护理人员对患者安全自评体系的初步构建

Initial construction of self-assessment system of patient safety by nurses

目的构建护理人员对患者安全的自评体系。方法采用自行设计的护理人员对患者安全自评体系调查表，选取29名三级甲等医院的护理安全管理专家，运用德尔菲法进行2轮专家咨询，构建护理人员对患者安全的自评体系，用专家排序法对指标的重要性进行权重分析。结果初步构建的护理人员对患者安全自评体系包括一级指标3项，二级指标9项，三级指标48项；指标的变异系数〈0．20，协调系数为0．25。结论初步构建的护理人员对患者安全自评体系，专家意见集中，结果科学、可靠，可用于护理人员对患者安全状况的自评。

Objective To construct a self-assessment system of patient safety by nurses. Meth- ods Using self-designed questionnaires of self-assessment system of patient safety by nurses, 29 nursing safety management experts were selected. Delphi method was adopted to carry out two rounds of interview. The self-assessment system of patient safety by nurses was built. The importance of the indicators went on weight analysis with specialist sorting. Results The system included 3 first-level indicators, 9 second- level indicators, 48 third-level indicators. The coefficient of variation of the indicators was 〈 0.20, and the coordination coefficient was 0.25. Conclusions The initial construction of system of self-assessment pa- tient safety by nurses has the advantages of focused expert advice,with scientific results,and is reliable. It can be used for nurses＂ self-assessment of the security situation in patients.