血液净化护理敏感质量指标构建及探讨

Construction and discussion of sensitive quality index of blood purification nursing

目的 建立适用于血液净化护理敏感质量指标体系,为血液净化室护理安全质量评价与监测提供参考,为护理管理者提供质控目标及依据.方法 成立研究小组,通过统计分析患者资料、护理不良事件,借鉴国家护理质量控制中心数据及其他国内外护理专家的研究成果,研究小组进行分析讨论、专家会议咨询(由北京、内蒙古两地的血液净化专业护理专家共同探讨)、专家函询,筛选并最终确定护理敏感质量指标.结果 对纳入指标进行分类整理,最终构建了一套血液净化专科护理敏感质量指标共计13项,其中结构指标3项、结果指标10项,2轮专家函询问卷的有效回收率均为100%,咨询的指标和谐系数分别为0.12~0.17、0.10~0.14,专家权威系数分别为0.786、0.807,具有统计学意义(P<0.01).结论 本研究构建的血液净化护理敏感质量指标体系符合科学性、可靠性、实用性原则,可作为血液净化室护理安全质量评价的工具.

Objective To establish a sensitive quality index system for blood purification nursing,providing reference for the evaluation and monitoring of nursing safety quality in the blood purification room,and providing quality control targets and basis for nursing managers.Methods Set up a research team to analyze the patient data,nursing bad events,draw on the data of the National Nursing Quality Control Center and other research results of nursing experts at home and abroad.The research team conducted analysis and discussion,expert meeting consultation(discussed by professional nursing experts in Beijing and Inner Mongolia),expert letters,screening and final determination of nursing sensitive quality indicators.Results Finally,a set of 13 sensitive quality indicators for specialized care for blood purification was constructed,including 3 structural indicators,10 outcome indicators and 100%effective recovery rates for the two rounds of expert questionnaires.The indicators for consultation are 0.12-0.17 and 0.10-0.14,respectively,and the expert authoritative coefficients are 0.786 and 0.807,respectively,which are statistically significant(P<0.01).Conclusion The system of sensitive quality index of blood purification nursing is in conformity with the principles of science,reliability and practicality,and can be used as a tool for evaluating the quality of blood purification room nursing safety.