广东省三级综合医院优质护理服务评价指标的构建  

Establishment of evaluation criterion of high-quality nursing services in comprehensive hospitals of Grade Three in Guangdong Province

作　　者：宋慧娟[1] 崔虹[2] 朱小冬[3] 向霞 李云[5] 何金爱[6] 陈赟 王丽[8] 黄文嫣 李爽 张广清 Song Huijuan;Cui Hong;Zhu Xiaodong;Xiang Xia;Li Yun;He Jin’ai;Chen Yun;Wang Li;Huang Wenyan;Li Shuang;Zhang Guangqing(Department of Nursing Administration,Nanfang Hospital,Southern Medical University,Guangzhou,510515;Department of Nursing Administration,Guangdong General Hospital,Guangzhou,519041;Department of Nursing Administration,Dongguan People’s Hospital,Dongguan,523058;Department of Nursing Administration,Foshan People’s Hospital,Foshan,528010;Department of Nursing Administration,Zhongshan People’s Hospital,Zhongshan,528404;Department of Nursing Administration,the First Affiliated Hospital’ Jinan University,Guangzhou,510630;Department of Nursing Administration,Guangzhou University of Traditional Chinese Medicine Shenzhen Hospital,Shenzhen,518000;Department Of Nursing Administration,Peking University Shenzhen Hospital,Shenzhen 518036,China;School of Nursing,Southern Medical University,Guangzhou,510515,China.)

机构地区：[1]南方医科大学南方医院护理部,广东广州510515 [2]广东省人民医院护理部,广东广州519041 [3]东莞市人民医院护理部,广东东莞523058 [4]佛山市人民医院护理部,广东佛山528010 [5]中山市人民医院护理部,广东中山528404 [6]暨南大学附属第一医院护理部,广东广州510630 [7]广州中医药大学深圳医院(福田)护理部,广东深圳518000 [8]北京大学深圳医院护理部,广东深圳518036 [9]南方医科大学护理学院,广东广州510515

出　　处：《现代临床护理》2024年第4期73-84,共12页Modern Clinical Nursing

基　　金：院级教育研究课题,项目编号为23NJ-YB09。

摘　　要：目的构建广东省三级综合医院优质护理服务评价指标,为促进优质护理服务评价工作和规范优质护理服务提供参考。方法基于文献检索的基础上,应用头脑风暴法并借鉴国内已有的相关制度、标准和政策构建出评价指标条目池和问卷初稿;采用德尔菲法对评价指标进行两轮专家函询。结果两轮专家函询的回收率分别为80.00%和91.67%;权威程度系数均为0.93,医院部分Kendall协调系数W分别为0.128和0.116,病区部分分别为0.193、0.107,差异具有统计学意义(均P<0.001)。第2轮函询医院各指标的重要性均数为(4.43~5.00)分。第2轮函询病区各指标的重要性均数为(4.59~5.00)分。构建的广东省三级综合医院优质护理服务评价指标包括医院和病区两个部分,其中医院部分包括一级指标8项、二级指标22项、三级指标65项,病区部分包括一级指标9项、二级指标23项、三级指标50项。结论本研究编制的广东省三级综合医院优质护理服务评价指标具有较好的科学性和可靠性,有利于完善优质护理服务管理制度,引导优质护理服务健康发展。Objective To establish an evaluation criterion for high-quality nursing services in comprehensive hospitals of Grade Three in Guangdong Province and provide references for promoting the evaluation of high quality nursing services and standardising high quality nursing services. Methods Based on literature review,brainstorming and references of relevant domestic systems,standards and policies,a pool of evaluation index items and a preliminary questionnaire were constructed. Delphi method was used for two rounds of expert consultations on evaluation indicators. Results The positive coefficients of the two rounds of expert consultations were of 80.00% and 91.67%,respectively,with the authority coefficients both at 0.93. The Kendall coordination coefficients for hospital part were 0.128 and 0.116 respectively,for ward part were 0.193 and 0.107 with statistical differences (both P<0.001). The evaluation criteria for high-quality nursing services in general hospitals above the third level in Guangdong Province involved in nursing services of hospitals and wards.There were 8 primary indicators,22 secondary indicators and 65 tertiary indicators in the nursing services at hospital part,and 9 primary indicators,23 secondary indicators and 50 tertiary indicators in the nursing services at ward part. Conclusions The evaluation criteria for high-quality nursing services in comprehensive hospitals above the third level in Guangdong Province,established in this study,are scientifically valid and reliable. They allow improvement of management system for the high-quality nursing services as well as guide the healthy development of high-quality nursing services.

关 键 词：优质护理服务 评价指标 德尔菲法 三级综合医院 病区 广东省 

分 类 号：R47[医药卫生—护理学]