基于三维质量结构模式构建眼科日间手术室护理质量评价指标体系的研究  

Study on constructing an evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room based on Donabedian's three components approach

作　　者：宋薇[1] 马张芳[1] 张宛侠[1] 聂志红 刘淑贤[1] Song Wei;Ma Zhangfang;Zhang Wanxia;Nie Zhihong;Liu Shuxian(Department of Ophthalmology,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China;Department of Nursing,Beijing Tongren Hospital,Capital Medical University,Beijing 100005,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科,北京100005 [2]首都医科大学附属北京同仁医院护理部,北京100005

出　　处：《中华现代护理杂志》2022年第4期447-451,共5页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京同仁医院护理研究专项基金(2018-YJJ-HLL-007)。

摘　　要：目的构建眼科日间手术室护理质量评价指标体系,为客观评价眼科日间手术室的护理质量提供科学依据。方法于2020年1—8月基于"结构-过程-结果"三维质量模型,通过文献检索、半结构访谈、德尔菲专家函询法和层次分析法构建眼科日间手术室护理质量评价指标体系。结果2轮专家函询的问卷有效回收率均为100.0%,专家权威系数分别为0.851和0.858,专家协调系数为0.098~0.264。最终构建的眼科日间手术室护理质量评价指标体系包含一级指标3项、二级指标11项、三级指标57项。结论本研究构建的眼科日间手术室护理质量评价体系具有较高的科学性和可靠性,可全面、客观地评价眼科日间手术室护理质量,促进眼科日间手术室护理质量持续改进。Objective To construct an evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room and provide a reference for objectively assessing the nursing quality in ophthalmological Daytime Operation Room.Methods From January to August 2020,the evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room was constructed by literature retrieval,semi-structured interviews,Delphi's expert correspondence inquiries,and hierarchical analysis based on Donabedian's structure-process-outcome model.Results The effective response rates of the questionnaires for the two rounds of expert correspondence inquiries were 100.0%;the expert authority coefficients were 0.851 and 0.858;and the expert coordination coefficients were 0.098-0.264.The evaluation indicator system of nursing quality in ophthalmological daytime operation room finally constructed included 3 primary indicators,11 secondary indicators,and 57 tertiary indicators.Conclusions The evaluation indicator system of nursing quality in Ophthalmological Daytime Operation Room constructed in this study is highly scientific and reliable,which can comprehensively and objectively assess and continuously improve the nursing quality of Ophthalmological Daytime Operation Room.

关 键 词：手术室 眼科学 日间手术 护理质量 评价指标 德尔菲法 

分 类 号：R472.3[医药卫生—护理学]