基于改良德尔菲法的系统循证构建产科护理质量敏感性评价

摘要

Objective To evaluate systematic evidence-based establishment of mass sensitivity of maternity nursing with modified Delphi method,to provide reference for the quality evaluation of maternity nursing in hospitals.Method The relevant indicators,calculated method,and the data and methods about the mass sensitivity in maternity nursing were summarized by the systematic evidence-based method.Results 15 items in all on the quality sensitive index in maternity nursing were counted by systematic evidence-based method.The coefficient of variance (CV) of the quality sensitive index in maternity nursing was 0.022-0.189;there were statistically significant differences in CV and coordination coefficient between two times of experts circularization (P＜0.05).The good coordination among experts was indicated by the authoritive coefficient of experts circularization came up to 0.90.Conclusion The systematic evidence-based establishment of mass sensitivity evaluation of maternity nursing based on modified Delphi method which contains 15 items,satisfies the scientificity of nursing,possesses nice maneuverability,with important guidance function on the clinical nursing workers.%目的 采用改良德尔菲法对系统循证构建的产科护理质量敏感性进行系统评价,为医院产科护理质量评估提供参考.方法 通过系统循证的方法总结产科护理质量敏感性相关指标、计算方式及资料方法,采用改良的德尔菲(Delphi)法对循证的结果进行系统论证与校正.结果 通过系统循证统计产科护理质量敏感指标共有15项,护理质量敏感性指标的CV系数为0.022 ～ 0.189;2次函询的变异系数(CV)和协调系数(W),差异有统计学意义(P＜0.05),专家函询权威系数达0.90,表明专家协调较好.结论 采用改良的德尔菲法对系统循证构建包含15项的产科护理质量敏感性指标,符合护理学的科学性,而且具备良好的可操作性,对临床护理工作具有重要指导作用.