Table 2 The results of the first round of expert consultation
First-level indicators | Second-level indicators | Third-level indicators | Importance | Applicability of data collection methods | ||||
|---|---|---|---|---|---|---|---|---|
Indicators | Calculation formula | Mean(SD) | CV | Weight(%) | Mean(SD) | CV | ||
Structure indicators | Organizational Structure | 1. Setup of the PPV management team | A or B/1 × 100%, where A = 1, indicating that there is a PPV management team; B = 0, indicating that there is no PPV management team | 4.50 ± 0.827 | 0.18 | 0.025 | 4.70 ± 0.657 | 0.14 |
System and Process | 2. Emergency plan system for security incidents | A or B/1 × 100%, where A = 1, indicating that there is a security incident emergency plan system; B = 0: there is no emergency plan system for security incidents | 4.70 ± 0.571 | 0.12 | 0.026 | 4.53 ± 0.905 | 0.21 | |
3. PPV operation procedure | A or B/1 × 100%, where A = 1, indicating that a PPV operation procedure has been developed; B = 0, indicating that there is no PPV operation procedure | 4.90 ± 0.308 | 0.06 | 0.027 | 4.89 ± 0.315 | 0.06 | ||
4. Checklist of PPV operations | A or B/1 × 100%, where A = 1, indicating that there is a checklist of PPV operations; B = 0, indicating that there is no checklist of PPV operations | 4.80 ± 0.523 | 0.11 | 0.027 | 4.74 ± 0.562 | 0.12 | ||
Resource Allocation | 5. Number of operators | Total number of medical personnel able to perform PPV | 4.55 ± 0.605 | 0.13 | 0.025 | 4.68 ± 0.582 | 0.12 | |
6. Responsibilities of each operator role | A or B/1 × 100%, where A = 1, indicating clear responsibilities of each operator role; B = 0: The responsibilities of each role are not clearly defined | 4.65 ± 0.933 | 0.20 | 0.026 | 4.50 ± 0.607 | 0.13 | ||
7. Fully prepared materials | A or B/1 × 100%, where A = 1, materials are well prepared before performing PPV; B = 0: The materials are not well prepared before performing PPV | 4.85 ± 0.366 | 0.08 | 0.027 | 4.60 ± 0.821 | 0.18 | ||
8. The completion rate of monitoring facilities | Times of completion for monitoring facilities/the total number of random checks within the cycle ×100% | 4.75 ± 0.550 | 0.12 | 0.026 | 4.85 ± 0.366 | 0.08 | ||
9. The completion rate of emergency facilities | Times of completion for emergency facilities/the total number of random checks within the cycle ×100% | 4.80 ± 0.523 | 0.11 | 0.027 | 4.45 ± 0.887 | 0.20 | ||
Education and Training | 10. Implementation rate of PPV-related training | Actual times of PPV training/total planned training times of the same period ×100% | 4.85 ± 0.366 | 0.08 | 0.027 | 4.70 ± 0.571 | 0.12 | |
11. Qualified rate of knowledge assessment of PPV | Person-times qualified for PPV knowledge examinations/total person-times of spot checks ×100% | 4.65 ± 0.671 | 0.14 | 0.026 | 4.55 ± 0.686 | 0.15 | ||
Process indicators | Before switching positions | 12. Performance rate of hemodynamic assessment | Person-times of hemodynamic assessment/total person-times of spot checks within the cycle ×100% | 4.95 ± 0.308 | 0.06 | 0.028 | 4.75 ± 0.786 | 0.17 |
13. The implementation rate of respiratory or airway preparation | Person-times of respiratory or airway preparation/total number of spot checks performed during the cycle ×100% | 5.00 ± 0.000 | 0.00 | 0.028 | 4.79 ± 0.419 | 0.09 | ||
14. Implementation rate of sedation state assessment | The number of people who performed sedation assessment/the total number of random checks within the cycle ×100% | 4.90 ± 0.308 | 0.06 | 0.027 | 4.85 ± 0.489 | 0.10 | ||
15. Implementation rate of gastric residual volume assessment | Person-times of gastric residual volume assessment/total person-times of spot checks ×100% | 4.84 ± 0.375 | 0.08 | 0.027 | 4.70 ± 0.657 | 0.14 | ||
16. Implementation rate of pressure injuries risk assessment | Person-times of pressure injuries risk assessments/total person-times of spot checks ×100% | 4.75 ± 0.550 | 0.12 | 0.026 | 4.80 ± 0.523 | 0.11 | ||
17. Execution rate of unplanned extubation risk assessment | Person-times of unplanned extubation risk assessments/total person-times of spot checks ×100% | 4.90 ± 0.308 | 0.06 | 0.027 | 4.35 ± 0.933 | 0.21 | ||
18. Timeout execution rate | Person-times of timeout execution/total person-times of spot checks within the cycle ×100% | 4.90 ± 0.308 | 0.06 | 0.027 | 4.85 ± 0.489 | 0.10 | ||
19. Performance rate of ventilator parameter evaluation | Person-times of ventilator parameter evaluation/total person-times of spot checks ×100% | 4.75 ± 0.639 | 0.13 | 0.026 | 4.55 ± 0.887 | 0.19 | ||
While changing position | 20. Performance rate of dynamic observation during postural transition | Number of patients undergoing dynamic observation during position changes/total number of spot checks ×100% | 4.95 ± 0.224 | 0.05 | 0.027 | 4.84 ± 0.375 | 0.08 | |
21. Implementation rate of the checklist | Number of implementation entries on the checklist/total entries on the checklist within the period ×100% | 4.74 ± 0.452 | 0.10 | 0.026 | 4.85 ± 0.489 | 0.10 | ||
After changing position | 22. Standard position placement rate | Number of patients with qualified position placement within the cycle/total number of persons with spot checks ×100% | 4.55 ± 0.887 | 0.19 | 0.025 | 4.35 ± 0.998 | 0.23 | |
23. Airway assessment execution rate | Times of airway assessment after postural change/total number of spot checks within the cycle ×100% | 4.80 ± 0.696 | 0.15 | 0.027 | 4.74 ± 0.653 | 0.14 | ||
24. Performance rate of lung function evaluation | Number of lung function evaluations after a postural change/total number of spot checks within the cycle ×100% | 4.55 ± 0.887 | 0.19 | 0.025 | 4.35 ± 0.988 | 0.23 | ||
25. Compliance with prone ventilation | Number of patients with PPV/total number of patients requiring PPV ×100% | 4.65 ± 0.587 | 0.13 | 0.026 | 4.33 ± 0.907 | 0.21 | ||
Result indicators | Quality of nursing care | 26. Prone position ventilation duration | Total PPV hours per patient | 4.75 ± 0.639 | 0.13 | 0.026 | 4.74 ± 0.653 | 0.13 |
27. Oxygenation index improvement rate | Number of patients with an improved oxygenation index after PPV/total number of patients with PPV ×100%; Oxygenation index = arterial oxygen partial pressure (PaO2)/oxygen absorption concentration (FiO2) ×100% | 4.55 ± 0.826 | 0.18 | 0.025 | 4.58 ± 0.838 | 0.18 | ||
28. Mechanical ventilation duration | Total hours of mechanical ventilation per patient | 4.50 ± 1.000 | 0.22 | 0.025 | 4.42 ± 0.838 | 0.19 | ||
29. Qualified rate of nursing records | Number of qualified nursing records/total number of spot checks ×100% | 4.45 ± 0.887 | 0.20 | 0.025 | 4.79 ± 0.419 | 0.09 | ||
30. Lung reexpansion rate | Patients with recurrent lung expansion after PPV/total patients with PPV ×100% | 4.80 ± 0.410 | 0.09 | 0.027 | 4.56 ± 0.616 | 0.14 | ||
31. Patient comfort level | Patient comfort scores for awake prone patients | 4.60 ± 0.681 | 0.15 | 0.026 | 4.58 ± 0.507 | 0.11 | ||
Adverse Events | 32. Incidence of total complications of prone ventilation | Number of patients with complications due to PPV/total patients with PPV in the same period × 100% | 4.75 ± 0.550 | 0.12 | 0.026 | 4.04 ± 0.629 | 0.16 | |
33. Incidence of pressure injuries | Number of patients with pressure injuries/total patients with PPV in the same period × 100% | 4.90 ± 0.308 | 0.06 | 0.027 | 4.75 ± 0.716 | 0.15 | ||
34. Incidence of unplanned extubation | Person-times of unplanned extubation/Total person-times of PPV in the same period × 100% | 4.85 ± 0.489 | 0.10 | 0.027 | 4.39 ± 1.000 | 0.23 | ||
35. Incidence of aspiration/vomiting | Number of patients with aspiration/vomiting/total patients with PPV × 100% | 4.45 ± 0.887 | 0.20 | 0.025 | 4.60 ± 0.940 | 0.20 | ||
36. Incidence of facial edema | Number of patients with facial edema due to PPV/total patients with PPV in the same period × 100% | 4.65 ± 0.813 | 0.17 | 0.026 | 4.50 ± 0.761 | 0.17 | ||
37. Incidence of bed falls | Number of patients falling out of bed/total patients with PPV in the same period × 100% | 4.55 ± 0.826 | 0.06 | 0.025 | 4.75 ± 0.550 | 0.12 | ||
38. Incidence of peripheral nerve injuries | Number of patients with peripheral nerve injuries due to PPV/total patients with PPV in the same period × 100% | 4.45 ± 0.887 | 0.20 | 0.025 | 4.20 ± 0.967 | 0.23 | ||