基于三维质量结构模型构建显微外科护理质量标准  

Construction of microsurgical nursing quality standard based on three-dimensional quality structure model

作　　者：周国玲 彭伶丽[1] 黄女桐 Zhou Guoling;Peng Lingli;Huang Nyutong(Teaching and Research Section of Clinical Nursing,Xiangya Hospital of Central South University,Changsha 410008,China;Hand Microsurgery Department,Xiangya Hospital of Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,长沙410008 [2]中南大学湘雅医院手显微外科,长沙410008

出　　处：《中国实用护理杂志》2024年第9期644-654,共11页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(82102177)。

摘　　要：目的构建显微外科护理质量标准,旨在为提升显微外科护理质量水平提供参考依据。方法2023年3—8月,以结构-过程-结果三维质量结构模型为理论框架,通过文献检索、半结构式访谈、德尔菲专家函询法及层次分析法,确定显微外科护理质量标准的内容及各标准权重。结果2轮函询问卷的有效回收率分别为100.00%(24/24)和95.83%(23/24),专家权威系数分别为0.931和0.928,变异系数分别为0.000~0.159和0.000~0.135,Kendall协调系数分别为0.076和0.091。最终构建的显微外科护理质量标准包括一级标准3项(结构质量标准,权重0.200;过程质量标准,权重0.400;结果质量标准,权重0.400)、二级标准27项、三级标准87项。结论显微外科护理质量标准科学合理,专科性和实用性强,可指导专科护士临床实践,促进显微外科护理质量改进。Objective To develop the microsurgical nursing quality standard,so as to provide reference for improving the nursing quality level of microsurgery.Methods From March to August 2023,based on the theoretical framework of the three-dimensional"structure-process-outcome"quality model,the content and weight of microsurgical nursing quality standard were determined through literature review,semi-structured interviews,Delphi method and analytic hierarchy process.Results The effective recovery rates of 2 rounds of expert consultations were 100.00%(24/24)and 95.83%(23/24).The authority coefficients were 0.931 and 0.928.The variation coefficients of each item ranged from 0.000 to 0.159 and from 0.000 to 0.135.The Kendall harmony coefficients were 0.076 and 0.091.Finally,the quality standard of microsurgery nursing included 3 first-level standards(structural quality criteria weight 0.200,process quality criteria weight 0.400,outcome quality criteria weight 0.400),27 second-level standards and 87 third-level standards.Conclusions Nursing quality standard of microsurgery is scientific,reasonable,specialized and operable,which can guide the clinical practice of specialized nurses and promote the improvement of microsurgical nursing quality.

关 键 词：德尔菲技术 护理质量 显微外科 护理管理 

分 类 号：R473.6[医药卫生—护理学]