独立血液透析中心护理质量评价指标体系的构建  

Construction of nursing quality indicator system for freestanding hemodialysis facilities

作　　者：董旭 苏春燕[2] 尚少梅[1] Dong Xu;Su Chunyan;Shang Shaomei(School of Nursing,Peking University,Beijing 100191,China;Nephrology Department,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学护理学院,100191 [2]北京大学第三医院肾内科,100191

出　　处：《中国实用护理杂志》2021年第3期174-180,共7页Chinese Journal of Practical Nursing

摘　　要：目的构建独立血液透析中心护理质量评价指标体系,并确定指标权重,为科学合理地评价独立血液透析中心护理质量提供依据。方法以结构—过程—结果质量评价模式为框架,采用文献分析法、现场调查法和半结构访谈,形成指标条目池;运用德尔菲法进行2轮专家函询,确定最终版指标体系;通过层次分析法计算指标权重。结果本研究指标体系包含3项一级指标、15项二级指标、46项三级指标;一级指标中,过程质量指标权重最大为0.493,其次为结果质量指标0.310,结构质量指标权重最小为0.196,以过程质量为主要评价内容;二级指标中主要人力配置权重最高为0.131,三级指标中从事血液透析专科工作年限构成比的权重最高为0.108。结论本研究的指标体系具有科学性和完整性,可以作为护理质量评价工具在临床护理实践中验证其实用性。Objective To establish nursing quality indicator system for freestanding hemodialysis facilities and identify the weight values of indicators.Methods With the structure-process-outcome quality model as the framework,the literature analysis method,field survey and semi-structure interview were used to form the indicators item pool.Through Delphi method,experts were consulted for two rounds.The indicator weight was calculated by AHP.Results The indicator system of this study included 3 primary indicators,15 secondary indicators and 46 tertiary indicators.Among the primary indicators,the process quality indicator had the largest weight(0.493),followed by the outcome quality indicator(0.310),and the structure quality indicator had the smallest weight(0.196).The process quality were the main evaluation contents.According to the indicator weight,the main manpower allocation(0.131)in secondary indicators had the highest weight,and the proportion of nurses with different hemodialysis work experiences(0.108)in the tertiary indicators had the highest weight.Conclusion The indicator system of this study is scientific and integrated,which can be used as a nursing quality evaluation tool to verify its practicability in clinical nursing practice.

关 键 词：独立血液透析中心 护理质量评价 指标 权重 

分 类 号：R473.5[医药卫生—护理学]