基于Delphi法和AHP的一级护理质量评价指标权重确定

Establishment of weights of quality evaluation indicators for first class nursing based on Delphi method and AHP

目的:确立一级护理质量评价体系各级指标的权重.方法:采用Delphi法对22名专家进行3轮问卷调查.根据专家意见,利用层次分析法(AHP)确定一、二级指标权重,利用专家重要性评分法确立三级指标权重.结果:3项一级指标基础质量、环节质量、终末质量的权重系数分别为0.268,0.614,0.117,CR=0.063.13项二级指标中权重赋值最高、最低的指标分别为病情观察(0.183),急救(0.183),生活护理(0.023),CR=0.024.39项三级指标中组合权重赋值最高指标为:患者用药安排情况(0.061),各种治疗工作到位情况(0.061),护理措施合格情况(0.061),KendallsW=0.343,χ2=286.92(P=0.000).结论:该指标体系科学、可靠,可为一级护理质量评价提供依据.

AIM： To establish the weights of indicators of quality evaluation system for first class nursing. METHODS： With Delphi method, 22 experts were consulted for three times. Based on the opinions of the experts, Analytic Hierarchy Process （AHP） was used to calculate the weights of indicators in grade one and grade two and the experts＇ evaluation was used to calcu- late the weights of indicators in grade three. RESULTS： In the evaluation indicator system, the weight coefficients of grade one including structure quality, process quality and outcome quality were 0.268, 0. 614 and 0.117 respectively （ CR = 0. 063 ）. The items with maximal and minimal weights of the 13 indicators in grade two were illness observation （0. 183 ）, emergency care （0. 183） and basic life nursing （0. 023） respectively （CR = 0.024）. The items with maximal weights of the 39 indicators in grade three were medication nursing（0. 061 ）, the performance of treatments（0. 061 ） and the correct rate of nursing intervention （0. 061 ）. The KendaU＇s W of the indicators in grade three was 0.343, （χ^2 =286. 92, P =0. 000）. CONCLUSION： The established system provides a scientific and reliable standard to assess the first class nursing quality.