis. Findings Compared with the traditional index system construction method, the optimization process used in the study standardizes the process of index establishment, reduces subjectivity and randomness, and enhances objectivity and scientificity. Originality/value The innovation point and value of the paper are embodied in three aspects. First, the system design process of the combined indicator system, the multi-dimensional index screening and system optimization are carried out to ensure that the index system is scientific, reasonable and comprehensive. Second, the experts’ background is comprehensively evaluated. The objectivity and reliability of experts’ assignment are analyzed and improved on the basis of traditional methods. Third, aim at the quality of expert assignment, conduct t-test, non-parametric test of single index, and multi-optimal test of coordination and importance of multiple indicators, enhance experts the practicality of assignment and ensures the quality of expert assignment.

Construction of nurse training course based on intercultural target incentive self-management model of elderly patients with chronic heart failure

Objective To construct the nurse training course based on intercultural target incentive self-management model of elderly patients with chronic heart failure (CHF) . Methods From August 2017 to November 2017, the three rounds of enquiry of 16 experts were carried out with the Delphi method to construct the nurse training course based on intercultural target incentive self-management model of elderly CHF patients. Results Among three rounds of enquiry, the recovery rates of valid questionnaire were all 100%; the expert authority coefficient was 0.863; the total Kendall coordination coefficients were 0.194, 0.431 and 0.371 respectively (P<0.05) . The nurse training course included 18 primary indexes and 39 secondary indexes. Conclusions The construct of the nurse training course based on intercultural target incentive self-management model of elderly CHF patients is scientific and practical which provides a reference for carrying out personalized self-management education. Key words: Aged; Nurses; Heart failure; Transcultural nursing; Target incentive; Self-management; Course construction

Construction of training content for gerontological advanced practice specialty nurse based on advanced practice nurse core competence

Objective To construct the training content for gerontological advanced practice specialty nurses based on advanced practice nurse (APN) core competence. Methods From January 2017 to February 2018, the frame of gerontological advanced practice specialty nurses core competence and training content was built preliminarily with the methods of literature review and theoretical analysis. The training content for gerontological advanced practice specialty nurses was confirmed finally by the Delphi method involving 18 expert enquiries. Results After two rounds of expert consultation, the core competence was established finally including 5 primary indicators and 37 secondary indicators. Besides, the core competence training content included 9 primary indicators and 103 secondary indicators. The authoritative coefficients of experts were greater than 0.80, and the P value of Kendall coordination coefficients test of two rounds of expert consultation were less than 0.05. Conclusions The results of the Delphi expert's consultation are concentrated, the research results are true and reliable with a certain practical significance. It can provide a reference for the training of gerontological advanced practice specialty nurses, but still need to be tested in practice. Key words: Nurses; Core competence; Advanced practice nurse; Nurse clinicians; Training content; Delphi technique

Construction of evaluation index system of nursing quality for cancer hospital

Objective To establish a scientific and sensitive evaluation index system of nursing quality for cancer hospital. Methods The evaluation index system of nursing quality for cancer hospital was formulated based on literature,semi-structured interviews and expert group discussion. Then, developing the evaluation index system of nursing quality for cancer hospital by two rounds of Delphi consultation. Results The experts′ authority coefficient was 0.862. The nursing quality indicators included 5 first-level indicators, 9 second-level indicators and 73 third-level indicators. The Kendall coordination coefficients of the importance of the three level indicators were 0.354, 0.217, and 0.243, The Kendall coordination coefficients of the feasibility of the three level indicators were 0.234, 0.313, and 0.339. Conclusions Scientific nature and concentration indicator system of nursing quality for cancer hospital was developed. It will be used to provide quantitative basis for the control of nursing quality in cancer hospital. Key words: Delphi technique; Cancer hospital; Nursing quality; Evaluation index system

Construction of performance evaluation index of clinical nursing staff based on Balanced Score Card

Objective Based on the theory of the Balanced Score Card framework and using Delphi method and analytic hierarchy process to construct the clinical nursing staff performance appraisal index evaluation system and provide reference for clinical nursing staff post management. Methods According to the theory of Balanced Score Card, constructed the preliminary establishment of index system for performance evaluation of clinical nursing. Used Delphi method to interview 26 nursing experts to select clinical nursing performance evaluation indicator. In the end, applied hierarchical analysis to determine index weight at all levels. Results Conducted two rounds of expert consultation; distributed 2 rounds of questionnaires by 27 and 26; recycled by 26 and 25; the recycling rate was 96.3% and 99.1%. It showed that the active coefficient of experts was higher. The degree of experts′ authority was 0.89, which meaned the higher authority. Through two rounds of expert consultation, the Kendall coordination coefficient was 0.199-0.388. The significant test indicated that it was statistically significant (P < 0.05), which meaned the experts tend to agree. After two rounds of expert consultation, the final clinical nursing staff performance appraisal indicators included 4 first-class indexes, 10 secondary indexes, 24 third-class indexes. Each index weight was determined by the analytic hierarchy process. In primary index, the internal process, learning and growth, performance indicators and the weight of customer satisfaction were 0.3, 0.3, 0.3 and 0.1 respectively. In secondary index weight, the top three were the work′s quality, post, and quantity. In the third class index weight, the top three were undertaking clinical work, annual nurse competence grading and the person-time of critical patients′ management or surgical patient management. Conclusions Based on Delphi method and analytic hierarchy process to determine the clinical nursing staff performance appraisal evaluation index, whic can provide theoretical basis for clinical nursing staff post management. Key words: Performance appraisal; Analytic hierarchy process; Balanced Score Card; Nursing management

Development and evaluation of a new curriculum based on the Delphi method for master of nursing programs in China

Abstract Objective To develop a new curriculum for a master's degree in nursing and provide a reference for nursing education in China. Methods After a comprehensive literature review and item consolidation, an expert panel developed the initial version of the master's degree program objective and curriculum. A three-round Delphi study was subsequently conducted to revise and validate the curriculum. Results Twenty-six experts participated in the evaluation and validation process. The authority coefficient was 0.88, and the Kendall coordination coefficient was statistically significant ( χ 2 test, P Conclusions The present study provided an operational curriculum for a master's degree in nursing in China.

Preliminary build of neonatal surgical nursing quality evaluation indicator system

Objective To establish a scientific and objective indicator system for nursing quality evaluation according to nursing works of neonatal surgical department. Methods To establish the indicator system based on the three-dimension quality structure. Literature retrieval, expert interview and Delphi expert enquiry were used to filter and improve indicators. Analytic hierarchy process was used to determine the index weight and check the consistency. Results The quality indicator system included three levels. There were 3 indicators in level one, 14 indicators in level two and 70 indicators in level three. Experts coefficient was 0.867, mean of importance values of two rounds were 3.83-5.00 and 4.08-5.00 , Kendall coordination coefficients were 0.292(P <0.01) and 0.301(P <0.01). Conclusions The nursing quality evaluation indicator system has high reliability and it can be used for guiding continuous improvement of nursing in neonatal surgical department. Key words: Neonatal nursing; Nursing audit; Quality indicators, health care; Evaluation studies; Neonatal surgery