用药护理中断事件风险评价指标体系的构建及应用研究
Construction and application of risk evaluation index system of nursing interruptions in medication process/
董小倩 1丁四清 1曹欢 2王星星 2甘港 1刘敏 1谢建飞 1王莎 1郑树基3
作者信息
- 1. 410013 长沙市 中南大学湘雅三医院护理部
- 2. 中南大学湘雅护理学院
- 3. School of Health Sciences,Westem Sydney University
- 折叠
摘要
目的 构建护士用药护理中断事件风险评价指标体系并临床应用.方法 2023年1月—10月,以"基于安全信息流的事故致因概念模型"为理论基础,采用文献分析、质性访谈、德尔菲法及层次分析法,确定用药护理中断事件风险评价指标体系内容及各指标权重.应用该指标体系对湖南省某三级甲等医院440名护士进行评价.结果 2轮函询问卷有效回收率为100％,专家权威系数为0.922和0.894,变异系数为0～0.240和0～0.188,肯德尔和谐系数为0.151和0.171.最终确定一级指标6项、二级指标17项、三级指标56项.指标体系的Cronbach's α系数为0.746,平均内容效度指数为0.969.秩和检验结果显示,不同科室护士总分差异无统计学意义(P＞0.05),但在管理和环境因素方面,差异具有统计学意义(P＜0.05).结论 用药护理中断事件风险评价指标体系信效度好,指标科学合理、内容全面、专业性强,可为用药安全管理策略提供依据.
Abstract
Objective To construct and apply the risk evaluation index system of nursing interruptions in medication process.Methods From January to October 2023,with"safety information flow-based accident causative conceptual model"for the theoretical framework,literature analysis,qualitative research,Delphi method and analytic hierarchy process were used to determine the contents and each index weight of risk evaluation index system for nursing interruptions in medication nursing.It was used to evaluate 440 nurses from a tertiary Class A hospital in Hunan Province.Results Effective recovery rates of two rounds of consultation were 100％,expert authority coefficients were 0.922 and 0.894,coefficient of variation were 0～0.240 and 0～0.188,and Kendall concordant coefficients were 0.151 and 0.171.Finally,6 first-level indicators,17 second-level indicators and 56 third-level indicators were determined.The Cronbach's α coefficient of the system was 0.746,and the average content validity index was 0.969.The rank sum test showed that the total score of nurses in different departments had no statistical significance(P＞0.05),but there were differences in management and environmental factors(P＜0.05).Conclusion Reliability and validity of the risk evaluation index system for medication nursing interruptions were good.Constructed indexes are scientific,reasonable,comprehensive and professional,which can provide basis for management strategy in medication nursing.
关键词
护理中断事件/用药安全/德尔菲技术/护理管理研究Key words
Nursing Interruptions/Medication Safety/Delphi Technique/Nursing Management Research引用本文复制引用
基金项目
湖南省自然科学基金青年基金(2022JJ40736)
中南大学湘雅三医院汇智育才拔尖人才支持计划(BJ202205)
出版年
2024
NETL
NSTL
万方数据