心内科护理安全管理指标体系的构建
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摘要
目的构建心内科护理安全管理指标体系,促进心内科护理安全的持续改进。方法通过文献回顾法、质性访谈法(8名访谈对象)、德尔菲专家函询法(17名专家)及层次分析法,筛选指标并确定指标权重,构建心内科护理安全管理指标体系。结果两轮函询问卷回收率100%、88.24%,专家的权威系数为0.903、0.900,协调系数分别为0.278、0.293(均P<0.01);构建的心内科护理安全管理指标体系包括6项一级指标(即护理人员因素、患者因素、照护者因素、环境因素、组织因素和方法因素),16项二级指标和59项三级指标。结论构建的心内科护理安全管理指标体系具有较高的可靠性,经进一步验证后可作为心内科护理安全评价工具。
Objective To a nursing safety management index system for department of cardiology, and to promote continuous improvement of nursing safety in cardiac medical wards.Methods Through literature review, qualitative research, Delphi expert consultation and analytic hierarchy process, a nursing safety management index system for department of cardiology was established and the weights of the indexes were determined.Results In the two rounds of expert consultation, expert response rate was 100% and 88.24%; the authority coefficient of experts was 0.903 and 0.900, and the coordination coefficient was 0.278 and 0.293 respectively(P<0.01 for both).The nursing safety management index system for department of cardiology consists of 6 first-level indexes(nursing personnel factor, patient factor, caregiver factor, environmental factor, organizational factor and methodological factor), 16 second-level indexes, and 59 third-level ones.Conclusion The nursing safety management index system for department of cardiology enjoys high reliability, which still needs further validation before it is used by nursing managers to evaluate nursing safety in department of cardiology.
Objective To a nursing safety management index system for department of cardiology, and to promote continuous improvement of nursing safety in cardiac medical wards.Methods Through literature review, qualitative research, Delphi expert consultation and analytic hierarchy process, a nursing safety management index system for department of cardiology was established and the weights of the indexes were determined.Results In the two rounds of expert consultation, expert response rate was 100% and 88.24%; the authority coefficient of experts was 0.903 and 0.900, and the coordination coefficient was 0.278 and 0.293 respectively(P<0.01 for both).The nursing safety management index system for department of cardiology consists of 6 first-level indexes(nursing personnel factor, patient factor, caregiver factor, environmental factor, organizational factor and methodological factor), 16 second-level indexes, and 59 third-level ones.Conclusion The nursing safety management index system for department of cardiology enjoys high reliability, which still needs further validation before it is used by nursing managers to evaluate nursing safety in department of cardiology.
引文
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[14] 查丽玲,王建宁,江榕.江西省三级甲等医院ICU护理安全管理指标体系的构建[J].护理学杂志,2013,28(17):10-12.
[15] 吴如,朱慧芬,黄贞贞.心内科常见护理风险及预防对策分析[J].医院管理论坛,2016,33(10):33-36.
[16] Gurses A P,Kim G,Martinez E A,et al.Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach:a multisite study[J].BMJ Qual Saf,2012,21(10):810-818.
[17] El-Jardali F,Sheikh F,Garcia N A,et al.Patient safety culture in a large teaching hospital in Riyadh:baseline assessment,comparative analysis and opportunities for improvement[J].BMC Health Services Research,2014,14(1):122-128.
[18] 贾俊格,秦延平.安全文化在心内科病房管理中的应用[J].中国社区医师(医学专业),2010,34(12):274-275.
[2] 田敏,刘峰,韩月皎,等.护理人员对患者安全自评体系的初步构建[J].中国实用护理杂志,2014,30(6):74-78.
[3] Vincent C,Taylor-Adams S,Chapman E J,et al.How to investigate and analyse clinical incidents clinical risk unit and association of litigation and risk management protocol[J].BMJ,2000,320(7237):777-781.
[4] Joint Commission International.Joint Commission International Accreditation Standards for Hospital[S].3nd ed.2007.
[5] 中华人民共和国卫生部.医院管理评价指南(2008年版)[S/OL].(2008-05-23)[2019-01-04].http://www.nhc.gov.cn/yzygj/s3585u/200806/3b0c7c1ed2b440198860fba001cb4f5e.shtml.
[6] 中国医院协会.中国医院协会患者安全目标(2017版)[J].中国医院,2017,21(1):81.
[7] Cahill T J,Clarke S C,Simpson I A,et al.patient safety checklist for the cardiac catheterisation laboratory[J].Heart,2015,101(2):91-93.
[8] 李小波.心内科护理安全干预机制构建的研究[J].中国医药导报,2013,10(16):149-151.
[9] Diamond I R,Grant R C,Feldman B M,et al.Defining consensus:a systematic review recommend methodolo-gic criteria for reporting of Delphi studies[J].J Clin Epidemiol,2014,67(4):401-409.
[10] 邓雪,李家铭,曾浩健,等.层次分析法权重计算方法分析及其应用研究[J].数学的实践与认识,2012,42(7):93-100.
[11] 谢霞,李乐之,李九红,等.1M3S护理管理模式在心血管外科ICU的实践[J].护理学杂志,2017,32(24):24-27.
[12] 成守珍,汪牡丹,陈利芬,等.ICU护理安全质量评价指标体系的构建[J].中华护理杂志.2014,49(3):270-274.
[13] 王晓萍,李茵,吕丹,等.无陪伴病房患者安全护理评价指标体系的建立[J].中华护理杂志,2016,51(7):869-873.
[14] 查丽玲,王建宁,江榕.江西省三级甲等医院ICU护理安全管理指标体系的构建[J].护理学杂志,2013,28(17):10-12.
[15] 吴如,朱慧芬,黄贞贞.心内科常见护理风险及预防对策分析[J].医院管理论坛,2016,33(10):33-36.
[16] Gurses A P,Kim G,Martinez E A,et al.Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach:a multisite study[J].BMJ Qual Saf,2012,21(10):810-818.
[17] El-Jardali F,Sheikh F,Garcia N A,et al.Patient safety culture in a large teaching hospital in Riyadh:baseline assessment,comparative analysis and opportunities for improvement[J].BMC Health Services Research,2014,14(1):122-128.
[18] 贾俊格,秦延平.安全文化在心内科病房管理中的应用[J].中国社区医师(医学专业),2010,34(12):274-275.
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