神经外科护理安全质量敏感性指标体系的构建

Development of nursing-sensitive safety quality indicators for neurosurgery

目的 :构建科学、敏感、实用的神经外科护理安全质量敏感性指标体系,为神经外科护理安全评估与监控提供参考。方法 :通过文献研究及临床神经外科护理安全不良事件发生率统计数据初拟神经外科护理安全质量敏感性指标,运用德尔菲专家咨询法确定神经外科护理安全质量敏感性指标。结果 :建立了14项神经外科护理安全质量敏感性指标,包括椎管术后尿潴留发生率、深静脉血栓发生率、压力性损伤发生率等;两轮德尔菲专家咨询专家积极系数均为100%,专家权威系数为0.83,专家协调系数为0.106～0.216,第2轮专家咨询后变异系数为0.00～0.22。结论 :通过德尔菲专家咨询法确立的神经外科护理安全质量敏感性指标体系具有科学性、实用性,可用来评估神经外科护理安全质量。

Objective: To identify scientific, sensitive and practical nursing safety quality indicators for neurosurgery, and which will help to evaluate and monitor nursing safety quality in neurosurgery. Methods: Nursing-sensitive and safety quality indicators for neurosurgery were initially identified on the basis of literature researching and clinical data analysis. The indicators were modified using Delphi technique. Results: Fourteen nursing-sensitive safety quality indicators for neurosurgery such as incidence of fall, incidence of falling bed or chair and pressure injury were identified. Both of the positive coefficients in the two rounds of expert consultation were 100%,and the authoritative coefficient was 0.83. After two rounds of expert consultation, the coefficients of variation ranged from 0.00 to 0.22. The coordination coefficient ranged from 0.106 to 0.216. Conclusion: The nursing-sensitive safety quality indicators for neurosurgery on the basis of Delphi technique are scientific and practical,which can be applied to safety quality assessment.