首页|临床护士针刺伤职业防护评价指标体系的构建

临床护士针刺伤职业防护评价指标体系的构建

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目的 构建临床护士针刺伤职业防护评价指标体系,旨在为促进护士针刺伤职业防护质量提供参考.方法 2023年6-9月,在文献研究的基础上拟定临床护士针刺伤职业防护评价指标体系,并采用德尔菲法对来自医院感染控制、护理管理等领域的21名专家进行了2轮函询,根据专家意见修改并确定最终质量评价指标体系,并确定各级指标的权重.结果 2轮专家函询的积极系数分别为95.2%、100%,权威系数分别为0.875、0.870,肯德尔和谐系数分别为0.252、0.128.最终确定的临床护士针刺伤职业防护评价指标体系包括6项一级指标(安全文化、制度保障、工作环境、操作行为、防护用具、督导与考核)、12项二级指标和32项三级指标.结论 基于文献研究及专家咨询方法构建的临床护士针刺伤职业防护评价指标体系具有较好的可靠性和科学性,可作为评价护士针刺伤职业防护质量的参考工具.
Construction of an Evaluation Indicator System for Occupational Protection of Clinical Nurses Against Needlestick injuries
Objective To construct an evaluation indicator system for occupational protection of clinical nurses against needlestick injuries(NSIs),aiming to provide a reference for enhancing the quality of occupational protection of nurses against NSIs.Methods From June to September 2023,an evaluation indicator system for occupational protection of clinical nurses against NSIs was drafted based on literature research;2 rounds of consultation were conducted by the Delphi method with 21 experts in nosocomial infection control and nursing management;the system was revised and finalized according to expert opinions and the weight was determined for each indicator.Results For the two rounds of expert consultation,the positive coefficients were 95.2%and 100%,the authoritative coefficients were 0.875 and 0.870,and Kendall's coefficients of concordance were 0.252 and 0.128,respectively.The final evaluation indicator system for occupational protection of clinical nurses against NSIs includes 6 first-level indicators(safety culture,institutional assurance,working environment,operation,PPE,supervision and assessment),12 second-level indicators and 32 third-level indicators.Conclusion The evaluation indicator system for occupational protection of clinical nurses against NSIs,developed through literature research and expert consultation,is reliable and scientific.It is a valuable reference for evaluating the quality of occupational protection of nurses against NSIs.

NurseNeedlestick injuryOccupational protectionNursing qualityEvaluation indicatorCon-struction

李阳洋、彭飞、王芳、蒋卓娟、俞荷花

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海军军医大学第二附属医院,上海 200003

护士 针刺伤 职业防护 护理质量 评价指标 构建

上海市护理质控中心护理质量改进专项指令性项目(2020)

ZK2020011

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(9)
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