消化道出血临床护理质量评价标准的构建

Construction of clinical nursing quality evaluation standard for gastrointestinal bleeding

目的:基于三维质量模型构建消化道出血临床护理质量评价标准,旨在为消化道出血的护理质量提供临床评价标准。方法:采用便利抽样法,选取北京市、上海市、山东省、浙江省8所三级甲等医院的30名专家为研究对象。以"结构-过程-结果"质量结构模型为理论依据,通过文献检索、半结构式访谈、专家会议、专家函询及层次分析法,确定消化道出血临床护理质量评价标准及其权重。结果:2轮专家函询问卷回收率分别为93.33%、100%,专家权威系数分别为0.766、0.859,肯德尔协调系数W值分别为0.281、0.362,最终形成的消化道出血临床护理质量评价标准包含一级指标3个、二级指标11个、三级指标46个(结构指标9个,过程指标16个,结果指标21个)。结论:消化道出血临床护理质量评价指标构建过程科学,内容设置合理,能够反应消化道出血的临床护理特点。

Objective To construct the clinical nursing quality evaluation standard for gastrointestinal bleeding based on three-dimensional quality model so as to provide clinical evaluation standards for the nursing quality of gastrointestinal bleeding.Methods Totals of 30 experts from 8 ClassⅢGrade A hospitals in Beijing,Shanghai,Shandong and Zhejiang were selected by convenience sampling as the research subjects.Based on the theoretical basis of"structure-process-outcome"quality structure model,the evaluation standards and weights of clinical nursing quality of gastrointestinal bleeding were determined through the literature search,semi-structured interviews,expert meetings,expert consultations and analytical hierarchy process.Results In two rounds of expert consultations,the recovery rates were 93.33%and 100%;expert authority coefficients were 0.766 and 0.859,and Kendall coordination coefficient W values were 0.281 and 0.362 respectively.The final clinical nursing quality evaluation standard for gastrointestinal bleeding included 3 first-level indicators,11 second-level indicators and 46 third-level indicators(9 structure indicators,16 process indicators and 21 outcome indicators).Conclusions The clinical nursing quality evaluation indexes of gastrointestinal bleeding are constructed scientifically and the content is reasonable,which can reflect the characteristics of clinical nursing of gastrointestinal bleeding.