基于三维质量结构模式的社区产后家庭访视护理质量评价指标体系构建研究
发布时间：2018-12-11 22:43
【摘要】：目的构建较为完善且符合我国国情的社区产后家庭访视护理质量评价指标体系。方法建立科研小组,通过查阅相关文献,以三维质量结构模式为理论框架,构建评价指标体系雏形。选取28名相关领域专家,采用德尔菲法进行专家咨询,并评价咨询专家的积极性、权威性、意见集中程度及意见协调程度。采用界值法进行质量评价指标筛选,采用层次分析法确定各指标权重。结果共进行两轮专家咨询,有效回收率分别为100.0%(28/28)和96.4%(27/28),权威系数分别为0.916和0.904。第一轮专家咨询的127个指标中,重要性评分的算数均数为3.18~4.75,满分比为0.04~0.75,标准差为0.44~1.57;第二轮专家咨询的122个指标中,重要性评分算数均数为3.85~4.89,满分比为0.11~0.89,标准差为0.32~0.77。第一轮专家咨询中,变异率数(CV)0.2的指标共107项(84.3%);第二轮专家咨询中,CV0.2的指标共122项(100.0%);专家意见的肯德尔协调系数分别为0.173和0.186(P0.01)。两轮专家咨询中,各级指标间的Cronbach'sα系数均≥0.752。最终构建出指标体系的一级指标为结构质量、过程质量及结果质量,权重分别为0.240 3、0.549 9和0.209 8;二级评价指标15项,三级评价指标103项。结论该指标体系覆盖内容全面,权重设置科学、客观,为我国社区产后家庭访视护理服务的质量评价提供了一定理论依据。
[Abstract]:Objective to establish an evaluation index system for the quality of postpartum family visit nursing in our country. Methods A scientific research group was set up, and an evaluation index system was constructed by referring to the relevant literature and taking the three-dimensional quality structure model as the theoretical framework. In this paper, 28 experts in related fields were selected, and Delphi method was used to carry out expert consultation, and to evaluate the enthusiasm, authority, concentration of opinions and coordination of opinions of consulting experts. The method of boundary value is used to screen the index of quality evaluation, and the weight of each index is determined by analytic hierarchy process (AHP). Results two rounds of expert consultation were conducted. The effective recoveries were 100.0% (28 / 28) and 96.4% (27 / 28), respectively. The authority coefficients were 0.916 and 0.904, respectively. In the 127 indexes of the first round of expert consultation, the mean value of importance score is 3.18 卤4.75, the full score ratio is 0.04 卤0.75, and the standard deviation is 0.44 / 1.57; In the 122 indexes of the second round of expert consultation, the mean value of importance score was 3.85 / 4.89, the full score ratio was 0.11 / 0.89 and the standard deviation was 0.32 / 0.77. In the first round of expert consultation, the variation rate of (CV) 0.2 was 107 (84.3%), the second round of expert consultation was 122 (100.0%). Kendall coordination coefficient of expert opinion is 0.173 and 0.186 respectively (P0.01). In the two rounds of expert consultation, the Cronbach's 伪 coefficient of each index is 鈮，
本文编号：2373356
[Abstract]:Objective to establish an evaluation index system for the quality of postpartum family visit nursing in our country. Methods A scientific research group was set up, and an evaluation index system was constructed by referring to the relevant literature and taking the three-dimensional quality structure model as the theoretical framework. In this paper, 28 experts in related fields were selected, and Delphi method was used to carry out expert consultation, and to evaluate the enthusiasm, authority, concentration of opinions and coordination of opinions of consulting experts. The method of boundary value is used to screen the index of quality evaluation, and the weight of each index is determined by analytic hierarchy process (AHP). Results two rounds of expert consultation were conducted. The effective recoveries were 100.0% (28 / 28) and 96.4% (27 / 28), respectively. The authority coefficients were 0.916 and 0.904, respectively. In the 127 indexes of the first round of expert consultation, the mean value of importance score is 3.18 卤4.75, the full score ratio is 0.04 卤0.75, and the standard deviation is 0.44 / 1.57; In the 122 indexes of the second round of expert consultation, the mean value of importance score was 3.85 / 4.89, the full score ratio was 0.11 / 0.89 and the standard deviation was 0.32 / 0.77. In the first round of expert consultation, the variation rate of (CV) 0.2 was 107 (84.3%), the second round of expert consultation was 122 (100.0%). Kendall coordination coefficient of expert opinion is 0.173 and 0.186 respectively (P0.01). In the two rounds of expert consultation, the Cronbach's 伪 coefficient of each index is 鈮，
本文编号：2373356
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