Construction of Quality Evaluation Index System for Brain and Heart Health Managers Based on the Structure-Process-Outcome Three-Dimensional Quality Model
Objective To establish a reliable,scientific,and targeted quality control index system for brain and heart health managers,and to provide a basis for the management quality evaluation of brain and heart health managers.Methods Using the "structure-process-outcome" three-dimensional quality model as the theoretical framework,the draft index was constructed by combining a literature review,evaluation criteria for stroke centers issued by the National Health Commission,and the brainstorming method.The Delphi method was adopted to revise (add,delete,and modify) the indicators through two rounds of expert consultation,and the reliability of the indicators was determined based on the source of experts,enthusiasm,authority,and coordination degree.Finally,the importance of each indicator was quantified by the analytic hierarchy process.Results A total of 15 experts were consulted in this study.The recovery rates of the first and second rounds of expert consultation questionnaires were 93.33% (14) and 100% (15),respectively.The expert authority coefficient of the first round of consultation was 0.947,and that of the second was 0.952.Kendall's concordance coefficient of the first round of consultation was 0.524,and that of the second was 0.649 (P<0.001).The final version of quality control index system for brain and heart health managers was formed,including three first-level indicators (structural indicators,process indicators,and outcome indicators),nine second-level indicators,and 51 third-level indicators (including seven extra points).Conclusions The quality control index system for brain and heart health managers constructed in this study is reliable,scientific,and targeted,which can provide a reference for the quality evaluation of brain and heart health managers.
Brain and heart health managementDelphi methodNursing quality auditNursing evaluation research