基于质性访谈的“内置型”医养结合机构护理质量评价现状分析

A survey of the status of care quality evaluation in the institution that integrating pension andhealth care service：a qualitative research

目的探讨“内置型”医养结合机构护理质量评价现状，分析其护理服务和管理重点，旨在为护理管理者实施科学的护理管理措施提供理论依据。方法采用质性研究中的描述性现象学研究法，对7家“内置型”医养结合机构8名护理管理者进行半结构式访谈，用Colaizzi分析法进行资料分析。结果通过访谈得到2个主题：“内置型”医养结合机构护理质量评价现状；“内置型”医养结合机构护理质量评价的关键指标。结论通过与8名机构护理管理者的深入访谈，建议国家应重视医养结合机构护理质量检查，探索适合医养结合机构的护理质量评价标准，以促进机构护理服务规范落实，保证老年人护理安全，同时也可为机构间护理质量比较提供依据，以促进机构间的良性竞争。

Objective To explore the status of care quality evaluation in the built-in type institution that integrating pension and health care service and analyze the focus on nursing service and management,it aims to provide theoretical basis for nurse managers to implement scientific nursing management. Methods Descriptive phenomenological methodology was adopted in this study,a semi- structured interview was conducted with 8 nurse managers from 7 built-in type institutions that integrating pension and health care service.Data were analyzed based on Colaizzi＇ s phenomenological research method. Results Two themes were extracted, including the status of care quality evaluation in the built- in type institution that integrating pension and health care service; key indicators of nursing quality in the built-in type institution that integrating pension and health care service. Conclusions Through in-depth interviews with 8 nurse managers, we suggest that state should attach importance to the quality inspection of nursing care in the built-in type institution that integrating pension and health care service, and explore the evaluation criteria for nursing quality,in order to ensure the safety of elderly care, and it also can provide a basis for the comparison between inter-agency nursing quality and promote healthy competition among institutions.