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 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...
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BMC
2025-04-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12676-y |
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| author | Bin Wang Wenjuan Sun Fengchao Liu Taohua Zheng Lin Quan Guofang Liu Hui Lin Yue Qiao Jinzhen Cai Xia Huang |
| author_facet | Bin Wang Wenjuan Sun Fengchao Liu Taohua Zheng Lin Quan Guofang Liu Hui Lin Yue Qiao Jinzhen Cai Xia Huang |
| author_sort | Bin Wang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3c9acee55ef0422196c2cf16494623ce |
| institution | OA Journals |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-3c9acee55ef0422196c2cf16494623ce2025-08-20T02:28:03ZengBMCBMC Health Services Research1472-69632025-04-012511810.1186/s12913-025-12676-yConstruction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theoryBin Wang0Wenjuan Sun1Fengchao Liu2Taohua Zheng3Lin Quan4Guofang Liu5Hui Lin6Yue Qiao7Jinzhen Cai8Xia Huang9The Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityThe Affiliated Hospital of Qingdao UniversityAbstract 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.https://doi.org/10.1186/s12913-025-12676-yLiver transplantationDelphi techniqueStructure - process - outcome evaluationPerioperative nursingNursing quality indicators |
| spellingShingle | Bin Wang Wenjuan Sun Fengchao Liu Taohua Zheng Lin Quan Guofang Liu Hui Lin Yue Qiao Jinzhen Cai Xia Huang Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory BMC Health Services Research Liver transplantation Delphi technique Structure - process - outcome evaluation Perioperative nursing Nursing quality indicators |
| title | Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory |
| title_full | Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory |
| title_fullStr | Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory |
| title_full_unstemmed | Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory |
| title_short | Construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the Three-Dimensional Quality Structure theory |
| title_sort | construction of a sensitive index system for nursing quality in the perioperative period of liver transplantation based on the three dimensional quality structure theory |
| topic | Liver transplantation Delphi technique Structure - process - outcome evaluation Perioperative nursing Nursing quality indicators |
| url | https://doi.org/10.1186/s12913-025-12676-y |
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