日间手术中心护理质量评价指标体系的构建  

Construction of the evaluation index system for nursing quality in day operation center

作　　者：严喆[1] 张要雄[1] 朱建萍[1] 潘冬玉 沈蓉蓉[1] Yan Zhe;Zhang Yaoxiong;Zhu Jianping;Pan Dongyu;Shen Rongrong(Department of Day Operation Centre,the Tenth People′s of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院日间手术中心,上海200072

出　　处：《中国实用护理杂志》2019年第32期2509-2513,共5页Chinese Journal of Practical Nursing

摘　　要：目的构建日间手术中心护理质量评价指标体系,为科学、客观的评价日间手术中心护理质量提供依据.方法以Donabedian的"结构-过程-结果"质量结构模型为理论依据,应用文献研究、流程跟踪、层次分析和德尔菲专家函询方法,构建日间手术中心护理质量评价指标体系.结果专家函询2轮问卷回收率为94.12%和100.00%;专家权威系数为0.816和0.857;协调系数为0.335和0.381,均有统计学意义(P<0.01).最终形成了3个一级指标、12个二级指标、48个三级指标的日间手术护理质量评价指标体系;运用yaaph软件确定了一级指标和二级指标的权重,并通过一致性检验(CR<0.1),三级指标的变异系数均<0.17.结论日间手术中心护理质量指标体系权重分配合理,指标条目明确,具有科学性和实用性.Objective To construct evaluation index system of nursing quality in day operation center and to provide the basis for scientific and objective evaluation of nursing quality in day operation center.Methods Based on Donabedian quality model as the theoretical framework,the evaluation index system of nursing quality in day operation center was constructed by applying literature research,process tracking,hierarchical analysis and Delphi expert letter.Results The recovery rate of RR for two rounds of questionnaire was 94.12%and 100.00%.The expert authority coefficient Cr values were 0.816/0.857 respectively.The W value of the coordination coefficient was 0.335/0.381,both of which were statistically significant(P<0.01).Finally,an evaluation index system of quality of assisted fertility treatment care with 3 dimensions,12 secondary indicators and 48 items was formed.Yaaph software was used to determine the weight coefficients of primary and secondary indicators,and the consistency test(CR<0.1)was performed,and the variation coefficients of all tertiary items were<0.17.Conclusion The weight distribution of the nursing quality index system in day operation center is reasonable,the index entry is clear,and it is scientific and practical.

关 键 词：日间手术中心 护理质量管理 德尔菲法 护理 综合评价 

分 类 号：R47[医药卫生—护理学]