河南医学研究2024,Vol.33Issue(4) :608-613.DOI:10.3969/j.issn.1004-437X.2024.04.008

河南省发热门诊护理质量敏感指标的构建

Construction of Sensitive Indicators in Fever Clinics in Henan Province

郭现平 刘秋霞 孟金霞 马捷
河南医学研究2024,Vol.33Issue(4) :608-613.DOI:10.3969/j.issn.1004-437X.2024.04.008

河南省发热门诊护理质量敏感指标的构建

Construction of Sensitive Indicators in Fever Clinics in Henan Province

郭现平 1刘秋霞 1孟金霞 1马捷1
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作者信息

  • 1. 河南省人民医院发热门诊,河南省护理医学重点实验室,郑州大学人民医院,河南郑州 450003
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摘要

目的 建立一套科学、敏感、具有可操作性和代表性的发热门诊护理质量敏感指标,为护理管理者进行发热门诊护理质量评价与改进提供参考.方法 以"结构-过程-结果"三维质量模型为理论基础,通过文献回顾分析初步筛选发热门诊护理质量敏感指标,2022年10-12月,运用德尔菲专家函询法构建发热门诊护理质量敏感指标体系.结果 构建的发热门诊护理质量敏感指标包含3个一级指标,传染性专科护士占比、护理人员专科培训合格率、空气消毒设施设备完好率、环境卫生学监测合格率等19个二级指标.2轮咨询专家积极系数分别为90.91%和100.00%,权威系数为0.78、0.79,肯德尔和谐系数为0.203~0.715(P<0.01).变异系数为0.08~0.22.结论 该研究构建的发热门诊护理质量敏感指标具有发热门诊护理特色,实用性强,能够科学、全面敏感衡量发热门诊护理工作质量,能够更好地指导发热门诊护理质量控制工作.

Abstract

Objective Establish a set of scientific,sensitive,operable and representative nursing quality sensitive indicators in fever clinics to provide reference for nursing managers to evaluate and improve the nursing quality in fever clinics.Methods Based on the three-dimensional quality model of"structure-process-result"as the theory,the nursing quality sensitive indicators of fever clinics were preliminarily screened through literature review,analysis and group discussion.From October to December 2022 the fever clinic nursing quality sensitive index system was constructed by using the Delphi expert letter consultation method.Results The sensitive index of nursing quality in fever clinics includes 3 first-level indicators,and 19 second-level indicators,including the proportion of infectious specialty nurses,qualified rate of nursing staff training,intact rate of air disinfection facilities and equipment,and qualified rate of environmental hygiene monitoring.Positive factors of two consultation experts were 90.91%and 100.00%,authority coefficient was 0.78,0.79,and Kendall harmony coefficient was 0.203-0.715(P<0.01).The coefficient of variation ranged from 0.08-0.22.Conclusion The sensitive index of nursing quality of fever clinic constructed in this study has the characteristics of fever clinic nursing,strong practicability,can scientifically and can measure the quality of nursing work of fever clinic comprehensively,and can better guide the quality control work of fever clinic.

关键词

发热门诊/德尔菲技术/质量敏感指标/医院感染/传染病管理

Key words

fever clinic/Delphi technology/quality sensitive index/nosocomial infection/infectious disease management

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出版年

2024
河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
参考文献量29
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