手术室护理工作项目难度系数的构建研究

Difficulty coefficient of Operating Room nursing items

目的界定适于难度评价并能代表手术室护理工作量的手术室护理工作项目难度系数。方法于2017年1月—2018年3月通过回顾文献、问卷调查及专家论证会确定适合难度评价的手术室护理工作项目及操作难度指标,并运用层次分析法确定难度指标的权重,选取15名专家进行3轮德尔菲法函询。通过加权线性和法确定难度系数值。结果最终得到68项手术室护理工作项目的难度系数。难度系数排列前3位的项目是:"侧卧牵引床体位摆放及观察(7.268 7)""头颅固定体位摆放及观察(7.254 0)""颅脑体位架式侧卧位摆放及观察(7.243 3)";难度系数排列后3位的项目是:"水平仰卧位摆放及观察(2.178 2)""无菌单的铺置(2.046 0)""无接触式戴无菌手套(1.000 0)"。结论本研究界定了68项适于难度评价并能代表手术室护理工作量的手术室护理工作项目难度系数,使手术室护理工作项目难度得到可量化数值,增强了手术室护理工作量统计的合理性。

Objective To define the difficulty coefficient of Operating Room nursing items which is suitable for difficulty evaluation and can represent the workload of Operating Room nursing. Methods From January 2017 to March 2018, through literature review, questionnaire survey and expert demonstration meeting, the nursing work items and operational difficulty indicators suitable for difficulty evaluation in Operating Room were determined. The weight of difficulty indicators was determined by analytic hierarchy process. Fifteen experts were selected for three rounds of Delphi inquiry. The coefficients of difficulty were determined by weighted linear method. Results Finally, the difficulty coefficients of 68 operating room nursing items were obtained. The top three difficulty coefficients were "position placement and observation of lateral traction bed (7.268 7)","position placement and observation of fixed skull (7.254 0)" and "position and observation of skull-brain frame lateral decubitus position (7.243 3)";the last three difficulty coefficients were "horizontal supine position placement and observation (2.178 2)" and "sterile sheet laying (2.046 0)","no-contact wearing of sterile gloves (1.000 0)". Conclusions This study defines 68 difficulty coefficients of operating room nursing work items which are suitable for difficulty evaluation and can represent the workload of Operating Room nursing. It can quantify the difficulty of Operating Room nursing work items and enhance the rationality of Operating Room nursing workload counting.