Consensus on Quality Indicators for Pediatric Oncology Nursing Care in Mainland China: A Delphi Method and Analytic Hierarchy Process

2022 ◽  
pp. 275275302110687
Author(s):  
Mengxue He ◽  
Hong Lu ◽  
Nanping Shen ◽  
Xinyi Wu ◽  
Guomei Shen ◽  
...  

Background: Because routine nursing quality indicators are not suitable to evaluate pediatric oncology nursing care, this study aimed to identify a set of quality indicators for pediatric oncology nursing care in mainland China. Method: This prospective investigation utilized a modified Delphi technique and an analytic hierarchy process. A survey questionnaire was developed using a literature review and semi-structured interviews. Fifteen invited experts evaluated the importance of potential indicators through three rounds of Delphi survey by email in 2018. The importance weight of each indicator was identified through analytic hierarchy process. Results: In the Delphi survey, the average authoritative coefficient was 0.93–0.96 for each round of the inquiry. After three rounds of survey, 29 quality indicators were identified as important nursing outcomes for assessing the quality of pediatric oncology nursing care in mainland China. The importance rating mean score of indicators ranged between 4.67–5.00 on a 5-point scale, and the variation coefficient ranged between 0–0.19. Expert-assigned indicator importance weight varied between 0.0040–0.0870. Conclusion: This study identified an indicator system with 29 nursing-sensitive quality indicators that may represent potential indicator candidates for quality assessment of pediatric oncology nursing practice in mainland China.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M B Kaziuk ◽  
W Kosiba

Abstract Introduction Haemodialysis is one of the methods of renal replacement therapy which is most frequently used in Poland and in the world in patients with chronic and acute renal failure. Purpose: An attempt was made to have patients undergoing regular haemodialysis assess the results of activity of dialysis centres. Methods 64 patients (30 women, 34 men, age: 50.2 +/- 11.9 years) undergoing dialysis therapy in three selected dialysis centres in Poland were included in the study. A questionnaire correlated with the analytic hierarchy process (AHP) was employed for the assessment. The dialysis centres were assessed by the patients in the context of availability of services, communication between the medical staff and the patient and the treatment used. Two sub-criteria were connected with each criterion, for which significance (priorities) indicating a dependent impact on the assessment of the quality of dialysis centres was calculated. Results From amongst four domains of the assessment of dialysis centres, the patients rated medical care and nursing care the highest (w = 0.386), where medical care had significance equal to 0.455, and nursing care had significance equal to = 0.545. The next important part of the assessment of dialysis centres was communication between the medical staff and the patient (w = 0.321) and the treatment used (haemodialysis) (w = 0.155). Availability of services had the lowest significance (w = 0.138), including performance of examinations for kidney transplant and medical transport for haemodialysis. Conclusions The assessment of dialysis centres using the AHP method should be part of the therapeutic process where one needs to emphasise the role of the patient in chronic nephrological care which translates into the quality of services provided by dialysis centres. Key messages The assessment of dialysis centres using the AHP method should be part of the therapeutic process. The patient’s role and its good assessment in the treatment process is very important.


Author(s):  
Ria Budi Sundoro ◽  
Kohar Sulistyadi ◽  
Syahfirin Abdulla

Background: Performing ergonomic positions in nursing care both directly and indirectly is very fundamental. However, it need the strategy to implement ergonomic positions for the nurses. Aims of research to determine strategies that can be applied by the Healthcare Department Management in the application of ergonomic positions for nurses in Qatar. Methods: Data analysis using SAST (Strategic Assumption Surfacing and Testing) and AHP (Analytic Hierarchy Process) for prioritized the criteria and alternative. Result: SAST analysis shows all assumptions that appear contained in quadrant I (Certain Planning Region), Process to affect working conditions assumptions with values ​​5.3 - 5.3 (Certainty – Important) are considered as definite and important in apply an ergonomic strategy. In the AHP analysis, Top Down with a value of 0.345 as the most priority choice for criteria level, and Ergonomic Committee Effectiveness being the choice with the highest value 0.231 in alternative level. Both strategies being selected in carrying out an ergonomic position strategy. Conclusions: In the AHP method, Process to affect working condition has been choose as certainty and important strategy to be implemented. In the SAST method, to achieve the goal, Top Down selected in criteria level and Ergonomic committee effectiveness in the alternative level.


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