核素病房护理质量评价指标体系的构建  

Construction of nursing quality evaluation index system for radionuclide wards

作　　者：鲁娅琪 沈霞[1] 李倩倩[2] 杨青博[3] 南雪慧 魏丽丽[4] Lu Yaqi;Shen Xia;Li Qianqian;Yang Qingbo;Nan Xuehui;Wei Lili(Department of Nuclear Medicine,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Ophthalmology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Urology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Nursing,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院核医学科,青岛266000 [2]青岛大学附属医院眼科,青岛266000 [3]青岛大学附属医院泌尿外科,青岛266000 [4]青岛大学附属医院护理部,青岛266000

出　　处：《中华现代护理杂志》2024年第21期2890-2896,共7页Chinese Journal of Modern Nursing

摘　　要：目的构建核素病房护理质量评价指标体系,为监测核素病房护理工作质量提供科学依据。方法以Donabedian的"结构-过程-结果"三维质量评价模型为理论框架,采用文献回顾、德尔菲法及层次分析法,确定核素病房护理质量评价指标体系的内容及各指标权重。专家积极性采用问卷有效回收率表示,专家权威程度采用权威系数表示,专家意见协调程度采用变异系数和肯德尔和谐系数表示。结果2轮专家函询问卷的有效回收率均100.00%(15/15),专家权威系数分别为0.880、0.900,变异系数分别为0.10~0.26和0~0.16,肯德尔和谐系数分别为0.131和0.187(P<0.01)。最终构建的核素病房护理质量评价指标体系包括一级指标3项、二级指标12项、三级指标56项。结论构建的核素病房护理质量评价指标体系具有科学性、可靠性、实用性和专科性,贴近临床护理工作,可为核素病房护理质量评价提供良好的评价方法。Objective To construct the nursing quality evaluation index system for radionuclide wards,so as to provide scientific basis for monitoring the quality of nursing work in radionuclide wards.Methods With Donabedian's"structure-process-outcome"three-dimensional quality evaluation model as the theoretical framework,literature review,Delphi method and analytic hierarchy process were used to determine the contents and weights of the evaluation index system of nursing quality in radionuclide wards.The enthusiasm of experts was expressed by the effective recovery rate of the questionnaire,the authority coefficient of experts was expressed by the authority coefficient,and the coordination degree of expert opinions was expressed by the coefficient of variation and the Kendall's harmony coefficient.Results The effective recovery rates of the two rounds of expert correspondence questionnaires were 100.00%(15/15),the expert authority coefficients were 0.880 and 0.900,the coefficient of variation were 0.10-0.26 and 0-0.16 and the Kendall's harmony coefficients were 0.131 and 0.187(P<0.01).The final constructed nursing quality evaluation index system for radionuclide wards included three primary indicators,12 secondary indicators and 56 tertiary indicators.Conclusions The constructed nursing quality evaluation index system for radionuclide wards is scientific,reliable,practical and specialized,which is close to clinical nursing work and can provide a good evaluation method for nursing quality evaluation in radionuclide wards.

关 键 词：核医学 核素病房 护理质量 评价指标 德尔菲法 

分 类 号：R473[医药卫生—护理学]