Yu Zhou, Lu Liu, Rong Rong, Li Guo, Yuquan Pei, Xiuying Lu

Constructing nursing quality indicators for intraoperative acquired pressure injury in cancer patients based on guidelines

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • General Medicine
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ABSTRACT Background: Cancer patients have a high incidence of intraoperatively acquired pressure injury. Constructing intraoperatively acquired pressure injury quality indicators can reduce the incidence of pressure injury, but there are a lack of these indicators targeting cancer patients.Based on this, study develop a system of quality indicators for intraoperatively acquired pressure injury. Methods: Thirty-four potential indicators were included based on the literature review. The 26 experts were asked to rate the importance and feasibility of each indicator using three rounds of email survey. Results: The authoritative coefficient ranged from 0.92 to 0.94. After three rounds of Delphi expert consultation, 9 nursing quality indicators were identified for intraoperative acquired pressure injury in cancer patients. The mean importance or feasibility ratings ranged from 4.77 to 5.81 on a six-point scale, with variation coefficients ranging from 0.07 to 0.26. The percentage of full score for potential indicators ranged from 23.10% to 80.80%. Over three rounds, the Kendall’s W coefficients ranged from 0.157 to 0.354 (P < 0.01). Conclusion: The absolute and relative importance and feasibility of the 9 indicators were identified as potentially valid measures of nursing quality indicators for intraoperative acquired pressure injury in cancer patients. This instrument is the first set of intraoperative acquired pressure injury quality indicators developed specifically for cancer patients, and it should be useful for evaluating and improving the quality of intraoperative acquired pressure injury in this population.

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