基于循证构建精神科护理质量敏感性指标

Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality

目的构建科学客观的精神科护理质量敏感指标,为精神科专科医院护理质量管控提供科学依据。方法采用文献回顾和德尔菲法(Delphi),确定精神科护理质量的敏感性指标。结果经过2轮专家函询,专家积极系数分别为89%和83%,权威系数为0.727和0.871,协调系数为0.321和0.255,P<0.01,具有统计学意义。最终构建包含5项结构指标,11项过程指标和9项结果指标的精神科护理质量敏感性指标。结论基于循证和德尔菲法构建的精神科护理质量敏感性指标,具有专业性、科学性和可靠性,对精神科专科护理质量管控和持续改进提供了客观依据。

Objective To construct an scientific and objective sensitive indicators of psychiatric nursing quality and to provide scientific basis for nursing management of psychiatric hospital.Methods After literature review,Delphi method was adopted to determine the sensitivity indicators of psychiatric nursing quality.Results After two-round of expert consultation,sensitive indicators of psychiatric nursing quality were formed and it consisted of 5 structure indicators,11 process indicators and 9 outcome indicators.The positive coefficients of experts were 89%and 83%respectively;the authoritative coefficients 0.727 and 0.871 respectively;and coordination coefficients 0.255 and 0.321 respectively(P<0.01)showing statistical significance.Conclusion Evidence-based sensitive indicators of psychiatric nursing quality established in the study are is professional,scientific and reliable and provide objective basis for quality control and continuous improvement of psychiatric nursing.