基于三维质量结构模型构建手术室护理质量评价指标体系

Development of nursing quality evaluation index system in operating room based on three-dimensional quality structure model

目的基于三维质量结构模型构建手术室护理质量评价指标体系,旨在为手术室临床护理提供一个科学、实用和可行的质量评价及管理依据。方法基于手术室临床质量管理标准、文献回顾、指南、国家考核标准等,以“结构-过程-结果”三维质量结构模型建立质量指标体系,采用德尔菲法专家咨询、小组讨论和层次分析法,对手术室护理质量评价指标进行修改和完善。结果两轮专家咨询的问卷有效回收率均为100%,专家权威系数分别为0.897和0.937,指标重要性协调系数分别为0.236和0.393,指标可行性协调系数分别为0.236和0.304,肯德尔和谐系数P<0.001。最终形成了包括结构指标20项、过程指标58项和结果指标20项的评价指标体系。结论基于临床最佳实践、应用科学方法构建的手术室护理质量评价指标体系,具有较好的科学性和适用性,可为手术室护理质量提供评价参考标准。

Objective To construct an evaluation index system of nursing quality in operating room based on three-dimensional quality structure model,aiming to provide a scientific,practical and feasible quality evaluation and management basis for clinical nursing in operating room.Methods Based on clinical quality management standards,literature review,guidelines and national assessment standards,the quality index system was established with the three-dimensional quality structure model of"structure-process-result",and the evaluation index of nursing quality was modified by Delphi method,group discussion and analytic hierarchy process.Results The effective recovery rates of the two rounds of expert consultation were 100%.The expert authority coefficients were 0.897 and 0.937.The index importance coordination coefficients were 0.236 and 0.393.The index feasibility coordination coefficients were 0.236 and 0.304.The Kendall harmony coefficient was P<0.001.Finally,an evaluation index system including 20 structural indicators,58 process indicators and 20 result indicators was formed.Conclusion The evaluation index system is built using scientific method based on clinical best practice,which has good scientificity and applicability,and can provide reference standard to evaluate nursing quality in operating room.