Construction of an evaluation index system for extracorporeal membrane oxygenation nursing quality
Zhang Mengyu
Zhang Qianqian
Du Guifang
Feng Jianhui
Liu Lintian
Sheng Xiaowei
Zhang Xiwei
Abstract：Objective This study aims to develop an evaluation index system for extracorporeal membrane oxygenation(ECMO)nursing care quality,thereby providing guidance and establishing standards to enhance clinical practice and improve the quality of ECMO nursing care.Methods Utilizing the"Structure--Process-Outcome"quality framework,preliminary indices for evaluation were formulated via literature analysis and expert interviews.Subsequent refinement was achieved via two iterative rounds of Delphi expert consultations,where indices were critically evaluated,modified,and assigned weights reflecting their importance in ECMO nursing care.Results The expert engagement was quantitatively assessed via two iterative rounds,revealing high levels of expertise with familiarity coefficients(0.937 and 0.962),judgment coefficients(0.968 and 0.975),and authority of the expert opinions(0.952 and 0.968)across the consultations.Statistical significance in agreement was achieved with Kendall's W coefficients of 0.134 and 0.119(P<0.05).The finalized index system comprises three primary indexes,8 secondary indexes,and 47 tertiary indexes.Conclusion The study established a comprehensive index system for evaluating ECMO nursing quality,which supports improvements in clinical practice and patient care through a structured assessment framework.
Keywords：Extracorporeal membrane oxygenationNursing qualityEvaluation indexDelphi methodThree-dimensional quality model
Publication Date：2025-08-28
Online Publishing Date：2025-08-27(First online date of this platform, not the publication date of the document)
Pages：5( 340-344 )