基于医疗质量三维结构理论构建三级甲等医院临床护士层级管理评估体系  

Constructing an evaluation system for hierarchical management of clinical nurse in top three hospitals based on three-dimensional structure theory of medical quality

作　　者：孙玉莲[1] 马玉杰[1] 司树玲 葛莹[1] 员倩倩 刘春兰[2] 马爱霞[2] Sun Yulian;Ma Yujie;Si Shuling;Ge Ying;Yuan Qianqian;Liu Chunlan;Ma Aixia(Department of Hepatology,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Nursing,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院肝病科,济南250012 [2]山东大学齐鲁医院护理部,济南250012

出　　处：《中国实用护理杂志》2022年第23期1810-1816,共7页Chinese Journal of Practical Nursing

基　　金：山东省医药卫生科技发展计划项目 (2019WS385)。

摘　　要：目的构建三级甲等医院临床护士层级管理评估体系,为临床护士层级管理提供参考依据。方法以医疗质量三维结构理论为基础,采用德尔菲法对23名护理专家进行2轮函询,依据专家评判结果及建议构建指标。结果构建了包含3项一级指标、19项二级指标的三级甲等医院临床护士层级管理评估体系;2轮函询专家咨询问卷有效回复率均为100%,函询专家权威程度均为0.915;一、二级指标重要性评判肯德尔和谐系数分别为0.353、0.515,一、二级指标可操作性评判肯德尔和谐系数分别为0.344、0.469(P<0.01)。结论基于医疗质量三维结构理论的三级甲等医院临床护士层级管理评估体系具有可靠性和可行性。Objective To provide a reference for the hierarchical management of clinical nurses in top three hospitals,the hierarchical management evaluation system was conducted and evaluated in the present study.Methods On the context of three-dimensional structure theory of medical quality,the Delphi method was applied to conduct two rounds of correspondence consultation among 23 nursing experts,and then related indexes were established based on the evaluation results and recommendations.Results An evaluation system for hierarchical management of clinical nurse in top three hospitals was finally constructed,which included 3 first-grade and 19 second-grade indexes.The effective recovery rate of the two rounds of expert questionnaires and authority Cr of two rounds of expert consultation were 100%and 0.915,respectively.The Kendall coefficients of concordance for significance and operability of the first-grade and second-grade indexes were 0.353/0.515 and 0.344/0.469,respectively(P<0.01).Conclusions The hierarchical management of clinical nurses in top three hospitals constructed based on three-dimensional structure theory has reliability and feasibility.

关 键 词：德尔菲法 三维结构理论 层级管理 

分 类 号：R47[医药卫生—护理学]