BMC Health Services Research (Apr 2025)
Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory
Abstract
Abstract Objective Based on the “Three-Dimensional Quality Structure” theory, a sensitive index system of nursing quality during the perioperative period of liver transplantation patients was constructed. Methods Through a comprehensive literature review and rigorous application of the Delphi method, a panel of 27 experts completed three rounds of effective letter consultation to obtain expert consensus opinions. The contents of indicators were determined based on this process, and the analytic hierarchy process was employed to confirm the weightage assigned to each indicator. Consequently, we established a sensitive index system of nursing quality during the perioperative period of liver transplantation patients. Results The effective recovery rates of the questionnaires in the three rounds of expert consultation reached 96.6%, 100% and 96.4%, respectively, and the proportions of experts who gave opinions were 55%, 25% and 12%,respectively, indicating a high degree of expert authority. The expert authority coefficients were calculated to be 0.899, 0.895 and 0.909,respectively, indicating a high degree of expert authority. In the third round, Kendall’s coordination coefficients for primary, secondary, and tertiary indicators were determined to be 0.340, 0.379, and 0.402 (P < 0.001), indicating that expert opinions tended to be consistent. Finally, We established a comprehensive sensitivity quality index system comprising 3 first-level indexes,11 s-level indexes, and 60 third-level indexes specifically designed for liver transplantation patients during the perioperative period. Conclusion The sensitive index system of perioperative nursing quality for liver transplantation patients can provide a theoretical basis for nursing staff to construct precise individualized nursing models.
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