基于三维结构理论的骨科病房护理敏感性质量指标体系的构建

Development of a nursing-sensitive quality indicator system based on the structure-process-outcome theory in orthopedic wards

目的构建基于三维结构理论的骨科护理敏感性质量指标体系，用于指导临床实践。方法以三维结构理论为指导，运用文献检索法、专家小组分析、德尔菲（Delphi）专家函询法和层次分析法，筛选指标并计算指标的权重，构建骨科护理敏感性质量指标体系。结果两轮专家函询的有效回收率分别为94．87％（37，39）和89．74％（35／39），专家权威程度系数为0．88，专家意见的协调系数为0．309。最后构建的评价指标包括一级指标3个，二级指标14个，三级指标83个。结论构建的指标体系科学、可靠、可信度高，形成的评价体系可为临床护理操作提供科学评价。

Objective To establish a nursing-sensitive quality indicator system in orthopedic wards based on the structure-process-outcome theory, so as to guide clinical nursing. Methods Based on structure-process-outcome theory, the indicator definition and weight were identified by literature review, expert group discussion, Delphi method and Hierarchy analysis. Results The returning rates of questionnaires in the first and second round expert consultation were 94.87% （37/39） and 89.74% （35/39）, respectively. The authority coefficient of the experts was 0.88,and the coordination coefficient of experts＂ opinion was 0.309.The program included 3 first indexes,14 second index, and 83 items. Conclusion The result of the study is scientific reliable and credible, Whichcan provide evaluation for the Clinical nursing operation.