Orthopedic Nursing Quality Evaluation Indicators

In 2018, based on the previous research and practices of 48 orthopedic nursing quality evaluation indicators [10 (link)], the research team summarized the existing problems, searched domestic and foreign literature, and using the Delphi method formulated 10 orthopedic nursing quality sensitive indicators, such as limb blood circulation evaluation accuracy, posture nursing qualification rate, rehabilitation behavior training accuracy, and deep vein thrombosis incidence rate. The expert authority coefficient of two rounds of expert inquiry was 0.902. The results obtained were credible, with positive coefficients of 0.96 and 1.00. After two rounds of expert consultation, the coefficient of variation was 0–0.27, and the coefficient of coordination was 0.36–0.68 (P < 0.05). Structural indicators (include 1.1 as shown in Table 1) were collected by daily registration, process indicators (2.1–2.4) by field assessment, and result indicators (3.1–3.4) by clinical data statistics (chart review) or satisfaction survey. Each index defines its connotation, evaluation elements, and calculation formula, as shown in Table 1. The evaluation criteria of specialized nursing quality were established, such as limb blood circulation, nerve function, axis turnover operation, plaster fixation patient care operation, spinal cord injury patient handling standards, and various auxiliary equipment use standards according to the indicators.