چکیده: (50 مشاهده)
Background: Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD) rising cases poses a serious challenge for hemodialysis patients and healthcare teams, which can be addressed by an effective management through the implementation of Continuous Quality Improvement (CQI). Despite medical advancements, gaps in CQI persist, particularly in hemodialysis settings. This study that was conducted from August to November 2024, aims to develop a standardized CQI program for dialysis nursing care using the Delphi method, ensuring safe, effective, and patient-focused hemodialysis services in Ilocos Region, Philippines.
Methods: The study employed a Delphi method, involving 15 hemodialysis nurses to understand their experiences. Fifteen (15) nursing experts participated in two rounds of Delphi consultations to refine the program. The methodology integrated findings from the first phase, used two Delphi rounds, and relied on online communication to achieve consensus. The insights gained from the study informed the initial enhancement training program.
Results: During the first round of the Delphi approach, the participants identified four themes for the CQI: (1) the need for flexibility, resourcefulness, and commitment; (2) coping mechanisms; (3) aspirations for better CQI; and (4) personal realizations motivating their work. In the second round, a twenty-eight (28) module program was developed, which was further refined to 19 modules after expert validation, achieving over 70% agreement and a Fleiss’ Kappa of 0.729, indicating strong consensus. The final program was categorized into three areas: patient-centered care, skills development, and leadership/management. High Content Validity Index (CVI) scores confirmed the program's relevance and applicability.
Conclusion: Hemodialysis nurses play a critical role in patient care. The CQI enhancement program addresses care gaps through a structured, evidence-based framework, equipping nurses with tools to improve patient outcomes, enhance healthcare quality, and ensure safety for both nurses and patients.
Methods: The study employed a Delphi method, involving 15 hemodialysis nurses to understand their experiences. Fifteen (15) nursing experts participated in two rounds of Delphi consultations to refine the program. The methodology integrated findings from the first phase, used two Delphi rounds, and relied on online communication to achieve consensus. The insights gained from the study informed the initial enhancement training program.
Results: During the first round of the Delphi approach, the participants identified four themes for the CQI: (1) the need for flexibility, resourcefulness, and commitment; (2) coping mechanisms; (3) aspirations for better CQI; and (4) personal realizations motivating their work. In the second round, a twenty-eight (28) module program was developed, which was further refined to 19 modules after expert validation, achieving over 70% agreement and a Fleiss’ Kappa of 0.729, indicating strong consensus. The final program was categorized into three areas: patient-centered care, skills development, and leadership/management. High Content Validity Index (CVI) scores confirmed the program's relevance and applicability.
Conclusion: Hemodialysis nurses play a critical role in patient care. The CQI enhancement program addresses care gaps through a structured, evidence-based framework, equipping nurses with tools to improve patient outcomes, enhance healthcare quality, and ensure safety for both nurses and patients.
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
