Table 3 Nursing-sensitive quality indicators for prone position ventilation
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 | 4.74 ± 0.452 | 0.10 | 0.029 | 4.95 ± 0.229 | 0.05 |
Resource Allocation | 2. Requirements of the operators | A or B/1 × 100%, where A = 1, indicating clear roles, responsibilities and requirements of the operators; B = 0: The roles, responsibilities and requirements of operators are not clearly defined | 4.74 ± 0.452 | 0.10 | 0.029 | 4.79 ± 0.535 | 0.11 | |
3. Material readiness rate | Number of times that the materials were ready before implementing PPV/total number of spot checks ×100% | 4.84 ± 0.501 | 0.10 | 0.029 | 4.89 ± 0.315 | 0.06 | ||
4. First aid and monitoring facilities completion rate | Times of complete first aid and monitoring facilities/total number of spot checks within the cycle ×100% | 4.84 ± 0.501 | 0.10 | 0.029 | 4.89 ± 0.315 | 0.06 | ||
System and Process | 5. Emergency plan system for security incidents | A or B/1 × 100%, where A = 1, indicates that there is a security incident emergency plan system; and B = 0 indicates that there is no emergency plan system for security incidents | 4.74 ± 0.452 | 0.10 | 0.029 | 4.95 ± 0.229 | 0.05 | |
6. 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 | 4.89 ± 0.315 | 0.06 | 0.030 | 5.00 ± 0.000 | 0.00 | ||
7. 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 | 4.84 ± 0.375 | 0.08 | 0.029 | 4.84 ± 0.375 | 0.08 | ||
Education and Training | 8. Implementation rate of PPV related training | Actual times of PPV training/total planned training times in the same period ×100% | 4.74 ± 0.452 | 0.10 | 0.029 | 4.79 ± 0.419 | 0.09 | |
9. Qualified rate of knowledge assessment of PPV | Person-times qualified in PPV knowledge examination/total person-times of spot checks ×100% | 4.68 ± 0.582 | 0.12 | 0.029 | 4.79 ± 0.419 | 0.09 | ||
Process indicators | Before switching positions | 10. Performance rate of hemodynamic assessment | Person-times of hemodynamic assessment/total person-times of spot checks within the cycle ×100% | 4.79 ± 0.535 | 0.11 | 0.029 | 4.68 ± 0.582 | 0.12 |
11. Airway preparation performance rate | Person-times of airway preparation/total number of spot checks performed during the cycle ×100% | 4.95 ± 0.229 | 0.05 | 0.030 | 4.95 ± 0.229 | 0.05 | ||
12. Execution rate of sedation and analgesia assessment | Number of people who performed sedation and analgesia assessments/total number of spot checks within the cycle ×100% | 4.84 ± 0.375 | 0.08 | 0.029 | 4.79 ± 0.419 | 0.09 | ||
13. Implementation rate of gastric residual volume assessment | Person-times of gastric residual volume assessments/total person-times of spot checks ×100% | 4.84 ± 0.375 | 0.08 | 0.029 | 4.68 ± 0.582 | 0.12 | ||
14. Implementation rate of pressure injuries risk assessment | Person-times of pressure injuries risk assessments/total person-times of spot checks ×100% | 4.89 ± 0.315 | 0.06 | 0.030 | 4.89 ± 0.315 | 0.06 | ||
15. Execution rate of unplanned extubation risk assessment | Person-times of unplanned extubation risk assessments/total person-times of spot checks ×100% | 4.89 ± 0.315 | 0.06 | 0.030 | 4.89 ± 0.315 | 0.06 | ||
16. Timeout Execution rate | Person-times of timeout execution/total person-times of spot checks within the cycle ×100% | 4.89 ± 0.315 | 0.06 | 0.030 | 4.89 ± 0.315 | 0.06 | ||
While changing position | 17. Performance rate of dynamic observation during postural transition | Number of patients undergoing dynamic observation during position changes/total number of spot checks ×100% | 5.00 ± 0.000 | 0.00 | 0.030 | 4.63 ± 0.597 | 0.13 | |
18. Implementation rate of checklist | Entries/total entries on the checklist within the period ×100% | 4.74 ± 0.452 | 0.10 | 0.029 | 4.47 ± 0.697 | 0.16 | ||
After changing position | 19. Standard position placement rate | Number of persons with qualified position placement within the cycle/total number of persons with spot checks ×100% | 5.00 ± 0.000 | 0.00 | 0.030 | 4.89 ± 0.315 | 0.06 | |
20. Airway assessment execution rate | Airway assessment after postural changes/total number of spot checks within the cycle ×100% | 4.89 ± 0.315 | 0.06 | 0.030 | 4.84 ± 0.375 | 0.08 | ||
Result indicators | Quality of nursing care | 21. PPV duration standard rate | Number of patients with qualified PPV duration/total number of patients with PPV duration ×100% | 5.00 ± 0.000 | 0.00 | 0.030 | 4.63 ± 0.761 | 0.16 |
22. Incidence of unplanned treatment interruptions in PPV | Patients with interruptions of unplanned PPV treatment/total number of patients with PPV ×100% | 4.63 ± 0.597 | 0.13 | 0.028 | 4.53 ± 0.697 | 0.15 | ||
23. 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% | 4.79 ± 0.535 | 0.11 | 0.029 | 4.63 ± 0.684 | 0.15 | ||
24. Lung reexpansion rate | Number of patients with recurrent lung expansion after PPV/total number of patients with PPV ×100% | 4.80 ± 0.410 | 0.09 | 0.029 | 4.79 ± 0.419 | 0.09 | ||
Adverse Events | 25. Incidence of pressure injuries | Number of patients with pressure injuries/total number of patients with PPV in the same period × 100% | 4.89 ± 0.315 | 0.06 | 0.030 | 4.89 ± 0.315 | 0.06 | |
26. Incidence of unplanned extubations | Number of patients with unplanned extubations/total number of patients with PPV in the same period × 100% | 5.00 ± 0.000 | 0.00 | 0.030 | 4.95 ± 0.229 | 0.05 | ||
27. Incidence of aspiration/vomiting | Number of patients with aspiration/vomiting/total number of patients with PPV in the same period × 100% | 4.74 ± 0.562 | 0.12 | 0.029 | 4.89 ± 0.459 | 0.09 | ||
28. Incidence of eye injuries | The number of patients with eye injuries/total number of patients with PPV in the same period × 100% | 4.84 ± 0.375 | 0.08 | 0.029 | 4.68 ± 0.671 | 0.14 | ||
29. Incidence of bed falls | Number of patients falling out of bed/total number of patients with PPV in the same period × 100% | 4.68 ± 0.582 | 0.12 | 0.029 | 4.63 ± 0.684 | 0.15 | ||