赣州市三级医院老年护理质量评价指标体系的构建  

Construction of geriatric nursing quality evaluation index system in tertiary hospitals of Ganzhou City

作　　者：张凌[1] 蓝玉清[2] 刘艳秀[3] 谢树英[4] 朱龙红 黄英兰[5] 丁瑞英[3] 刘璇 ZHANG Ling;LAN Yuqing;LIU Yanxiu;XIE Shuying;ZHU Longhong;HUANG Yinglan;DING Ruiying;LIU Xuan(Department of Nursing,Ganzhou People's Hospital of Jiangxi Province,Jiangxi Province,Ganzhou341000,China;Department of General Medicine,Ganzhou People's Hospital of Jiangxi Province,Jiangxi Province,Ganzhou341000,China;Department of Geriatrics,Ganzhou People's Hospital of Jiangxi Province,Jiangxi Province,Ganzhou341000,China;Department of Endocrinology,Ganzhou People's Hospital of Jiangxi Province,Jiangxi Province,Ganzhou341000,China;Department of Cardiovascular Medicine,Ganzhou People's Hospital of Jiangxi Province,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院护理部,江西赣州341000 [2]江西省赣州市人民医院全科医学科,江西赣州341000 [3]江西省赣州市人民医院老年科,江西赣州341000 [4]江西省赣州市人民医院内分泌科,江西赣州341000 [5]江西省赣州市人民医院心血管内科,江西赣州341000

出　　处：《中国当代医药》2024年第33期113-117,共5页China Modern Medicine

基　　金：江西省卫生健康委员会科技计划项目(202212433,202311946)。

摘　　要：目的探讨赣州市三级医院老年护理质量评价指标体系的构建。方法结合半结构式访谈和文献回顾,设计了老年护理质量评价指标体系专家咨询问卷。通过目的抽样方法选取22名在老年护理临床和管理领域具有丰富经验的专家进行两轮咨询,运用专家意见整合及指标界值筛选法对指标体系进行修正和评价。结果两轮咨询中,专家积极系数均为1.000,显示专家参与度高;专家权威系数分别为0.846和0.858,表明专家意见具有较高的权威性;专家咨询总协调系数分别为0.654、0.672,反映专家意见达成较好的一致性。最终构建了包含3个一级指标、8个二级指标和29个三级指标的老年护理质量评价指标体系。结论赣州市三级医院老年护理质量评价指标体系的构建,综合考虑了老年护理的特殊需求和实际情况,强调了护理过程中各环节质量的监控,能有效指导临床护理实践,提升老年护理服务质量,具有重要的临床应用价值。Objective To explore the establishment of the evaluation index system of geriatric nursing quality in tertiary hospitals of Ganzhou City.Methods Combined with semi-structured interview and literature review,an expert consultation questionnaire was designed for the evaluation index system of geriatric nursing quality.Through the objective sampling method,22 experts with rich experience in the clinical and management fields of geriatric nursing were selected for two rounds of consultation,and the index system was revised and evaluated by the integration of expert opinions and the index boundary screening method.Results In both rounds of consultation,the positive coefficient of experts was 1.000,indicating high participation of experts.The expert authority coefficients were 0.846 and 0.858 respectively,indicating that the expert opinions had high authority.The overall coordination coefficients of expert consultation were 0.654 and 0.672,respectively,reflecting a good consistency of expert opinions.Finally,the evaluation index system of aged care quality was constructed,which included 3 primary indexes,8 secondary indexes and 29 tertiary indexes.Conclusion The construction of geriatric nursing quality evaluation index system in tertiary hospitals of Ganzhou City comprehensively considers the special needs and actual situation of geriatric nursing,emphasizes the quality monitoring of all links in the nursing process,can effectively guide clinical nursing practice and improve the quality of geriatric nursing service,and has important clinical application value.

关 键 词：老年护理 质量评价 评价指标 专家咨询法 赣州市 

分 类 号：R47[医药卫生—护理学]