卒中单元护理质量敏感指标体系的构建  

Establishment of the system of nursing sensitive quality indicators in stroke unit

作　　者：邓永梅[1] 武美茹[1] Deng Yongmei;Wu Meiru(Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China)

机构地区：[1]首都医科大学附属北京天坛医院神经内科,100070

出　　处：《中华现代护理杂志》2019年第25期3244-3247,共4页Chinese Journal of Modern Nursing

摘　　要：目的构建卒中单元护理质量敏感性指标体系,为卒中单元护理质量控制提供依据。方法于2018年7—8月选取来自全国神经内科临床护理、护理管理、医院质量管理领域的23名专家作为函询对象。以全面质量管理的"结构-过程-结果"理论为框架,通过文献分析、小组讨论建立卒中单元护理质量敏感指标条目池,进行专家咨询。结果本研究2轮专家权威系数(Cr)分别为0.80、0.81,第1轮和第2轮专家意见Kendall's W分别为0.316、0.412(P<0.05)。最终形成了包含3个一级指标,10个二级指标,10个三级指标的卒中单元护理质量敏感指标体系。结论专家权威系数高,研究结果可靠,卒中单元护理质量敏感指标体系可为卒中单元护理质量控制提供依据。Objective To establish the the system of nursing sensitive quality indicators in the stroke unit and to provide a reference for nursing quality control in the stroke unit. Methods Totally 23 experts on clinical nursing, nursing management and hospital quality management from the field of Neurology across China were selected for enquiry between July and August 2018. With the "structure-process-outcome" theory from total quality management as the framework, the item pool for the the system of nursing sensitive quality indicators in the stroke unit was established for expert consultation by literature analysis and group discussion. Results The expert authority score (Cr) of two rounds was 0.80 and 0.81. Kendall's W of the first and second round of expert opinions was 0.316 and 0.412 (P<0.05). Finally, a the system of nursing sensitive quality indicators in the stroke unit was established, which included 3 primary indicators, 10 secondary indicators and 10 tertiary indicators. Conclusions Since the expert authority score is high and the results are reliable, the the system of nursing sensitive quality in the stroke unit may provide a reference for quality control in the stroke unit.

关 键 词：卒中 护理质量审核 敏感性指标 体系构建 

分 类 号：R473.74[医药卫生—护理学]