手术室手术护理工作量评价指标的构建  

Construction of evaluation indicators for surgical nursing workload in the operating room

作　　者：程茜 赵体玉 张诗怡 郭月 李晓丹 乐霄 Cheng Qian;Zhao Tiyu;Zhang Shiyi;Guo Yue;Li Xiaodan;Le Xiao(Operating Room,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院手术室,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2024年第24期61-64,共4页Journal of Nursing Science

摘　　要：目的构建手术室手术护理工作量评价指标并确定其指标权重,为手术室的绩效考核和人力资源调配提供参考。方法通过文献分析确定手术室手术护理工作量评价指标体系的初级条目,采用德尔菲法对23名专家进行3轮咨询,通过层次分析法确定指标权重。结果最终构建的手术室手术护理工作量评价指标包括一级指标3项、二级指标16项、三级指标59项。3轮函询问卷有效回收率为100%,专家权威系数为0.93,2轮肯德尔协调系数依次为0.154、0.228(均P<0.05)。第3轮咨询,一致性比率值均<0.10。结论本研究构建的手术室手术护理工作量评价指标,维度和指标分层明确,客观、可量化,可为临床手术室手术护理工作量评价提供测评工具。Objective To construct evaluation indicators for surgical nursing workload in the operating room and determine their weightings,providing references for performance assessment and human resource allocation in the operating room.Methods Litera-ture analysis was conducted to determine the primary items of the evaluation indicator system for surgical nursing workload.The Delphi method was used to consult 23 experts over three rounds,and the analytic hierarchy process was employed to determine the weightings of the indicators.Results The final evaluation indicator system for surgical nursing workload included three primary in-dicators,16 secondary indicators,and 59 tertiary indicators.The effective recovery rate of the three rounds of consultation ques-tionnaires was 100%,with an expert authority coefficient of o.93.The Kendall's coefficient of concordance for the first two rounds was 0.154 and 0.228(both P<0.05).In the third round,the consistency ratio values were all<0.10.Conclusion The e-valuation indicators for surgical nursing workload constructed in this study are clearly defined in dimensions and hierarchical struc-ture,objective,and quantifiable,providing a measurement tool for evaluating surgical nursing workload in clinical operating rooms.

关 键 词：手术室 护理工作量 评价指标体系 权重 手术操作 职业暴露 手术配合 德尔菲法 

分 类 号：R472.3[医药卫生—护理学]