Construction of a sensitive indicator system for enteral nutrition quality in patients undergoing integrated medical and nursing prone position ventilation
SUN Zhifang
WU Yinghua
ZHENG Yuzhen
MA Chao
Abstract：Objective: To construct a quality-sensitive indicator system for enteral nutrition in patients undergoing prone positioning based on the integrated medical-nursing model, providing reference for continuous quality improvement and patient safety management in clinical practice. Methods: Based on literature review and group discussion, an indicator system was formulated according to Donabedian's structure-process-outcome three-dimensional quality evaluation model, and then modified and improved through two rounds of Delphi expert consultation. Finally, a quality-sensitive indicator system for enteral nutrition in patients undergoing prone positioning was established. Results: The positive response rates of experts in both rounds of consultation were 100%, the judgment coefficients were both 0.990, the familiarity coefficients were both 0.919, the authority coefficients were both 0.955, and the Kendall's coefficient of concordance were 0.310 and 0.364 (both P < 0.001). After two rounds of expert consultation, the final constructed quality-sensitive indicator system for enteral nutrition in patients undergoing prone positioning included 3 first-level indicators, 7 second-level indicators, and 29 third-level indicators. Conclusion: The constructed quality-sensitive indicator system for enteral nutrition in patients undergoing prone positioning is scientific and operational, which is helpful for improving and enhancing the management of enteral nutrition in these patients.
Keywords：prone position ventilationenteral nutritionquality managementsensitive indicatorsDelphi methodnursing
Publication Date：2025-09-25
Online Publishing Date：2025-10-21(First online date of this platform, not the publication date of the document)
Pages：5( 3799-3803 )