Mingyu Yan, Lijun Xiang, Yansi Luo, Meng Cao, Lei Cheng, Peng Zhao, Lin Liao, Chaoran Xu, Li He, Xiaomei Zhang
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引用次数: 0
Abstract
Aim: To construct a nursing programme to manage intra-abdominal pressure (IAP) in neurocritical care patients.
Design: The consensus of 16 experts was collected using a two-round Delphi method.
Methods: First, we developed the early stages of the nursing programme for managing IAP in neurocritical care patients through preliminary study and relevant literature internationally. A questionnaire was then distributed to a panel of 16 experts, each with over 10 years of experience in respiratory critical care, neurocritical care or comprehensive intensive care unit treatment. Between April and May 2024, these experts reviewed the preliminary programme and provided feedback and recommendations for modifications.
Results: Two rounds of expert consultation were conducted. After the first round of expert feedback, 22 items were revised. In the second round, eight additional items were revised. The questionnaire recovery rates in both rounds of correspondence were 88.9% and 100%, and the authority coefficients were 0.869 and 0.888, respectively. The Kendall W values ranged from 0.127 to 0.336 (p < 0.001). Consensus was reached on six Level 1 entries, 17 Level 2 entries, and 50 Level 3 entries.
Conclusion: A panel of 16 experts approved the proposed nursing approach for managing IAP in neurocritical care.
Implications for the profession and patient care: This nursing protocol offers a systematic approach for managing IAP throughout all stages of care in neurocritical settings. Moreover, this programme can guide neurocritical care nurses in maintaining optimal IAP at critical times. The protocol could potentially be used in training nurses on IAP regulation and enhancing their management skills in this specialised area of care, along with preventing IAP-related health issues.
Reporting method: The study is reported in accordance with the Guidance on Conducting and Reporting DElphi Studies (CREDES) recommendations.
Patient or public contribution: No patient or public contribution.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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