基于循证和德尔菲法构建成人危重患者院内转运规范的研究

发布时间：2018-05-09 22:19

  本文选题：循证 + 德尔菲法　； 参考：《浙江大学》2017年硕士论文

【摘要】：研究目的:本研究旨在循证的基础上,建立科学、实用的成人危重患者院内转运规范,为各级医院成人危重患者院内转运的实施及安全管理提供参考依据。研究方法:本研究根据循证护理研究方法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,总结出成人危重患者院内转运相关条目,经专家小组讨论后初步拟定适合中国国情的成人危重患者院内转运规范,采用德尔菲法,按照5分级Likert标度法,对初步形成的条目的重要性、可行性进行评价。由浙江省各地区的50名专家进行函询论证,确立符合中国国情的成人危重患者院内转运规范,运用专家积极系数、权威系数、变异系数、协调系数等指标,对专家函询的可靠性和代表性进行检验。研究结果:构建了包含组织管理、教育培训、物品管理及转运流程四部分的成人危重患者院内转运规范。两轮专家函询的积极系数分别为98%和91.83%(70%),专家的权威系数分别为0.87和0.90(≥0.7),两轮专家函询后各条目重要性的变异系数为0.03～0.24,可行性变异系数为0.00～0.27(0.30)。研究结论:构建了包含组织管理、教育培训、物品管理及转运流程四部分的成人危重患者院内转运规范。专家函询的积极系数、权威系数、变异系数等结果证明专家函询代表性和可信度高。
[Abstract]:Objective: the purpose of this study was to establish a scientific and practical standard of hospital transport for adult critical patients on the basis of evidence, and to provide reference for the implementation and safety management of hospital transport for adult critical patients in all levels of hospitals. Methods: according to the method of evidence-based nursing research, a rigorous retrieval strategy was established in this study. Hopkins evidence rating and quality evaluation method was used to evaluate the relevant literature. The related items of in-hospital transport of adult critical patients were summarized. After the discussion of the expert group, the standard of in-hospital transport of adult critical patients suitable for China was drawn up preliminarily. The Delphi method was adopted, and the 5-grade Likert scaling method was used. Evaluate the importance and feasibility of the preliminary items. With 50 experts from various regions of Zhejiang Province, we have conducted a letter and argumentation to establish the standard of in-hospital transportation of adult critical patients in accordance with China's national conditions, and to apply the positive coefficient of experts, the authoritative coefficient, the coefficient of variation, the coefficient of coordination, and so on. Test the reliability and representativeness of expert inquiry. Results: four parts, including organization management, education and training, goods management and transportation process, were constructed for hospital transportation of adult critical patients. The positive coefficients of the two rounds of expert letters were 98% and 91.83%, the authoritative coefficients of experts were 0.87 and 0.90 (鈮，

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