首页|耳鼻咽喉头颈外科护理质量敏感指标体系的构建

耳鼻咽喉头颈外科护理质量敏感指标体系的构建

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目的:构建耳鼻咽喉头颈外科护理质量敏感指标评价体系,为评价耳鼻咽喉头颈外科专科护理质量提供标准、量化的依据.方法:以Donabedian的"结构-过程-结果"三维质量模型为理论框架,采用文献分析法,由专家小组讨论初步筛选指标,编制咨询问卷,运用Delphi法进行2轮专家咨询,确定耳鼻咽喉头颈外科护理质量敏感指标,应用层次分析法计算各指标权重.结果:2轮咨询专家积极系数均为100%,权威系数分别为0.919、0.934,第1轮专家咨询肯德尔和谐系数为0.218~0.294,第2轮为0.269~0.335(均P<0.05);所构建的耳鼻咽喉头颈外科护理质量敏感指标体系包含3项一级指标、10项二级指标和31项三级指标.一级指标权重结果分别为0.112、0.444、0.444,二级指标权重结果为0.028~0.207,三级指标权重结果为0.005~0.1 11.结论:构建的耳鼻咽喉头颈外科护理质量敏感指标体系突出专科特点,具有科学性和实用性,可为耳鼻咽喉头颈外科护理质量评价提供参考.
Construction of sensitive index system of nursing quality in otolaryngology head and neck surgery
Objective:To construct a sensitive,scientific,and targeted evaluation system for the quality of nursing care in otolaryngology head and neck surgery,in order to provide a standardized and quantitative basis for evaluating and monitoring the quality of otolaryngology head and neck surgery specialized nursing care.Methods:Based on Donabedian's"structure process results"theoretical framework,literature analysis,expert groups discussion were performed to access the preliminary screening of indicators,prepared a consultation questionnaire and two rounds of Delphi expert consultation,and then sensitive indicators of nursing quality in otolaryngology head and neck surgery were revised and determined.The weight of each indicators was calculated using analytic hierarchy process.Results:The positivity coefficients of the two rounds of consultation experts were both 100%,the authority coefficients were 0.919 and 0.934 respectively.The Kendall harmony coefficients of the first round of expert consultation were 0.218~0.294,and the second round were 0.269~0.335(both P<0.05).The constructed otolaryngology head and neck surgery nursing quality sensitive indicator system included 3 first level indicators,10 second level indicators and 31 third level indicators.The weight results of the first level indicators were 0.112,0.444,and 0.444 respectively,the weight results of the second level indicators were 0.028~0.207,and the weight results of the third level indicators were 0.005~0.111.Conclusion:The constructed sensitive indicators for the nursing quality of otolaryngology head and neck surgery highlight the characteristics of specialized departments,and are scientific and practical,and can provide reference for the evaluation of nursing quality in otolaryngology head and neck surgery.

Otolaryngology head and neck surgerySensitive indicatorsDelphi methodNursing quality

何嘉、李鑫、熊莉娟

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华中科技大学同济医学院附属协和医院,湖北武汉 430022

耳鼻咽喉头颈外科 敏感指标 德尔菲法 护理质量

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

2024

天津护理
天津市中心妇产科医院 天津护理学会 天津医科大学护理学院

天津护理

影响因子:0.718
ISSN:1006-9143
年,卷(期):2024.32(3)