心脏中心监护室护理安全质量评价指标体系的构建

摘要

目的：应用三维质量结构理论构建CCU护理安全质量评价指标。方法首先查阅CCU护理质量评价的有关文献，在“结构质量—过程质量-结果质量”的理论基础上，结合相关诊疗规范制定出CCU护理质量评价设定初选指标。应用 Delphi专家问卷法对初选的指标进行2轮调查函审，筛选出最终的质量评价指标，同时计算出每个指标的权重。结果本研究共纳入36名专家进行函审。调查问卷的有效率均为100％，权威系数分别为0.834、0.856，经研究小组集体评议最终确立 CCU护理质量评价指标条目。评价指标包括要素质量、环节质量、终末质量3个一级指标，19个二级指标和45个三级指标。结论心脏中心监护室护理安全质量评价指标体系的构建遵循了权威专家的意见和相关的医疗文件，符合目前CCU护理的实际需要，有助于提高 CCU护理安全质量。%Objective To construct the evaluation of nursing safety and quality in CCU with the theory of three-dimensional structure. Methods Based on structure-process-outcome theory, the initial indicator system was developed after literature review, expert group discussion, Delphi method and Hierrchy analysis. Results The survey included 36 experts , the rate of questionnaire effecient was 100%and authoritative coefficients were 0.834 and 0.856 respectively. The index system consisted of 3 first-dimensions, 19 second-dimensions and 45 items. Conclusion The newly-developed indicator system meet the needs of the current CCU care, help to improve the safety and quality of care in CCU.