دوره 12، شماره 1 - ( 11-1404 )
جلد 12 شماره 1 صفحات 110-99 |
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Fernandez K M, Lazaro L. Development of a Continuous Quality Improvement Program for Hemodialysis Care in a Healthcare Facility in the Philippines: A Delphi Method Approach. JCCNC 2026; 12 (1) :99-110
URL: http://jccnc.iums.ac.ir/article-1-878-fa.html
URL: http://jccnc.iums.ac.ir/article-1-878-fa.html
Development of a Continuous Quality Improvement Program for Hemodialysis Care in a Healthcare Facility in the Philippines: A Delphi Method Approach. نشریه مراقبت پرستاری مددجو محور. 1404; 12 (1) :99-110
چکیده: (367 مشاهده)
Background: The rising cases of chronic kidney and end-stage renal diseases pose a serious challenge for hemodialysis patients and healthcare teams. However, effective management can be achieved through continuous quality improvement (CQI). Despite medical advancements, gaps in CQI persist, particularly in hemodialysis settings. This study, conducted from August to November 2024, aims to develop a standardized CQI program for dialysis nursing care using the Delphi method to ensure safe, effective, and patient-focused hemodialysis services in the Ilocos region, the Philippines.
Methods: The study employed a Delphi method, involving 15 hemodialysis nurses to understand their experiences. Fifteen 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 4 themes for the CQI: The need for flexibility, resourcefulness, and commitment; coping mechanisms; aspirations for better CQI; and personal realizations motivating their work. In the second round, a 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 3 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 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 4 themes for the CQI: The need for flexibility, resourcefulness, and commitment; coping mechanisms; aspirations for better CQI; and personal realizations motivating their work. In the second round, a 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 3 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.
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