Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China
Abstract Aim and objectives To construct a set of scientific and feasible nursing management protocols for early fluid resuscitation in acute pancreatitis (AP) patients that can be used to guide clinical practice and enhance the treatment efficacy in these patients. Background Fluid resuscitation is...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12912-025-02689-7 |
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| author | Fang He Xiaohong Zhang Jiao Liu Shaojian Mo Lei Zhang Xifeng Fu Yanzhang Tian Fei Gao Yan Liu |
| author_facet | Fang He Xiaohong Zhang Jiao Liu Shaojian Mo Lei Zhang Xifeng Fu Yanzhang Tian Fei Gao Yan Liu |
| author_sort | Fang He |
| collection | DOAJ |
| description | Abstract Aim and objectives To construct a set of scientific and feasible nursing management protocols for early fluid resuscitation in acute pancreatitis (AP) patients that can be used to guide clinical practice and enhance the treatment efficacy in these patients. Background Fluid resuscitation is a key means of early treatment for AP patients and has become a clinical consensus. Nurses are important practitioners of fluid resuscitation, and there is a lack of specific enforceable nursing management programs. Methods Through literature research, on-site research, semi-structured interviews, and other preliminary preparations of the first draft of the nursing management program for early fluid resuscitation in acute pancreatitis, the Delphi method was used to conduct two rounds of correspondence with medical and nursing experts, and then statistically analyzed. Results Fifteen and 14 questionnaires were distributed in two rounds, respectively, and 15 and 14 questionnaires were recovered, respectively. The positive coefficient of experts was 100%, the authority coefficient was 0.970 and 0.975, respectively; the coefficient of variation coefficient was 0.05–0.21 and 0.00–0.20, respectively; the expert coordination coefficients of all levels of indices in this study are 0.166–0.335 and 0.189–0.364, respectively. The P values of the first, second, and third level indices are < 0.05 according to the test of Kendall’s harmony coefficient. A total of 5 primary indicators, 11 secondary indicators, and 36 tertiary indicators were used to construct the Nursing Management Program for Early Fluid Resuscitation in Acute Pancreatitis. Conclusions The constructed nursing management plan for early fluid resuscitation in acute pancreatitis patients puts forward clear requirements and standards for nursing care in the early stage of AP treatment. This plan is scientific, represent good clinical practice, are feasible for nurses to follow, and construct a standardized protocol for the management of early fluid resuscitation in patients with acute pancreatitis. |
| format | Article |
| id | doaj-art-0dc6a4118ee24bfc93800b9c396d4607 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-0dc6a4118ee24bfc93800b9c396d46072025-01-12T12:13:50ZengBMCBMC Nursing1472-69552025-01-0124111310.1186/s12912-025-02689-7Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in ChinaFang He0Xiaohong Zhang1Jiao Liu2Shaojian Mo3Lei Zhang4Xifeng Fu5Yanzhang Tian6Fei Gao7Yan Liu8General Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityNursing Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityHepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityGeneral Surgery Department, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityAbstract Aim and objectives To construct a set of scientific and feasible nursing management protocols for early fluid resuscitation in acute pancreatitis (AP) patients that can be used to guide clinical practice and enhance the treatment efficacy in these patients. Background Fluid resuscitation is a key means of early treatment for AP patients and has become a clinical consensus. Nurses are important practitioners of fluid resuscitation, and there is a lack of specific enforceable nursing management programs. Methods Through literature research, on-site research, semi-structured interviews, and other preliminary preparations of the first draft of the nursing management program for early fluid resuscitation in acute pancreatitis, the Delphi method was used to conduct two rounds of correspondence with medical and nursing experts, and then statistically analyzed. Results Fifteen and 14 questionnaires were distributed in two rounds, respectively, and 15 and 14 questionnaires were recovered, respectively. The positive coefficient of experts was 100%, the authority coefficient was 0.970 and 0.975, respectively; the coefficient of variation coefficient was 0.05–0.21 and 0.00–0.20, respectively; the expert coordination coefficients of all levels of indices in this study are 0.166–0.335 and 0.189–0.364, respectively. The P values of the first, second, and third level indices are < 0.05 according to the test of Kendall’s harmony coefficient. A total of 5 primary indicators, 11 secondary indicators, and 36 tertiary indicators were used to construct the Nursing Management Program for Early Fluid Resuscitation in Acute Pancreatitis. Conclusions The constructed nursing management plan for early fluid resuscitation in acute pancreatitis patients puts forward clear requirements and standards for nursing care in the early stage of AP treatment. This plan is scientific, represent good clinical practice, are feasible for nurses to follow, and construct a standardized protocol for the management of early fluid resuscitation in patients with acute pancreatitis.https://doi.org/10.1186/s12912-025-02689-7Delphi studyAcute pancreatitisFluid resuscitationIndex systemChinaProgrammed construction |
| spellingShingle | Fang He Xiaohong Zhang Jiao Liu Shaojian Mo Lei Zhang Xifeng Fu Yanzhang Tian Fei Gao Yan Liu Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China BMC Nursing Delphi study Acute pancreatitis Fluid resuscitation Index system China Programmed construction |
| title | Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China |
| title_full | Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China |
| title_fullStr | Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China |
| title_full_unstemmed | Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China |
| title_short | Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China |
| title_sort | construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis a delphi study in china |
| topic | Delphi study Acute pancreatitis Fluid resuscitation Index system China Programmed construction |
| url | https://doi.org/10.1186/s12912-025-02689-7 |
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