首页|围手术期患者院内转运护理质量评价指标的构建

围手术期患者院内转运护理质量评价指标的构建

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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.
Construction of nursing quality evaluation index system for intra-hospital transport of surgical patients
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.

hospitalized patientperioperative periodintra-hospital transportnursing qualityquality indicatorssafety management

李鑫、兰星、熊莉娟、王玉梅、郭雪琴、王钰涵、林颖、张静

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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)

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)

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)

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)

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住院患者 围手术期 院内转运 护理质量 评价指标 安全管理

华中科技大学同济医学院附属协和医院药技护专项(2022)华中科技大学第一临床学院教学改革研究项目(2021)湖北省自然科学基金面上项目(2023)

F016.01003.22003.179F0150100421116046062023AFB952

2024

10.3870/j.issn.1001-4152.2024.08.081

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(8)
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