口腔门诊护理敏感质量指标体系的构建  

Construction of sensitive quality index system of dental clinic nursing

作　　者：曾惠文[1] 甘露[1] 李华[1] 李秀娥[1] 王伟平 尚文涵 杨丽丽 Zeng Huiwen;Gan Lu;Li Hua;Li Xiue;Wang Weiping;Shang Wenhan;Yang Lili(Department of Nursing,Peking University School and Hospital of Stomatology,Beijing 100081,China;Nursing Management and Rehabilitation Research Department,National Institute of Hospital Administration,National Health Commission,Beijing 100044,China;Department of Cardiac Surgery ICU,Qingdao Municipal Hospital,Qingdao 266071,China)

机构地区：[1]北京大学口腔医院护理部,北京100081 [2]国家卫生健康委医院管理研究所护理管理与康复研究部,北京100044 [3]青岛市市立医院心外科ICU,青岛266071

出　　处：《中华现代护理杂志》2023年第34期4701-4705,共5页Chinese Journal of Modern Nursing

基　　金：北京大学口腔医院管理基金课题(2019GLJJ03)。

摘　　要：目的 构建口腔门诊护理敏感质量指标体系。方法 以Donabedian“结构-过程-结果”三维质量模型为理论依据,通过文献回顾法初步构建口腔门诊护理敏感质量指标体系各级指标。采用德尔菲法对来自口腔护理管理、口腔医疗、护理质量管理及卫生政策等领域的15名专家进行2轮函询。最终形成口腔门诊护理敏感质量指标体系。结果 2轮专家函询问卷的有效回收率均为100%(15/15),专家的平均权威系数为0.93,整体指标的肯德尔和谐系数分别为0.115、0.141(P<0.05)。最终确定了包括3项一级指标、7项二级指标、19项三级指标的口腔门诊护理敏感质量指标体系。结论 本研究所构建的口腔门诊护理敏感质量指标体系具有科学性和可靠性,通过未来研究验证后,可作为口腔门诊护理质量的改进依据。Objective To build a sensitive quality index system of dental clinic nursing.Methods sBased on the Donabedian "structure-process-results"three-dimensional quality model,the indicators at all levels of the sensitive quality index system of dental clinic nursing was preliminarily constructed through literature review.The Delphi method was used to develop a system of sensitive quality indicators for dental outpatient care through two rounds of correspondence with 15 experts from the fields of dental care management,oral health care,quality of care management,and health policy.Results The effective response rates of the two rounds of expert inquiry questionnaires were 100%(15/15),and the average authority coefficient of the experts was 0.93.The Kendall's harmony coefficients of the overall indicators were 0.115 and 0.141,respectively(P<0.05).A sensitive quality indicator system for dental clinic nursing was finally determined,including 3 primary indicators,7 secondary indicators and 19 tertiary indicators.Conclusions The sensitive quality indicator system for dental clinic nursing constructed in this research is scientific and reliable.After verification through future research,it can serve as a basis for improving the quality of dental clinic nursing.

关 键 词：护理 口腔门诊 护理质量 敏感指标 德尔菲法 

分 类 号：R473.78[医药卫生—护理学]