ICU护理安全质量评价指标体系的构建

Development of an indicator system to evaluate nursing safety and quality in ICU

目的初步构建一套较为科学、客观、全面的ICU护理安全质量评价指标体系。方法在三维质量结构理论基础上,采用文献检索法、专家小组讨论、德尔斐(Delphi)专家函询法和层次分析法,筛选指标并确定指标的权重,建立ICU护理安全质量评价指标体系。结果两轮函询中,问卷回收率分别为91.7%、95.5%,权威系数分别为0.867、0.870,协调系数分别为0.174、0.266,经卡方检验,均P值<0.01,具有统计学意义。构建了包含3项一级指标(要素质量、环节质量、终末质量),21项二级指标和97项三级指标的ICU护理安全质量评价指标体系。结论构建的ICU护理安全质量评价指标体系具有较高的科学性和可靠性,为护理管理者进行ICU护理安全质量评价提供客观、可量化的依据。

Objective To develop a scientific, objective and comprehensive indicator system to evaluate nursing safety and quality in ICU. Methods Based on structure-process-outcome theory, the indicator definition and weight were identified by literature review, expert group discussion, Delphi method and Hierarchy analysis. Results In two rounds of surveys, the rates of questionnaire retrieve were 91.7% and 95.5%, respectively. The authoritative coefficients were 0.867 and 0.870, the coordination coefficients were 0.174 and 0.266, respectively. The index system consisted of 3 first-dimensions, 21 second-dimensions and 97 items. Conclusion A reliable and valid indicator sys- tem for the measurement of nursing safety and quality in 1CU was developed. It can be used to provide objective and quantitative reference for the evaluation of nursing safety and quality in ICU.