首页|基于Delphi法和AHP的一级护理质量评价指标权重确定

基于Delphi法和AHP的一级护理质量评价指标权重确定

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目的:确立一级护理质量评价体系各级指标的权重.方法:采用Delphi法对22名专家进行3轮问卷调查.根据专家意见,利用层次分析法(AHP)确定一、二级指标权重,利用专家重要性评分法确立三级指标权重.结果:3项一级指标基础质量、环节质量、终末质量的权重系数分别为0.268,0.614,0.117,CR=0.063.13项二级指标中权重赋值最高、最低的指标分别为病情观察(0.183),急救(0.183),生活护理(0.023),CR=0.024.39项三级指标中组合权重赋值最高指标为:患者用药安排情况(0.061),各种治疗工作到位情况(0.061),护理措施合格情况(0.061),Kendall's W=0.343,X2=286.92(P=0.0000).结论:该指标体系科学、可靠,可为一级护理质量评价提供依据.
Establishment of weights of quality evaluation indicators for first class nursing based on Delphi method and AHP
AIM: To establish the weights of indicators of quality evaluation system for first class nursing. METHODS: With Delphi method, 22 experts were consulted for three times. Based on the opinions of the experts, Analytic Hierarchy Process (AHP) was used to calculate the weights of indicators in grade one and grade two and the experts' evaluation was used to calculate the weights of indicators in grade three. RESULTS : In the evaluation indicator system, the weight coefficients of grade one including structure quality, process quality and outcome quality were 0.268, 0.614 and 0. 117 respectively ( CR = 0. 063 ). The items with maximal and minimal weights of the 13 indicators in grade two were illness observation (0. 183 ) , emergency care (0.183) and basic life nursing (0. 023) respectively ( CR = 0.024). The items with maximal weights of the 39 indicators in grade three were medication nursing( 0.061), the performance of treatments(0. 061 ) and the correct rate of nursing intervention (0.061). The Kendall's W of the indicators in grade three was 0.343, (x2 =286.92, P= 0.000). CONCLUSION: The established system provides a scientific and reliable standard to assess the first class nursing quality.

first class nursing carequality indicatorshealth careanalytic hierarchy processdelphi techniqueweight

高云、李亚洁

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南方医科大学南方医院护理部,广东广州,510515

一级护理 质量指标,卫生保健 层次分析法 德尔菲技术 权重

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(2)
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