基于结构-过程-结果三维质量模型的脑心健康管理师工作质量评价指标体系的构建  

Construction of Quality Evaluation Index System for Brain and Heart Health Managers Based on the Structure-Process-Outcome Three-Dimensional Quality Model

作　　者：杨彩侠[1] 易海波 戚璐 胡琼丹 孙烨[5] 李冬梅 马珂珂 李亚鹏[1] 许予明[1,7,8] 郭园丽 YANG Caixia;YI Haibo;QI Lu;HU Qiongdan;SUN Ye;LI Dongmei;MA Keke;LI Yapeng;XU Yuming;GUO Yuanli(Department of Neurology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Medical Affairs Department,Changsha Hospital of Traditional Chinese Medicine,Changsha 410100,China;Hubei Provincial Office of Stroke Prevention and Treatment Center,Wuhan 430030,China;Nursing Department of Southern Region,The First Affiliated Hospital of University of Science and Technology of China,Hefei 230036,China;Stroke Center,The First Hospital of Jilin University,Changchun 130021,China;Nursing Department,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;National Health Commission Key Laboratory of Prevention and Treatment of Cerebrovascular Disease,Beijing 100101,China;Henan Key Laboratory of Cerebrovascular Diseases,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院神经内科,郑州450052 [2]长沙市中医医院医务科 [3]湖北省脑卒中防治中心办公室 [4]中国科学技术大学附属第一医院南区护理部 [5]吉林大学第一医院卒中中心 [6]海军军医大学第一附属医院护理部 [7]国家卫生健康委脑血管病防治重点实验室 [8]河南省脑血管病重点实验室

出　　处：《中国卒中杂志》2024年第11期1359-1367,共9页Chinese Journal of Stroke

基　　金：郑州大学第一附属医院护理科研基金(HLKY20230001);脑卒中防治技术研究项目(WKZX2023CZ0402)。

摘　　要：目的构建可靠、科学且具有针对性的脑心健康管理师质量控制指标体系,为脑心健康管理师的管理质量评价提供依据。方法采用“结构-过程-结果”三维质量模型作为理论框架,结合文献回顾、国家卫生健康委员会发布的卒中中心评价标准和头脑风暴法拟定指标初稿,采用德尔菲法,通过两轮专家咨询法修订(增添、删除、修改)指标,并根据专家来源、积极性、权威性以及协调程度判定指标的可靠性。最终,利用层次分析法对各指标的重要性进行量化。结果本研究共咨询了15名专家,第1轮和第2轮专家咨询问卷的回收率分别为93.33%(14份)、100%(15份),专家权威系数分别为0.947、0.952,肯德尔和谐系数分别为0.524和0.649(P<0.001)。构建的最终版脑心健康管理师质量控制指标体系,包括一级指标3个(结构指标、过程指标和结局指标),二级指标9个和三级指标51个(其中包括7个加分项)。结论本研究构建的脑心健康管理师质量控制指标体系可靠、科学且具有针对性,可为脑心健康管理师的质量评价提供依据。Objective To establish a reliable,scientific,and targeted quality control index system for brain and heart health managers,and to provide a basis for the management quality evaluation of brain and heart health managers.Methods Using the“structure-process-outcome”three-dimensional quality model as the theoretical framework,the draft index was constructed by combining a literature review,evaluation criteria for stroke centers issued by the National Health Commission,and the brainstorming method.The Delphi method was adopted to revise(add,delete,and modify)the indicators through two rounds of expert consultation,and the reliability of the indicators was determined based on the source of experts,enthusiasm,authority,and coordination degree.Finally,the importance of each indicator was quantified by the analytic hierarchy process.Results A total of 15 experts were consulted in this study.The recovery rates of the first and second rounds of expert consultation questionnaires were 93.33%(14)and 100%(15),respectively.The expert authority coefficient of the first round of consultation was 0.947,and that of the second was 0.952.Kendall’s concordance coefficient of the first round of consultation was 0.524,and that of the second was 0.649(P<0.001).The final version of quality control index system for brain and heart health managers was formed,including three first-level indicators(structural indicators,process indicators,and outcome indicators),nine second-level indicators,and 51 third-level indicators(including seven extra points).Conclusions The quality control index system for brain and heart health managers constructed in this study is reliable,scientific,and targeted,which can provide a reference for the quality evaluation of brain and heart health managers.

关 键 词：脑心健康管理 德尔菲法 护理质量审核 护理评价研究 

分 类 号：R74[医药卫生—神经病学与精神病学]