术中低体温护理质量指标体系的构建
Construction of evidence-based index system of Intraoperative Hypothermia nursing quality
周羽 1朱琳 2柳露 2荣蓉 2卢秀英2
作者信息
- 1. 成都医学院,610500 成都市
- 2. 四川省肿瘤临床医学研究中心,四川省肿瘤医院研究所,四川省癌症防治中心,电子科技大学附属医院手术麻醉科
- 折叠
摘要
目的:构建科学、可靠、具有可操作性的术中低体温护理质量指标体系,为护理管理者进行术中低体温护理质量评价提供参考.方法:基于"结构-过程-结果"三维质量结构模型,通过循证文献分析与小组讨论初步构建术中低体温护理质量指标,采用德尔菲法对 26 名专家进行函询,采用优序图法确定各层级指标权重.结果:术中低体温护理质量指标体系包括3 项一级指标、4 项二级指标、12 项三级指标;两轮函询专家积极系数分别为100.0%、96.3%,专家权威系数分别为 0.92、0.93,肯德尔和谐系数为 0.12～0.23(P<0.05).结论:本研究构建的术中低体温护理质量指标具有专科特色,且指标体系具有科学性及可靠性,对量化临床术中低体温护理质量具有一定的指导意义.
Abstract
Objective:To construct a scientific,reliable and operable set of Intraoperative Hypothermia(IH)nursing quality index system,in order to provide a reference for nursing managers to evaluate the IH nursing quality.Methods:Donabedian's"structure-process-outcome"three-dimensional quality structure model was used to preliminarily construct IH nursing quality indicators through evidence-based literature analysis and group discussion,and 26 experts were consulted by Delphi method,and the index weights at each level were determined by the preferential sequence diagram method.Results:There were 3 first-level indicators,4 second-level indicators and 12 third-level indicators of the index system.The positive coefficients of experts in the two rounds consultation were 100.0%and 96.3%,the coefficients of expert authority were 0.92 and 0.93 respectively,and the Kendall harmony coefficients were from 0.12 to 0.23(P<0.05).Conclusion:The IH nursing quality index constructed in this study has specialized characteristics,and the research results are scientific and reliable,which has certain guiding significance for quantifying the clinical IH nursing quality.
关键词
术中低体温/质量指标/护理质量/三维质量结构模型/循证护理/德尔菲法Key words
Intraoperative Hypothermia/quality indicator/nursing quality/three-dimensional quality structure model/evidence-based nursing/Delphi method引用本文复制引用
基金项目
四川省干部保健科研项目(川干研 2022-801)
出版年
2024
NETL
NSTL
万方数据