基于三维质量结构理论的ICU护理人文关怀质量评价指标体系的构建

Construction of humanistic care quality evaluation index system of ICU nursing based on Three-dimensional Quality Structure Theory

目的构建ICU护理人文关怀质量评价指标体系,为ICU护理人文关怀服务的规范化和标准化提供评价工具。方法基于“结构—过程—结果”三维质量结构理论,通过文献研究、半结构访谈、德尔菲法对指标进行筛选,构建ICU护理人文关怀质量评价指标体系。结果2轮专家函询专家的积极系数均为100%,专家权威系数分别为0.915、0.948,肯德尔协调系数分别为0.414、0.415(均P<0.01),最终形成包括一级指标3项、二级指标14项和三级指标54项的ICU护理人文关怀质量评价指标体系,各层级指标一致性检验结果均CR<0.100。结论本研究构建的ICU护理人文关怀质量评价指标体系具有合理性、实用性和可操作性,可为ICU护理人文关怀质量评价提供一定的参考依据。

Objective To construct a humanistic care quality evaluation index system of ICU nursing,and provide evaluation tools for the standardization and normalization of humanistic care service of ICU nursing.Methods Based on the three-dimensional quality structure theory of"structure-process-result",indicators were identified through literature research,semi-structured interviews,and Delphi method to develop the evaluation index system.Results The positive coefficient of the two rounds of expert inquiry was both 100%,and the authority coefficient of the experts was 0.915 and 0.948 respectively.The Kendall coordination coefficient was 0.414 and 0.415,respectively(all P<0.01).The final humanistic care quality evaluation index system consisted of 3 first-level,14 secondary-level,and 54 third-level indicators.Consistency test showed that consistency ratio for indicators at all levels was less than 0.100.Conclusion The humanistic care quality evaluation index system of ICU nursing constructed in this study is reasonable and practical,and can provide reference for the evaluation of humanistic care quality provided by ICU nurses.