应用德尔菲法和层次分析法构建血液透析室护理管理质量评价标准体系
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摘要
目的构建科学、规范、适用且符合血液透析室护理工作实际的质量评价标准,为血液透析室护理质量评价和全面质量管理提供科学依据。方法以Donabedian的"结构—过程—结果"三维质量评价模式为理论依据,结合国家相关政策法规、血液透析学科建设指南、医院等级评审标准,通过2轮专家函询,整理函询结果,通过层次分析法,确定评价标准各层级条目的权重值,建立血液透析室护理管理质量评价标准体系。结果构建的血液透析室护理管理质量评价标准体系包括一级条目3项,二级条目7项,三级条目64项,专家积极系数、权威程度和意见协调程度均较好。结论构建的血液透析室护理管理质量评价标准,体现了血液透析室护理管理工作内涵,对专科护理管理工作提出了明确要求和质量标准,具有较高的可靠性和科学性,可操作性强,能有效提升血液透析室护理管理质量和服务水平。
Objective To develop a scientific, standardized, and practical quality evaluation standard for the nursing service in hemodialysis room, and to provide a scientific basis for the quality evaluation and comprehensive quality management in hemodialysis room. Methods Based on Donabedian's structural-process-results quality assessment model, combined with relevant national policies and regulations, discipline guidelines for the construction of hemodialysis, and hospital grade assessment standards, after two rounds of expert correspondence and analytic hierarchy process identifying the weighted value of each item in the evaluation system, a nursing management quality evaluation standard system in hemodialysis room was established. Results The established quality evaluation system consisted of 3 items of first-level, 7 of second-level item, and 64 of a third-level and it demonstrated good positive coefficient, degree of authority, and degree of opinion coordination of the expert. Conclusion The established nursing management quality evaluation standard system reflects the connotation of nursing management in hemodialysis room, and it puts forward clear requirements and quality standards for the specialty nursing management. Being scientific and practical, it is a useful tool for improving the quality of nursing service and management in hemodialysis room.
Objective To develop a scientific, standardized, and practical quality evaluation standard for the nursing service in hemodialysis room, and to provide a scientific basis for the quality evaluation and comprehensive quality management in hemodialysis room. Methods Based on Donabedian's structural-process-results quality assessment model, combined with relevant national policies and regulations, discipline guidelines for the construction of hemodialysis, and hospital grade assessment standards, after two rounds of expert correspondence and analytic hierarchy process identifying the weighted value of each item in the evaluation system, a nursing management quality evaluation standard system in hemodialysis room was established. Results The established quality evaluation system consisted of 3 items of first-level, 7 of second-level item, and 64 of a third-level and it demonstrated good positive coefficient, degree of authority, and degree of opinion coordination of the expert. Conclusion The established nursing management quality evaluation standard system reflects the connotation of nursing management in hemodialysis room, and it puts forward clear requirements and quality standards for the specialty nursing management. Being scientific and practical, it is a useful tool for improving the quality of nursing service and management in hemodialysis room.
引文
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[4]颜佩华,毛小丹,林清友,等.血液透析患者肘部巨大假性动脉瘤切除术后多科合作护理[J].护理学报,2014,21(8):28-29.
[5]董志娟,张海林.维持性血液透析患者透析期运动的研究进展[J].护理学报,2018,25(3):28-33.DOI:10.16460/j.issn1008-9969.2018.03.028.
[6]杨冬菊,蒋晓莲.83例维持性血液透析青中年患者自我感受负担与应对方式相关性分析与对策[J].护理学报,2018,25(3):71-73.DOI:10.16460/j.issn1008-9969.2018.03.071.
[7]敬洁,顾凤娇,蒋文春.基于结构-过程-结果三维质量评价模式构建手术室护理管理质量评价体系[J].护理研究,2017,31(29):3659-3662.DOI:10.3969/j.issn.1009-6493.2017.29.011.
[8]杨婧,沈丽琼,金晓燕,等.基于层次分析法的护理学情景模拟教学质量评价指标权重的研究[J].护理研究,2017,31(10):1203-1207.DOI:10.3969/j.issn. 1009-6493. 2017.10.0.
[9]樊落,席淑华.层次分析法在确定急诊专科护士核心能力评价指标权重中的应用[J].护理研究, 2011,25(30):2823-2825.DOI:10.3969/j.issn.1009-6493.2011.30.061.
[10]郑秀琴.血液透析护理环节质量评定标准探究[J].中国卫生标准管理,2015, 6(21):249-250.DOI:10.3969/j.issn.1674-9316.2015.21.192.
[11]张丹,张璐,张磊.血液透析室护理质量评价指标的研究[J].中国药物经济学,2014,9(1):380-384.
[12]闫洋洋,穆欣,郭闯.血液透析护理环节质量评价指标的研究[J].中国护理管理,2012,12(4):62-65.
[13]孔繁莹,李秋洁,吕东梅,等.血液透析专科护士应具备专业知识的调查研究[J].护理学杂志,2007(11):1-4.