基于循证构建老年护理院护理安全质量敏感性指标

发布时间：2018-05-05 11:24

本文选题：循证医学 + 德尔菲技术　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的本研究旨在循证的基础上,构建科学、敏感、实用的老年护理院护理安全质量评价指标体系,为老年护理院护理安全质量评价与监测提供依据。方法本课题运用循证的方法,制定严密的检索策略,检索国内外常用的医养护老年服务机构护理质量评价指标体系的文献,并找出与护理安全质量相关的敏感性指标。采用美国霍普金斯证据等级与质量评价方法对检索到的文献进行等级及质量评定,通过研究小组讨论初步拟定适合我国国情的老年护理院护理安全质量敏感性指标。随后采用德尔菲专家咨询法,通过17名老年护理专家对初步形成指标的重要性、指标计算公式合理性、指标收集资料方法可操作性进行评价,最后确立符合我国国情的老年护理院护理安全质量敏感性指标体系。结果构建了跌倒发生率、误吸或噎食发生率、肺部感染发生率等包含14项老年护理院护理安全质量敏感性指标的体系。两轮专家咨询积极系数都为100%,权威系数为0.87,2轮专家咨询后各项指标重要性的变异系数为0.00～0.21,各指标计算公式合理性变异系数为0.00～0.12,各指标收集资料方法可操作性变异系数为0.00～0.20,均小于0.25。两轮专家协调系数为0.104～0.226,P0.05。结论基于循证及德尔菲专家咨询法构建了 14项老年护理院护理安全质量敏感性指标,并确立了各指标的涵义、计算公式及资料收集方法。构建的老年护理院护理安全质量敏感性指标,符合科学性原则,可用来评价老年护理院护理安全质量。
[Abstract]:Objective to establish a scientific, sensitive and practical evaluation index system for nursing safety quality of elderly nursing homes, and to provide a basis for the evaluation and monitoring of nursing safety quality in the elderly nursing home. Methods this subject uses evidence-based methods to establish a strict retrieval strategy and retrieve the common service machine for curing the elderly at home and abroad. The literature of the evaluation index system of nursing quality was constructed and the sensitive index related to the quality of nursing safety was found. The grade and quality evaluation of the retrieved literature was evaluated by the Hopki evidence grade and quality evaluation method in the United States, and the quality sensitivity of nursing safety in the elderly nursing home was preliminarily drawn up through the study group. Then, the Delphy expert consultation method was adopted to evaluate the importance of 17 geriatric nursing experts on the initial formation of indicators, the rationality of the index calculation formula, the evaluation of the maneuverability of the index collection method, and the final establishment of the quality sensitivity index system of nursing safety in the elderly nursing home. The incidence, the incidence of mistaken aspiration or choking, and the incidence of lung infection included 14 systems of sensitive index of nursing safety quality in the elderly nursing homes. The positive coefficient of two rounds of expert consultation was 100%. The coefficient of variation of the authority coefficient was 0 to 0.21 after the 0.87,2 round of expert consultation. The number of data was 0 to 0.12, the coefficient of variability of the data collection method was 0 ~ 0.20, all of which were less than 0.25. two rounds of expert coordination coefficient of 0.104 ~ 0.226. P0.05. conclusion based on evidence-based and Delphy expert consultation method, the nursing safety quality sensitivity index of 14 elderly nursing homes was constructed, and the meaning of each index was established and the calculation formula was established. And the data collection method. The sensitive index of nursing safety quality of the elderly nursing home is in accordance with the scientific principle, and it can be used to evaluate the nursing safety quality of the elderly nursing home.

【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【参考文献】