基于三维质量模型构建ICU误吸预防护理质量评价指标体系

Construction of a nursing quality evaluation index system for ICU aspiration prevention based on three-dimensional quality model

目的构建ICU误吸预防护理质量评价指标体系,旨在为ICU住院患者误吸预防护理质量的监测和评价提供科学依据。方法以"结构-过程-结果"三维质量模型为框架,结合文献检索、半结构式访谈和小组讨论,初步构建质量评价指标条目池和初始问卷;应用德尔菲法结合层次分析法确定指标体系及其权重。结果2轮问卷函询回收率分别为100%和96%,权威系数为0.894和0.912,判断系数为0.960和0.964,熟悉系数为0.828和0.860,肯德尔和谐系数为0.072和0.189。ICU住院患者误吸预防护理质量评价指标体系包括3个一级指标(结构指标、过程指标和结果指标)、12个二级指标和48个三级指标。结论本研究构建的ICU住院患者误吸预防护理质量评价指标体系科学性、可靠性、指导性较强,为ICU护士的临床实践提供了科学决策依据,提高了ICU护理质量和保障患者安全。

Objective To construct the nursing quality evaluation index system for Intensive Care Unit(ICU)aspiration prevention so as to provide a scientific basis for the monitoring and evaluation of nursing quality of ICU inpatients aspiration prevention.Methods We initially constructed an item pool of quality evaluation index and a questionnaire by taking"structure-process-outcome"three-dimensional quality model as the framework and combining literature retrieval,semi-structured interviews and group discussions.We also used Delphi method combined with analytic hierarchy process to determine the index system and its weight.Results In two rounds of questionnaires,the response rates were 100%and 96%,and the authority coefficients were 0.894 and 0.912,and the judgment coefficients were 0.960 and 0.964,and the familiarity coefficients were 0.828 and 0.860,and the Kendall's W were 0.072 and 0.189 respectively.The nursing quality evaluation index system for ICU aspiration prevention included 3 first-level indicators(structural indicators,process indicators,and outcome indicators),12 second-level indicators and 48 third-level indicators.Conclusions The nursing quality evaluation index system for ICU aspiration prevention is scientific,reliable and instructive,which provides a scientific decision-making basis for the clinical practice of ICU nurses and improves the ICU nursing quality and guarantees patient safety.