基于结构-过程-结果模型儿童支气管镜围术期专科护理质量敏感指标的构建  

Construction of Sensitivity Indicators of Specialized Nursing Quality of Nursing Perioperative Period of Children’s Bronchoscopy

作　　者：王琪[1,3,4] 刘腊梅 陈莉娜[2,3] 阙晓玲 苏绍玉 WANG Qi;LIU La-mei;CHEN Li-na;QUE Xiao-ling;SU Shao-yu(Dept.of Pediatric Respiratory and Immunology Nursing,West China Second University Hospital,Sichuan University,Chengdu 610041,China;Dept.of Pediatric,West China Second University Hospital,Sichuan University,Chengdu 610041,China;Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,West China Second University Hospital,Sichuan University,Chengdu 610041,China;West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西第二医院小儿呼吸免疫科护理单元,四川成都610041 [2]四川大学华西第二医院儿科,四川成都610041 [3]四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041 [4]四川大学华西护理学院,四川成都610041

出　　处：《护理学报》2022年第8期69-74,共6页Journal of Nursing（China）

基　　金：四川省科技厅重点研发项目(2020YFS0105)。

摘　　要：目的构建儿童支气管镜围术期专科护理质量敏感指标,为儿童呼吸专科护理质量管理提供参考依据。方法以Donabedian结构-过程-结果模型为理论框架,采用焦点访谈、文献回顾及德尔菲法(Delphi)构建儿童支气管镜围术期专科护理质量敏感指标。结果2轮函询专家积极系数为100%、94%,权威系数为0.880、0.910,指标重要性协调系数0.151、0.203(P<0.01),指标可行性协调系数0.222、0.232(P<0.01)。最终构建的专科护理质量敏感指标包含1个结构指标、6个过程指标和12个结果指标。结论基于Donabedian结构-过程-结果理论基础和Delphi法构建的儿童支气管镜围术期专科护理质量敏感指标具有科学性、实用性和可行性,可以为儿童呼吸专科护理质量管理提供参考依据。Objective To construct a sensitive index of specialized nursing quality in perioperative period of children’s bronchoscopy,so as to provide references for the quality management of specialized nursing in children’s respiratory department.Methods Using Donabedian structure-process-result model as the theoretical framework,literature review and Delphi method were used to construct the sensitive indicators of perioperative nursing quality in children with bronchoscopy.Results The positive coefficient of experts was 100% and 94%,the authority coefficient was 0.880 and 0.910,the coordination coefficient of index importance was 0.151 and 0.203(P<0.01),and the coordination coefficient of index feasibility was 0.222 and 0.232(P<0.01).The final sensitive indicators of nursing quality include 1 structural indicator,6 process indicators and 12 outcome indicators.Conclusion Based on Donabedian’s theory and Delphi method,the sensitive index of nursing quality in children’s bronchoscopy perioperative period is scientific,practical and feasible,which can provide references for nursing quality management in children’s respiratory department.

关 键 词：儿童 支气管镜 围术期 护理敏感指标 DELPHI法 

分 类 号：R473.72[医药卫生—护理学]