基于循证构建手术室护理质量敏感性指标
发布时间：2018-10-08 09:58
【摘要】：研究目的：本研究旨在循证的基础上,建立敏感、科学、实用的手术室护理质量评价指标,为中国医院的手术室护理质量评价与监测提供依据。研究方法：本研究制定严密的检索策略,采用美国霍普金斯证据等级与质量评价方法对检索到的相关文献进行等级与质量评定,总结出手术室护理质量敏感性指标及其计算公式与资料收集方法,利用专家组讨论初步拟定适合中国国情的手术室护理质量敏感性指标。采用Delphi专家咨询法,按照5分级Likert标度法,对初步形成的指标条目的重要性、计算公式的合理性、收集资料方法可操作性进行评价。由浙江省内51名专家进行咨询论证,确立符合中国国情的手术室护理质量敏感性指标及其计算方法与资料收集方法。运用专家积极系数、权威系数、变异系数、协调系数等指标,对专家咨询的可靠性和代表性进行检验。研究结果：构建了包含过敏史的核对率、手术部位核对率、手术病人核对率等在内的23项护理质量敏感性指标,其包含了指标内涵、计算方法、资料收集方法。2轮专家咨询的积极系数均为100%(60%),专家的权威系数分别为0.85和0.86(≥0.7),2轮专家咨询后各项指标重要性的变异系数为0.00-0.26,计算公式合理性变异系数为0.03-0.26,收集资料方法可操作性变异系数为0.06-0.24,均小于0.3。研究结论：构建了一套包含23项指标的综合医院手术室护理质量敏感性指标体系,确立了各指标的内涵、计算方法及资料收集方法。专家咨询的积极系数、权威系数、变异系数等结果证明专家咨询代表性和可信度高。
[Abstract]:Objective: the purpose of this study was to establish sensitive, scientific and practical evaluation indexes of operating room nursing quality on the basis of evidence, and to provide basis for evaluation and monitoring of operating room nursing quality in Chinese hospitals. Methods: in this study, a rigorous retrieval strategy was established, and Hopkins evidence rating and quality evaluation method was used to evaluate the relevant literature. The sensitivity index of nursing quality in operating room, its calculation formula and data collection method were summarized, and the sensitivity index of nursing quality in operating room was preliminarily drawn up by expert group discussion. By using the Delphi expert consultation method, according to the 5 grade Likert scale method, the importance of the preliminary formed index items, the reasonableness of the calculation formula and the maneuverability of the data collection method are evaluated. In this paper, 51 experts from Zhejiang province were consulted and demonstrated to establish the sensitivity index, calculation method and data collection method of operating room nursing quality in accordance with the situation of China. The reliability and representativeness of expert consultation are tested by using expert positive coefficient, authority coefficient, variation coefficient, coordination coefficient and so on. Results: 23 items of nursing quality sensitivity indexes, including the check rate of allergy history, operation site check rate, operation patient check rate and so on, were constructed, which included the connotation and calculation method of the indicators. The positive coefficient of expert consultation was 100% (60%), the authority coefficient of expert was 0.85 and 0.86 (鈮，
本文编号：2256345
[Abstract]:Objective: the purpose of this study was to establish sensitive, scientific and practical evaluation indexes of operating room nursing quality on the basis of evidence, and to provide basis for evaluation and monitoring of operating room nursing quality in Chinese hospitals. Methods: in this study, a rigorous retrieval strategy was established, and Hopkins evidence rating and quality evaluation method was used to evaluate the relevant literature. The sensitivity index of nursing quality in operating room, its calculation formula and data collection method were summarized, and the sensitivity index of nursing quality in operating room was preliminarily drawn up by expert group discussion. By using the Delphi expert consultation method, according to the 5 grade Likert scale method, the importance of the preliminary formed index items, the reasonableness of the calculation formula and the maneuverability of the data collection method are evaluated. In this paper, 51 experts from Zhejiang province were consulted and demonstrated to establish the sensitivity index, calculation method and data collection method of operating room nursing quality in accordance with the situation of China. The reliability and representativeness of expert consultation are tested by using expert positive coefficient, authority coefficient, variation coefficient, coordination coefficient and so on. Results: 23 items of nursing quality sensitivity indexes, including the check rate of allergy history, operation site check rate, operation patient check rate and so on, were constructed, which included the connotation and calculation method of the indicators. The positive coefficient of expert consultation was 100% (60%), the authority coefficient of expert was 0.85 and 0.86 (鈮，
本文编号：2256345
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