Construction of haemodialysis nursing-sensitive quality indicators based on Donabedian theory: A Delphi method study

doi:10.1002/nop2.1349

Review

. 2023 Feb;10(2):807-816.

doi: 10.1002/nop2.1349. Epub 2022 Aug 30.

Construction of haemodialysis nursing-sensitive quality indicators based on Donabedian theory: A Delphi method study

Lin Chen^{1

2}, Yingjun Zhang^{1

2}, Chao Li^{1

2}, Qiao Li^{1

2}, Li He^{1

2}

Affiliations

¹ West China School of Nursing, Sichuan University, Chengdu, China.
² Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.

PMID: 36040112
PMCID: PMC9834505
DOI: 10.1002/nop2.1349

Review

Construction of haemodialysis nursing-sensitive quality indicators based on Donabedian theory: A Delphi method study

Lin Chen et al. Nurs Open. 2023 Feb.

. 2023 Feb;10(2):807-816.

doi: 10.1002/nop2.1349. Epub 2022 Aug 30.

Authors

Lin Chen^{1

2}, Yingjun Zhang^{1

2}, Chao Li^{1

2}, Qiao Li^{1

2}, Li He^{1

2}

Affiliations

¹ West China School of Nursing, Sichuan University, Chengdu, China.
² Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.

PMID: 36040112
PMCID: PMC9834505
DOI: 10.1002/nop2.1349

Abstract

Aims: To establish a sensitive, scientific and practical evaluation system for haemodialysis nursing and to provide a reference for the evaluation of haemodialysis nursing quality.

Design: Through a literature review and Delphi method.

Method: According to the literature review, a preliminary nursing-sensitive quality indicators for haemodialysis were established, and an expert survey questionnaire was designed. Finally, the evaluation system for the nursing-sensitive quality indicators was determined using the Delphi method.

Results: Thirteen nursing-sensitive quality indicators for haemodialysis were finally constructed, including two structural indicators, three process indicators and eight outcome indicators. The effective recovery rate of the two rounds of expert survey questionnaires was 100%, the coefficient of judgement basis is 0.956, the coefficient of familiarity is 0.833, the coefficient of authority is 0.895, and the Kendall's harmony coefficients of the two rounds of expert consultation were 0.158 ~ 0.307 and 0.170 ~ 0.315, respectively, with statistical significance (p < .05).

Clinical relevance: In this study, the nursing-sensitive quality indicators for haemodialysis were developed by the Delphi method and included structural indicators, outcome indicators and process indicators, which made up for some deficiencies noted in previous studies. The authors have provided a more reliable and comprehensive basis for evaluating the quality and safety of haemodialysis nursing in the future.

Keywords: Delphi method; haemodialysis; nursing-sensitive quality indicators.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

**FIGURE 1**
Screening process of nursing‐sensitive indicators

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References

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1. Chrifi Alaoui, A. , Touti, W. , Al Borgi, Y. , Sqalli Houssaini, T. , & El Rhazi, K. (2022). Comparison of quality of life in end‐stage renal disease patients undergoing hemodialysis and peritoneal dialysis in a Moroccan city. Seminars in Dialysis, 35(1), 50–57. 10.1111/sdi.13034 - DOI - PubMed
1. Dawson, J. , Campbell, K. L. , Craig, J. C. , Tong, A. , Teixeira‐Pinto, A. , Brown, M. A. , Howard, K. , Howell, M. , Khalid, R. , Sud, K. , Thiagalingam, A. , Chow, C. K. , & Lee, V. W. (2021). A text messaging intervention for dietary behaviors for people receiving maintenance hemodialysis: A feasibility study of KIDNEYTEXT. American Journal of Kidney Diseases, 78(1), 85–95. 10.1053/j.ajkd.2020.11.015 - DOI - PubMed

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[1] Alencar, S. B. V. , de Lima, F. M. , Dias, L. D. A. , Dias, V. D. A. , Lessa, A. C. , Bezerra, J. M. , Apolinário, J. F. , & de Petribu, K. C. (2020). Depression and quality of life in older adults on hemodialysis. Brazilian Journal of Psychiatry, 42(2), 195–200. 10.1590/1516-4446-2018-0345 - DOI - PMC - PubMed

[2] Alencar, S. B. V. , de Lima, F. M. , Dias, L. D. A. , Dias, V. D. A. , Lessa, A. C. , Bezerra, J. M. , Apolinário, J. F. , & de Petribu, K. C. (2020). Depression and quality of life in older adults on hemodialysis. Brazilian Journal of Psychiatry, 42(2), 195–200. 10.1590/1516-4446-2018-0345 - DOI - PMC - PubMed

[3] Arreguy‐Sena, C. , Marques, T. O. , Souza, L. C. , Alvarenga‐Martins, N. , Krempser, P. , Braga, L. M. , & Parreira, P. (2018). Construction and validation of forms: Systematization of the care of people under hemodialysis. Revista Brasileira de Enfermagem, 71(2), 379–390. 10.1590/0034-7167-2015-0130 - DOI - PubMed

[4] Arreguy‐Sena, C. , Marques, T. O. , Souza, L. C. , Alvarenga‐Martins, N. , Krempser, P. , Braga, L. M. , & Parreira, P. (2018). Construction and validation of forms: Systematization of the care of people under hemodialysis. Revista Brasileira de Enfermagem, 71(2), 379–390. 10.1590/0034-7167-2015-0130 - DOI - PubMed

[5] Chou, J. A. , Streja, E. , Nguyen, D. V. , Rhee, C. M. , Obi, Y. , Inrig, J. K. , Amin, A. , Kovesdy, C. P. , Sim, J. J. , & Kalantar‐Zadeh, K. (2018). Intradialytic hypotension, blood pressure changes and mortality risk in incident hemodialysis patients. Nephrology, Dialysis, Transplantation, 33(1), 149–159. 10.1093/ndt/gfx037 - DOI - PMC - PubMed

[6] Chou, J. A. , Streja, E. , Nguyen, D. V. , Rhee, C. M. , Obi, Y. , Inrig, J. K. , Amin, A. , Kovesdy, C. P. , Sim, J. J. , & Kalantar‐Zadeh, K. (2018). Intradialytic hypotension, blood pressure changes and mortality risk in incident hemodialysis patients. Nephrology, Dialysis, Transplantation, 33(1), 149–159. 10.1093/ndt/gfx037 - DOI - PMC - PubMed

[7] Chrifi Alaoui, A. , Touti, W. , Al Borgi, Y. , Sqalli Houssaini, T. , & El Rhazi, K. (2022). Comparison of quality of life in end‐stage renal disease patients undergoing hemodialysis and peritoneal dialysis in a Moroccan city. Seminars in Dialysis, 35(1), 50–57. 10.1111/sdi.13034 - DOI - PubMed

[8] Chrifi Alaoui, A. , Touti, W. , Al Borgi, Y. , Sqalli Houssaini, T. , & El Rhazi, K. (2022). Comparison of quality of life in end‐stage renal disease patients undergoing hemodialysis and peritoneal dialysis in a Moroccan city. Seminars in Dialysis, 35(1), 50–57. 10.1111/sdi.13034 - DOI - PubMed

[9] Dawson, J. , Campbell, K. L. , Craig, J. C. , Tong, A. , Teixeira‐Pinto, A. , Brown, M. A. , Howard, K. , Howell, M. , Khalid, R. , Sud, K. , Thiagalingam, A. , Chow, C. K. , & Lee, V. W. (2021). A text messaging intervention for dietary behaviors for people receiving maintenance hemodialysis: A feasibility study of KIDNEYTEXT. American Journal of Kidney Diseases, 78(1), 85–95. 10.1053/j.ajkd.2020.11.015 - DOI - PubMed

[10] Dawson, J. , Campbell, K. L. , Craig, J. C. , Tong, A. , Teixeira‐Pinto, A. , Brown, M. A. , Howard, K. , Howell, M. , Khalid, R. , Sud, K. , Thiagalingam, A. , Chow, C. K. , & Lee, V. W. (2021). A text messaging intervention for dietary behaviors for people receiving maintenance hemodialysis: A feasibility study of KIDNEYTEXT. American Journal of Kidney Diseases, 78(1), 85–95. 10.1053/j.ajkd.2020.11.015 - DOI - PubMed

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Construction of haemodialysis nursing-sensitive quality indicators based on Donabedian theory: A Delphi method study

Affiliations

Construction of haemodialysis nursing-sensitive quality indicators based on Donabedian theory: A Delphi method study

Authors

Affiliations

Abstract

Conflict of interest statement

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