急危重症患者院间转运护理质量评价指标的构建  

Construction of a nursing quality evaluation index system for inter-hospital transfer of emergency critically ill patients

作　　者：孙朋霞 李树亚 华小雪 高健 蔡梦歆 李凡 SUN Pengxia;LI Shuya;HUA Xiaoxue;GAO Jian;CAI Mengxin;LI Fan

机构地区：[1]中国医学科学院北京协和医院急诊科/疑难重症及罕见病国家重点实验室,北京市100730

出　　处：《中华护理杂志》2023年第15期1831-1837,共7页Chinese Journal of Nursing

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费专项资金(2019XK320015);中央高水平医院临床科研业务费专项基金(2022-PUMCH-B-130)。

摘　　要：目的构建急危重症患者院间转运护理质量评价指标,科学评估急危重症患者院间转运质量。方法以“结构-过程-结果”三维结构为指导框架,以“危重症患者院际转运专家共识”为理论基础,采用文献分析法、专家小组访谈法、专家函询法和层次分析法,筛选指标并确定指标权重,构建急危重症患者院间转运护理质量评价指标。结果2轮专家函询问卷的有效回收率分别为85.0%(17/20)和100%(17/17),专家权威系数分别为0.900、0.897,专家意见的肯德尔和谐系数分别为0.193(χ^(2)=316.295,P<0.001)、0.159(χ^(2)=257.103,P<0.001)。最终确定的评价指标包括一级指标3个、二级指标17个、三级指标81个。结论形成的急危重症患者院间转运护理质量评价指标科学、可靠,内容全面,具有较强的专科性,可用于评估急危重症患者院间转运质量。Objective To construct a quality evaluation index system for inter-hospital transfer of emergency critically ill patients,so as to evaluate the quality of inter-hospital transfer of emergency critically ill patients.Methods Based on structure-process-outcome theory and the“expert consensus on inter-hospital transfer of critically ill patients”,the index definition and weight were identified and the quality evaluation index was constructed by literature review,panel interviews,Delphi method and Hierarchy analysis.Results The effective recovery rates of questionnaires in the first and second round of expert consultations were 85.0%(17/20)and 100%(17/17);the expert authority coefficients were 0.900,0.897;the Kendall harmony coefficients were 0.193(χ^(2)=316.295,P<0.001),0.159(χ^(2)=257.103,P<0.001),respectively.The finalized evaluation index included 3 first-level indicators,17 second-level indicators and 81 third-level indicators.Conclusion The constructed evaluation index is scientific,reliable,reasonable,comprehensive,and clinically practical.It can provide continuous scientific evaluation for inter-hospital transfer of emergency critically ill patients.

关 键 词：急诊护理 危重症 院间 患者转运 护理质量评价研究 

分 类 号：R473[医药卫生—护理学]