摘要
目的 构建介入护理质量指标体系.方法 以三维质量结构模型为理论基础,通过文献分析、专家会议、总结归纳临床问题,初步形成了介入护理质量指标的初稿,包括3项一级指标、12项二级指标和55项三级指标.在中国13个省市25家三甲医院遴选了 27名介入护理及护理管理专家,运用德尔菲法进行2轮专家函询,确立了介入护理质量指标体系.结果 最终形成了包含3项一级指标,7项二级指标,29项三级指标的介入护理质量指标体系.2轮函询中专家的积极系数均为100％,权威系数为0.95,专家函询各指标的变异系数分别为第1轮0～0.25;第2轮0～0.21.第1轮函询专家意见的肯德尔和谐系数一、二、三级指标分别为0.672、0.271、0.341;第2轮为0.462、0.475、0.330,差异均有统计学意义(均P＜0.01).结论 构建的介入护理质量指标体系可靠性和科学性均较高,可为介入护理安全质量控制评价与监测提供参考依据.
Abstract
Objective To establish a quality indicator system of interventional nursing.Methods Taking Donabedian quality structure model as the theoretical basis and through literature analysis,expert meeting and summarizing the clinical problems,the first draft about interventional nursing care quality indicators was composed,which included 3 first-level indicators,12 second-level indicators and 55 third-level indicators.A total of 27 experts on interventional nursing and nursing administration were selected from 25 grade-3A level hospitals in 13 provinces and cities of China.The Delphi method was used to conduct two rounds of expert correspondence consultation,and the quality indicator system of interventional nursing was established.Results Finally,a quality indicator system of interventional nursing,which included 3 first-level indicators,7 second-level indicators and 29 third-level indicators,was formulated.In both the two rounds of expert letter inquiry,the positive coefficient and authority coefficient were 100％and 0.95 respectively.The coefficient of variation of each index in the first and the second round of expert letter inquiry was 0-0.25 and 0-0.21 respectively.In the first round of expert letter inquiry,the Kendall harmony coefficients of the first-level,second-level and third-level indexes were 0.672,0.271 and 0.341 respectively,while in the second round of expert letter inquiry,the Kendall harmony coefficients of the first-level,second-level and third-level indexes were 0.462,0.475 and 0.330 respectively,the differences were statistically significant(all P＜0.01).Conclusion The quality indicator system of interventional nursing established in this study carries a relatively high reliability and scientific nature,and it can provide reference for evaluating and monitoring the safety and quality control in interventional nursing.
维普
万方数据