基于Delphi和三维质量模型构建夜间中医护理门诊质量评价指标体系  

Construction of evaluation index system of nighttime TCM nursing clinics based on Delphi method and three-dimensional quality model

作　　者：刘佳 陈志美 唐芳 张力文 徐彩娟 杨淑芬 龙叶运 LIU Jia;CHEN Zhi-mei;TANG Fang;ZHANG Li-wen;XU Cai-juan;YANG Shu-fen;LONG Ye-yun(Dept.of Nursing Administration,the Second Affiliated Hospital of Guizhou University of Chinese Medicine,Guiyang 550001,China;Dept.of Rheumatology and Immunology,the Second Affiliated Hospital of Guizhou University of Chinese Medicine,Guiyang 550001,China;Dept.of Outpatient,Guizhou Provincial Party School of Guizhou University of Chinese Medicine,Guiyang 550011,China;Dept.of Nursing Administration,the Second Affiliated Hospital of Zhejiang University,Hangzhou 310009,China;School of Nursing,Graduate School of Guizhou University of Traditional Chinese Medicine,Guiyang 550005,China)

机构地区：[1]贵州中医药大学第二附属医院护理部,贵州贵阳550001 [2]贵州中医药大学第二附属医院风湿免疫科,贵州贵阳550001 [3]贵州中医药大学省委党校门诊部,贵州贵阳550011 [4]浙江大学附属第二医院护理部,浙江杭州310009 [5]贵州中医药大学护理学院,贵州贵阳550005

出　　处：《护理学报》2024年第19期42-46,共5页Journal of Nursing（China）

基　　金：贵州省健康卫生健康委课题(gzwkj2023—245)。

摘　　要：目的构建符合夜间中医护理门诊实际情况的质量评价指标体系。方法通过查阅相关政策及文献,以“结构一过程一结果”三维质量评价模式为理论基础,拟定夜间中医护理门诊评价指标体系的初步框架,2024年5—7月通过2轮德尔菲(Delphi)专家咨询法对夜间中医护理门诊的内容体系框架进行修订及完善。结果筛选出15名符合纳入标准的专家进行函询,2轮专家积极系数分别为100%、100%;专家权威程度分别为0.880、0.910;第1轮专家咨询中一、二、三级指标的协调系数(W)分别为0.115、0.258、0.315,第2轮专家咨询一、二、三级指标的权重分别为0.325、0.276、0.269(P<0.05);最终形成3项一级指标、11项二级指标、60项三级指标构成夜间中医护理门诊评价指标体系。结论基于德尔菲专家咨询法构建的夜间中医护理门诊质量评价指标体系具有科学性和可靠性,该体系可为评价和持续改进夜间护理门诊质量提供重要参考依据。Objective To construct a quality evaluation index system that aligns with the actual situation of nighttime traditional Chinese medicine nursing clinics.Methods By reviewing relevant policies and literature and using the“structure-process-outcome”three-dimensional quality evaluation model as the theoretical basis,the preliminary framework of evaluation index system for nighttime traditional Chinese medicine nursing clinics was developed.Through two rounds of Delphi expert consultation from May to July 2024,the content framework of nighttime traditional Chinese medicine nursing clinics was revised and improved.Results Fifteen experts who met the inclusion criteria were selected for consultation,with positive coefficient of 100%and expert authority level of 0.880 and 0.910,respectively in both rounds.The coordination coefficient(W)of the first-level,secondary-level,and third-level indicators in the first round of expert consultation was 0.115,0.258,and 0.315,respectively.In the second round,the weight of the first-level,secondary-level,and third-level indicators was 0.325,0.276,and 0.269,respectively(P<0.05).The final evaluation index system for nighttime traditional Chinese medicine nursing clinics was developed,consisting of three first-level indicators,eleven secondary-level indicators,and sixty third-level indicators.Conclusion The quality evaluation index system for nighttime traditional Chinese medicine nursing clinics constructed using Delphi method is scientific and reliable.It provides an important reference for evaluating and continuously improving the quality of nighttime nursing clinics.

关 键 词：夜间门诊 中医护理 护理门诊 护理质量 评价指标 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]