介入手术室专科护理质量敏感指标体系的构建  

Construction of nursing-sensitive quality indicators in Interventional Operating Room

作　　者：胡经文[1] 肖娟 白婷 方华[3] Hu Jingwen;Xiao Juan;Bai Ting;Fang Hua(Department of Cardiology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Interventional Operating Room,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;School of Nursing,Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院心内科,西安710061 [2]西安交通大学第一附属医院介入手术室,西安710061 [3]西安交通大学护理学院,西安710061

出　　处：《中华现代护理杂志》2022年第1期46-51,共6页Chinese Journal of Modern Nursing

基　　金：西安交通大学第一附属医院基金项目(2019HL-08)。

摘　　要：目的构建适用于我国介入手术室的专科护理质量敏感指标体系,为评价介入手术室护理质量提供科学依据。方法于2019年8—9月基于循证的方法检索和评价文献,以Donabedian结构-过程-结果理论为框架初步拟定介入手术室专科护理质量指标。于2019年11月—2020年1月选取中国心血管健康联盟心血管病护理及技术培训专家委员会和陕西省心血管病护理专委会介入学组的30名专家,采用德尔菲法开展2轮专家函询进行指标修订及确认。结果本研究共进行2轮专家函询,2轮专家函询问卷有效回收率分别为86.70%(26/30)和100.00%(30/30),专家权威系数分别为0.920和0.917,Kendall'sW为0.089~0.302(均P<0.05),各指标变异系数均<0.3。最终构建了包含1个结构指标、5个过程指标和2个结果指标的介入手术室专科护理质量敏感指标体系。结论本研究构建的介入手术室专科护理质量敏感指标具有科学性和实用性,适合我国国情,可用于指导介入手术室专科护理质量的评价和持续改进。Objective To construct nursing-sensitive quality indicators in Interventional Operating Room which is suitable for China,and provide a scientific basis for evaluating the nursing quality in Interventional Operating Room.Methods From August to September 2019,literature searching and assessment was performed based on the evidence-based method,and the Donabedian structure-process-result theory was used as the framework to preliminarily determine the specialty nursing quality indicators in Interventional Operating Room.From November 2019 to January 2020,30 experts from the Cardiovascular Care and Technical Training Expert Committee of the China Cardiovascular Health Alliance and the Cardiovascular Care Committee of Shaanxi Province were selected for two rounds of correspondence inquiries using the Delphi method to revise and confirm the indicators.Results A total of two rounds of expert correspondence inquiries were conducted in this study,the effective recovery rates of the two rounds of expert correspondence inquiries were 86.70%(26/30)and 100.00%(30/30);the expert authority coefficients were 0.920 and 0.917;Kendall's Wwas 0.089-0.302(all P<0.05),and the coefficient of variation of each indicator was<0.3.Finally,nursing-sensitive quality indicators in Interventional Operating Room was constructed,including one structural indicator,five process indicators,and two result indicators.Conclusions The nursing-sensitive quality indicators in Interventional Operating Room constructed in this study are scientific and practical,suitable for China,and can be used to guide the evaluation and continuous improvement of specialty nursing quality in Interventional Operating Room.

关 键 词：手术室 介入 德尔菲 护理质量敏感指标 体系构建 

分 类 号：R472.3[医药卫生—护理学]