围手术期患者院内转运护理质量评价指标的构建
Construction of nursing quality evaluation index system for intra-hospital transport of surgical patients
李鑫 1兰星 1熊莉娟 2王玉梅 3郭雪琴 4王钰涵 2林颖 1张静1
作者信息
- 1. 华中科技大学同济医学院附属协和医院麻醉科(湖北武汉,430022)
- 2. 华中科技大学同济医学院附属协和医院护理部(湖北武汉,430022)
- 3. 华中科技大学同济医学院附属协和医院全科医学科(湖北武汉,430022)
- 4. 华中科技大学同济医学院附属协和医院神经外科监护室(湖北武汉,430022)
- 折叠
摘要
目的 构建围手术期患者院内转运护理质量评价指标,为评价与监测围手术期患者院内转运护理质量提供评价工具.方法 基于结构-过程-结果三维结构质量模型,通过文献回顾法、半结构式访谈法形成指标初稿,采用德尔菲专家函询法和层次分析法,筛选指标并确定各级指标的权重.结果 2轮专家函询问卷有效回收率为88.89％、100％,专家权威程度系数为0.928、0.931,专家意见的肯德尔和谐系数分别为0.275、0.314(均P＜0.05).形成的评价指标包括3项一级指标,11项二级指标和57项三级指标.结论 构建的围手术期患者院内转运护理质量评价指标内容全面、具备可靠性和实用性,经验证后可作为围手术期患者院内转运护理质量的评价工具.
Abstract
Objective To construct a nursing quality evaluation index system for intra-hospital transport of perioperative patients,and to provide a valid tool to evaluate and monitor nursing quality of intra-hospital transport of perioperative patients.Methods Based on Structure-Process-Outcome theory,a preliminary draft of the indicators was formed through literature review and semi-struc-tured interviews.Delphi expert consultation method and Analytic Hierarchy Process were used to screen indicators and determine the weights of indicators at all levels.Results The response rates of the 2 rounds expert consultation were 88.89％and 100％;the expert authority coefficients were 0.928 and 0.931,and the Kendall's coefficient of concordance of expert opinions were 0.275 and 0.314(both P＜0.05),for the first and second round,respectively.The final evaluation index system included 3 first-level indica-tors,11 second-level indicators,and 57 third-level indicators.Conclusion The nursing quality evaluation index system for intra-hospital transport of perioperative patients is comprehensive,reliable,and practical,justifying its use as a tool to assess nursing quality of intra-hospital transport of perioperative patients.
关键词
住院患者/围手术期/院内转运/护理质量/评价指标/安全管理Key words
hospitalized patient/perioperative period/intra-hospital transport/nursing quality/quality indicators/safety management引用本文复制引用
基金项目
华中科技大学同济医学院附属协和医院药技护专项(2022)(F016.01003.22003.179)
华中科技大学第一临床学院教学改革研究项目(2021)(F015010042111604606)
湖北省自然科学基金面上项目(2023)(2023AFB952)
出版年
2024
NETL
NSTL
万方数据