新生儿医院感染管理质量评价指标体系的构建

Construction of the quality evaluation index system for neonatal nosocomial infection management

目的构建新生儿医院感染管理质量评价指标体系,客观、科学地评价新生儿医院感染管理质量。方法采用文献资料检索和半结构式访谈法,以“结构-过程-结果”三维质量模式为指导,初步编制新生儿医院感染管理质量评价指标体系框架。2023年11月至12月采用电子函询表进行两轮专家函询,最终确定新生儿医院感染管理质量指标评价体系及指标权重,并进行信度和效度分析。结果初始新生儿医院感染管理质量评价指标体系框架,包括一级指标3个、二级指标18个、三级指标70个。两轮函询的专家积极系数均为100.00%,专家参与积极性非常高;专家权威系数分别为0.854、0.873,专家具有较高的权威性,结果可信;Kendall’s W值分别为0.668、0.610(P<0.01),专家协调程度较高,结果可靠;指标重要性赋值均数为4.214~4.929,变异系数为0.053~0.175,专家意见比较集中。最终新生儿医院感染管理质量评价指标体系包含一级指标3个、二级指标6个、三级指标22个。一致性信度Cronbach’sα系数为0.827,重测信度r=0.832(P<0.01);结构效度KMO值为0.778,Bartlett’s球形检验χ2=1413.694(P<0.01)。结论本研究构建了一套新生儿医院感染管理质量评价指标体系,信度和效度较好,为客观、科学地评价新生儿医院感染管理质量提供参考依据。

Objective To construct the quality evaluation index system for neonatal nosocomial infection management,objectively and scientifically evaluate the quality of neonatal nosocomial infection management.Methods Using literature search and semi-structured interviews,and guided by the three-dimensional quality model of“structure-process-results”,a framework for the quality evaluation index system for neonatal nosocomial infection management was initially developed.From November to December 2023,two rounds of expert consultation were conducted by using the email consultation form,and the evaluation system and index weights of neonatal nosocomial infection management were finally determined,and the reliability and validity were analyzed.Results The quality evaluation index system of initial neonatal nosocomial infection management includes 3 primary indexes,18 secondary indexes,and 70 tertiary indexes.The positivity coefficient of expert consultation in both rounds was 100.00%,and the participation of experts was very high;the expert authority coefficients were 0.854 and 0.873,indicating that experts had high authority and the results were credible;Kendall’s W values were 0.668 and 0.610(P<0.01),respectively,indicating a high degree of expert coordination and reliable results;the average value of indicator importance assignment was 4.214-4.929,the coefficient of variation was 0.053-0.175,and the expert opinions were concentrated.Finally,the quality evaluation index system for neonatal nosocomial infection management includes 3 primary indexes,6 secondary indexes,and 22 tertiary indexes.The Cronbach’sαcoefficient of consistency reliability was 0.827,retest reliability r=0.832(P<0.01);the KMO value of construct validity was 0.778,the Bartlett’s sphericity test wasχ2=1413.694(P<0.01).Conclusion This study constructed a set of quality evaluation index system for neonatal nosocomial infection management, which has good reliability and validity, and provides a reference for objectively and scientifically evaluating the quality of neonatal nosocomial infection management.