护理质量敏感性指标体系的构建

发布时间：2019-07-21 05:44

【摘要】：目的建立符合我国国情、有一定代表性的护理质量敏感性指标体系。方法以"结构-过程-结果 "为理论框架,查阅国内外文献,采用德尔菲法对来自全国30个市(自治区)的42名临床护理管理专家进行座谈咨询和2轮的问卷函询。结果 2轮函询的专家权威系数为0.89和0.91,判断系数为0.90和0.93,熟悉系数为0.86和0.88,意见协调系数为0.20和0.25。最终确认护理质量敏感性指标体系包括3个一级指标和7个二级指标,一级指标为护理人力配置、护理安全和护理不良事件;二级指标为病房护患比、身份识别执行正确率、用药错误发生件数、输血错误发生件数、标本错误发生件数、药物外渗发生件数和高危患者跌倒(坠床)发生率。结论本研究结果可靠,对于护理质量敏感性指标有明确的定义和解释,指标监测具有可操作性。
[Abstract]:Objective to establish a representative index system of nursing quality sensitivity in accordance with the national conditions of our country. Methods based on the theoretical framework of "structure-process-result", 42 clinical nursing management experts from 30 cities (autonomous regions) in China were consulted and questioned by 2 rounds of questionnaires. Results the expert authority coefficients, judgment coefficients, familiarity coefficients and opinion coordination coefficients of the two rounds of correspondence were 0.89 and 0.91, 0.90 and 0.93, 0.86 and 0.88, and 0.20 and 0.25, respectively. Finally, it was confirmed that the sensitivity index system of nursing quality included three primary indexes and seven secondary indexes, the first index was nursing manpower allocation, nursing safety and nursing adverse events, the second index was ward nurse-patient ratio, the correct rate of identification, the number of drug errors, the number of blood transfusion errors, the number of specimen errors, the number of drug extravasation and the incidence of falls (falling bed) in high risk patients. Conclusion the results of this study are reliable, and the sensitivity index of nursing quality is clearly defined and explained, and the monitoring of the index is operable.
【作者单位】：中国医学科学院北京协和医院护理部;
【基金】：中华护理学会2015—2016年度立项科研课题项目(ZHKY201504)
【分类号】：R47

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