天津市护理质量评价核心指标体系的初步构建  

A preliminary study of the core indicator system for evaluating nursing quality in Tianjin

作　　者：张华甫[1] 张华[2] 张燕[2] 陈荣秀[1] 

机构地区：[1]天津医科大学肿瘤医院,天津300060 [2]天津医科大学护理学院

出　　处：《天津护理》2016年第6期485-488,共4页Tianjin Journal of Nursing

摘　　要：目的:构建一套符合临床实际需求,能够较为客观评价护理质量的指标体系。方法:遵循PDCA持续质量改进原则,基于"结构-过程-结果"质量管理模式架构,经过文献回顾、专家访谈和德尔菲法专家2轮函询的筛选和确认,最终确定天津市护理质量核心指标。结果:两轮函询问卷有效回收率均为100%,函询专家权威系数为0.85,0.82,肯德尔和谐系数分别为0.26,0.33。最终确定了以结果指标为主的护理质量核心指标体系,其中一级指标3项(护理管理体系、护理质量结果、护士职业环境),二级指标7项,三级指标17项。结论:本研究构建的临床护理质量指标体系科学、可信,易于操作,为临床各级医院护理质量评价提供了相对可靠的量化指标。Objective：To develop a set of nursing quality indicators, which are in accordance with clinical needs and could evaluate the nursing quality. Methods：A modified Delphi procedure was used to build the core indicators basing on the principle of PDCA continuous quality improvement and Delphi method. Results：After two round of Delphi procedure, the response rate was 100%. The authoritative coefficients were 0.85 and 0.82, the coordination coefficients were 0.26 and 0.33, respectively. The indicator system included three categories including first grade with 3 indicators, second grade with 7 indicators, and third grade with 17 indicators. Conclusion：The indicator system is a scientific quantitative evaluation index system, which is reliable and conforming to a variety of clinical setting.

关 键 词：护理质量 指标 评价 德尔菲法 

分 类 号：R197.323[医药卫生—卫生事业管理]