基于质量三维理论构建"互联网+护理服务"质量评价指标体系  

Construction of quality evaluation index system of Internet plus nursing service based on threedimensional quality theory

作　　者：谭秋红 石泽亚[1] 李鑫[1] 胡婉琴 Tan Qiuhong;Shi Zeya;Li Xin;Hu Wanqin(Department of Urology,the First Affiliated Hospital of Hunan Normal University(Hunan Provincial People's Hospital),Changsha 410005,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院)泌尿外科,长沙410005

出　　处：《中华现代护理杂志》2021年第33期4536-4540,共5页Chinese Journal of Modern Nursing

基　　金：湖南省卫生健康委科研计划项目(20200393);湖南省创新型省份建设专项经费资助(2019SK2142);中国卫生人才培养项目护理研究子项目(2021-HLYJ-005)。

摘　　要：目的探索适合我国国情的“互联网+护理服务”质量评价指标体系,旨在为“互联网+护理服务”质量评价与监测提供依据。方法以Donabedian提出的“结构-过程-结果”为理论框架,结合文献检索、质性访谈、小组讨论,并借鉴国内先进地区的相关制度、政策等方法,初步构建质量评价指标条目池和初始问卷;第1、2轮问卷采用德尔菲法对指标加以选择;第3轮问卷使用专家重要性赋值均数法明确指标的权重。结果3轮专家积极系数分别为92%、100%、100%,专家权威系数分别为0.870、0.870和0.877,Kendall's W系数分别为0.101、0.105和0.119。最终形成了3个一级指标、19个二级指标、176个三级指标的“互联网+护理服务”服务质量评价指标体系。结论基于质量三维理论构建“互联网+护理服务”质量评价指标体系的专家意见集中度较高,结果可靠性较强,能够为医疗机构建立“互联网+护理服务”的质量评价标准提供依据,引导与促进“互联网+护理服务”在我国健康发展。Objective To explore the quality evaluation index system of Internet plus nursing service suitable for China's national conditions,aiming to provide a basis for the quality evaluation and monitoring of Internet plus nursing service.Methods Based on the"structure-process-result"proposed by Donabedian as the theoretical framework,combined with literature retrieval,qualitative interview,group discussion,and referring to the relevant systems and policies of advanced regions in China,the quality evaluation index item pool and initial questionnaire were preliminarily constructed.In the first and second rounds of questionnaires,Delphi method was used to select indicators.In the third round of questionnaires,the expert importance assignment method was used to clarify the weights of the indicators.Results The 3 rounds of expert positive coefficients were respectively 92%,100%and 100%,the expert authority coefficients were respectively 0.870,0.870 and 0.877 and Kendall's W coefficients were 0.101,0.105 and 0.119.Finally,an Internet plus nursing service quality evaluation index system with 3 first-level indicators,19 second-level indicators and 176 third-level indicators was formed.Conclusions For quality evaluation index system of Internet plus nursing service based on quality three-dimensional theory,the expert opinions are relatively concentrated and results are relatively,which can provide a basis for the establishment of quality evaluation standards of Internet plus nursing service for medical institutions and guide and promote the healthy development of Internet plus nursing service in China.

关 键 词：互联网护理 上门护理 居家护理 延续护理 护理质量评价 三维质量理论 

分 类 号：R47[医药卫生—护理学]