围手术期患者院内转运护理质量评价指标的构建  

Construction of nursing quality evaluation index system for intra-hospital transport of surgical patients

作　　者：李鑫 兰星 熊莉娟 王玉梅[3] 郭雪琴 王钰涵 林颖 张静[1] Li Xin;Lan Xing;Xiong Lijuan;Wang Yumei;Guo Xueqin;Wang Yuhan;Lin Ying;Zhang Jing(Department of Anesthesiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院麻醉科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022 [3]华中科技大学同济医学院附属协和医院全科医学科,湖北武汉430022 [4]华中科技大学同济医学院附属协和医院神经外科监护室,湖北武汉430022

出　　处：《护理学杂志》2024年第8期81-84,共4页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属协和医院2022年度药技护专项基金项目(F016.01003.22003.179);华中科技大学第一临床学院2021年教学改革研究项目(F015010042111604606);2023年湖北省自然科学基金面上项目(2023AFB952)。

摘　　要：目的构建围手术期患者院内转运护理质量评价指标,为评价与监测围手术期患者院内转运护理质量提供评价工具。方法基于结构-过程-结果三维结构质量模型,通过文献回顾法、半结构式访谈法形成指标初稿,采用德尔菲专家函询法和层次分析法,筛选指标并确定各级指标的权重。结果2轮专家函询问卷有效回收率为88.89%、100%,专家权威程度系数为0.928、0.931,专家意见的肯德尔和谐系数分别为0.275、0.314(均P<0.05)。形成的评价指标包括3项一级指标,11项二级指标和57项三级指标。结论构建的围手术期患者院内转运护理质量评价指标内容全面、具备可靠性和实用性,经验证后可作为围手术期患者院内转运护理质量的评价工具。Objective To construct a nursing quality evaluation index system for intra-hospital transport of perioperative patients,and to provide a valid tool to evaluate and monitor nursing quality of intra-hospital transport of perioperative patients.Methods Based on Structure-Process-Outcome theory,a preliminary draft of the indicators was formed through literature review and semi-structured interviews.Delphi expert consultation method and Analytic Hierarchy Process were used to screen indicators and determine the weights of indicators at all levels.Results The response rates of the 2 rounds expert consultation were 88.89%and 100%;the expert authority coefficients were 0.928 and 0.931,and the Kendall′s coefficient of concordance of expert opinions were 0.275 and 0.314(both P<0.05),for the first and second round,respectively.The final evaluation index system included 3 first-level indicators,11 second-level indicators,and 57 third-level indicators.Conclusion The nursing quality evaluation index system for intra-hospital transport of perioperative patients is comprehensive,reliable,and practical,justifying its use as a tool to assess nursing quality of intra-hospital transport of perioperative patients.

关 键 词：住院患者 围手术期 院内转运 护理质量 评价指标 安全管理 

分 类 号：R47[医药卫生—护理学] C931[医药卫生—临床医学]