运用德尔菲法构建神经外科重症监护室术后交接核查表  

Design of a NICU postoperative handover checklist based on the Delphi method

作　　者：杨建国[1] 张军[1] 方敏[2] 刘虹梅[2] 

机构地区：[1]武汉大学HOPE护理学院,430071 [2]湖北医药学院附属太和医院

出　　处：《中国实用护理杂志》2014年第35期61-64,共4页Chinese Journal of Practical Nursing

摘　　要：目的 构建神经外科重症监护室（neurosurgery intensive care unit,NICU）术后交接核查表,预防交接过程中的信息遗漏、技术差错,促进患者安全.方法 课题组讨论初步设计核查表框架,并结合文献查证,形成术后交接核查表草案,运用德尔菲法开展2轮专家评审,结合专家意见进行修改定稿,并计算其内容效度指数.结果 专家权威系数为0.86;20位专家共提出修改意见7条,根据专家提出的意见构建了NICU术后交接核查表,其内容效度指数为0.88.结论 本研究构建了NICU术后交接核查表,它作为术后交接的辅助工具,可以引导交接过程,避免交接过程中出现信息遗漏、技术差错,以此促进患者安全.Objective To design a checklist （NICU-PoHC） for postoperative handover in the NICU （Neurosurgery Intensive Care Unit） in case of information omissions or task errors during the handover process,thus to improve patient safety.Methods Team discussion and literature review was conducted to compose the preliminary version of the NICU-PoHC.Then two rounds of panel review were conducted using the Delphi methods to revise the preliminary checklist and to calculate its Content Validity Index （CVI）.Results The authority coefficient of experts was 0.86.Twenty experts proposed 7 suggestions for revision.The NICU-PoHC was developed,and its CVI was 0.88.Conclusions Our study developed the NICU-PoHC,which can be used as an assistant tool guiding the postoperative handover,preventing information omissions and task errors,and thus improving patient safety.

关 键 词：患者安全 神经外科 重症监护室 术后交接 核查表 

分 类 号：R473.6[医药卫生—护理学]