{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:28:28Z","timestamp":1787063308018,"version":"build-2736575974"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Party School of the National Health Commission","award":["No. GWJJMB202510041062"],"award-info":[{"award-number":["No. GWJJMB202510041062"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To develop and evaluate an intraoperative nursing quality indicator system for liver transplantation based on the structure-process-outcome (SPO) model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A two-phase mixed-methods study was conducted. In phase I, an initial indicator framework was developed through literature review and refined through two rounds of Delphi consultation with 25 experts. The Analytic Hierarchy Process was used to determine indicator weights. In phase II, the system was applied in 128 liver transplant recipients. Patients receiving routine care from January to June 2025 formed the control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200964), while those managed using the indicator system from July to December 2025 formed the intervention group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200964). Nursing quality scores, perioperative complications, and surgeon satisfaction were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The final system included 3 first-level, 10\u2009second-level, and 42 third-level indicators, with process indicators receiving the highest weighting (45.6%). Compared with the control group, the intervention group showed significantly higher nursing quality scores, lower rates of intraoperative hypothermia and pressure injuries, and higher surgeon satisfaction scores (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The SPO-based indicator system improved the standardisation and quality of intraoperative nursing care in liver transplantation and may support perioperative quality improvement in transplant practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589261466583","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T06:48:09Z","timestamp":1786862889000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction and application of an intraoperative nursing quality indicator system for liver transplantation based on the structure-process-outcome model"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4491-9977","authenticated-orcid":false,"given":"Xiaotong","family":"Cao","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoming","family":"Zhou","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Xia","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6732-8518","authenticated-orcid":false,"given":"Jincui","family":"Wei","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.21315\/eimj2017.9.3.10"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020476"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003808"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-018-4859-4"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605231207530"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318161b0c8"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10828-0"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23682"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12171757"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-023-03627-8"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2012.04.004"},{"issue":"3","key":"e_1_3_4_13_1","first-page":"443","article-title":"Liver transplantation: Issues and nursing care requirements","volume":"23","author":"Grogan TA","year":"2011","unstructured":"Grogan TA 2011 Liver transplantation: Issues and nursing care requirements Critical Care Nursing Clinics 23 (3) 443\u2013456","journal-title":"Critical Care Nursing Clinics"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25711"},{"issue":"1","key":"e_1_3_4_15_1","first-page":"10","article-title":"The Delphi technique: Making sense of consensus","volume":"12","author":"Hsu CC","year":"2007","unstructured":"Hsu CC, Sandford BA 2007 The Delphi technique: Making sense of consensus Practical Assessment, Research, and Evaluation 12 (1) 10","journal-title":"Practical Assessment, Research, and Evaluation"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.70691"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2010.00836.x"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1198\/108571105X46642"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcorm.2015.11.001"},{"issue":"1","key":"e_1_3_4_20_1","first-page":"643","article-title":"Application of obstetric nursing-sensitive quality indicators in continuous quality improvement","volume":"14","author":"Luo L","year":"2022","unstructured":"Luo L, Wang L, Zhang M, et al 2022 Application of obstetric nursing-sensitive quality indicators in continuous quality improvement American Journal of Translational Research 14 (1) 643\u2013655","journal-title":"American Journal of Translational Research"},{"key":"e_1_3_4_21_1","first-page":"337","article-title":"The role of nursing in the multidisciplinary team approach to care of liver transplant patients: A comprehensive review","volume":"2","author":"Mabrok DMH","year":"2024","unstructured":"Mabrok DMH, Mahnashi AM 2024 The role of nursing in the multidisciplinary team approach to care of liver transplant patients: A comprehensive review The Review of Diabetic Studies 2 (S3) 337\u2013342","journal-title":"The Review of Diabetic Studies"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3700-1"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000663"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1891\/JNM-2022-0051"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab059"},{"issue":"4","key":"e_1_3_4_26_1","first-page":"281","article-title":"Compliance of health professionals for prevention of inadvertent perioperative hypothermia in adult patients: A review","volume":"90","author":"Oden TN","year":"2022","unstructured":"Oden TN, Doruker NC, Korkmaz FD 2022 Compliance of health professionals for prevention of inadvertent perioperative hypothermia in adult patients: A review AANA Journal 90 (4) 281\u2013287","journal-title":"AANA Journal"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1504\/IJMDM.2007.013420"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/0377-2217(94)90222-4"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1504\/IJSSCI.2008.017590"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12491"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21821"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-025-12676-y"},{"key":"e_1_3_4_33_1","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.943610"},{"key":"e_1_3_4_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002484"},{"issue":"5","key":"e_1_3_4_35_1","first-page":"2619","article-title":"Application of a specialist nurse-led multidisciplinary team model in the perioperative care of patients undergoing simultaneous pancreas and kidney transplantation: Randomized controlled trial","volume":"1","author":"Zhang W","year":"2023","unstructured":"Zhang W, Feng X, Deng X, et al 2023 Application of a specialist nurse-led multidisciplinary team model in the perioperative care of patients undergoing simultaneous pancreas and kidney transplantation: Randomized controlled trial Gland Surgery 1 (5) 2619\u20132627","journal-title":"Gland Surgery"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589261466583","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589261466583","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589261466583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:46:31Z","timestamp":1787060791000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589261466583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,15]]},"references-count":34,"alternative-id":["10.1177\/17504589261466583"],"URL":"https:\/\/doi.org\/10.1177\/17504589261466583","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,15]]},"article-number":"17504589261466583"}}