护理质量敏感指标体系的构建与实施

Construction of a nursing sensitive quality indicators system

针对护理质量评价和促进的要求,借鉴美国护理质量指标国家数据库系统,建立护理质量敏感指标体系。通过对压疮、跌倒或坠床、医院获得性感染、职业保健、非计划性拔管、疼痛评估、约束具应用和应用率7项指标的监测和管理,明确指标的关键内容和科学测量方法,建立该7项指标的基线评价标准。护理质量敏感指标评价体系的建立非常必要,能够指导护理干预和质量控制,具备便利性、时效性和动态性的优点,可有效保证护理质量得到持续改进。

Based on American＇s National Database of Nursing Quality Indicators（NDNQI）, a nursing sensitive quality indica- tors system was estabhshed. The nursing sensitive quality indicators system consisted of 7 indicators including pressure ulcers, falls,nosocomial infections,occupational healthcare,unplanned extubation,pain assessment and use of restraints. The baselines of evaluation criteria were set up through monitoring and management of these 7 indicators in terms of the key points and measure-ment methods. The nursing sensitive quality indicators system can provide guidance for nursing practice and quality control, and to ensure continuous nursing quality improvement with its advantages of flexibility,timeliness and dynamic.