Clinical Report: Development of a Comprehensive Evaluation Framework for Sepsis Care Quality
Overview
This study presents a novel framework for assessing sepsis care quality in China, developed through a mixed-methods Delphi study. It identifies a comprehensive set of nursing-sensitive quality indicators (NSQIs) aimed at improving clinical outcomes in sepsis management.
Background
Sepsis is a critical global health issue, leading to significant morbidity and mortality. Effective management relies on high-quality care, which is influenced by the unique healthcare context in China, including nurse-to-patient ratios and resource distribution. The absence of a tailored assessment framework for sepsis care quality in China highlights the need for this study.
Data Highlights
Indicator Type
Count
Primary Indicators
3
Secondary Indicators
9
Tertiary Indicators
30
Key Findings
Two rounds of expert consultation achieved a 100% questionnaire return rate.
The expert authority coefficient Cr was 0.95 and 0.96 across the two rounds, indicating high reliability.
Significant consensus was reached with a coordination coefficient (Kendall W) of 0.120-0.316 (p < 0.001) in the first round.
A total of 42 nursing-sensitive quality indicators were established for sepsis care quality evaluation.
The NSQIs focus on three dimensions: importance, rationality, and feasibility.
Clinical Implications
The developed NSQIs provide a structured approach for evaluating sepsis care quality, which can enhance nursing practices and patient outcomes. Implementing this framework may facilitate adherence to evidence-based guidelines and improve overall sepsis management in clinical settings.
Conclusion
This study establishes a comprehensive evaluation framework for sepsis care quality in China, addressing a critical gap in the current healthcare system. The findings underscore the importance of context-specific quality indicators in improving sepsis management.
