以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (6): 7-11.doi: 10.16460/j.issn1008-9969.2023.06.007

• 研究生园地 • 上一篇    下一篇

以患者为中心的临床护理干预创新质量评价指标体系的构建

郭玉a, 魏薇b, 白冰c, 李胜云a   

  1. a.郑州大学第一附属医院 临床技能培训中心,河南 郑州 450000;
    b.郑州大学第一附属医院 手术部,河南 郑州 450000;
    c.郑州大学第一附属医院 神经外科,河南 郑州 450000
  • 收稿日期:2022-08-24 出版日期:2023-03-25 发布日期:2023-04-12
  • 通讯作者: 李胜云（1967-）,女,河南郑州人,本科学历,主任护师,硕士研究生导师。E-mail：13643860587 @163.com
  • 作者简介:郭玉（1997-）,女,山西临汾人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    河南省医学教育研究项目（Wjlx2019012）; 郑州大学教育教学改革研究与实践项目（2019ZZUJGLX348）

Construction of patient-centered quality evaluation index system of clinical nursing innovation

GUO Yua, WEI Weib, BAI Bingc, LI Sheng-yuna   

  1. a. Dept. of Clinical Skills Training Center, the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000, China;
    b. Dept. of Surgical Department, the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000, China;
    c. Dept. of Neurosurgery, the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000, China
  • Received:2022-08-24 Online:2023-03-25 Published:2023-04-12

PDF (PC)

190

赞

摘要： 目的 构建以患者为中心的临床护理干预创新质量评价指标体系,旨在为评价临床护理干预创新质量提供参考。方法 以“结构-过程-结果”三维质量评价模型为框架,通过文献回顾、半结构访谈制定评价指标初稿,形成专家函询问卷,采用德尔菲专家咨询对19名专家进行2轮函询,并通过层次分析法确定各级指标权重。结果 2轮函询中专家权威系数分别为0.885、0.889,肯德尔和谐系数分别为0.174、0.192（均P<0.001）。最终构建的临床护理干预创新质量评价指标体系包括3项一级指标、13项二级指标和55项三级指标。结论 构建的临床护理干预创新质量评价指标基本符合以患者为中心的理念,具有较好的科学性和实用性,对评价临床护理干预创新质量具有指导意义。

关键词: 以患者为中心, 临床护理干预, 护理创新, 质量评价指标

Abstract: Objective To construct a patient-centered quality evaluation index system of clinical nursing innovation, and to provide reference for evaluating the clinical nursing innovation quality. Methods Based on the“structure-process-result” three-dimensional quality evaluation model, the draft of the quality evaluation index system was formulated through literature review and semi-structured interviews, and the expert consultation questionnaire was formed. Two rounds of Delphi expert consultation were conducted on 19 experts, and the weight of each index was determined by analytic hierarchy process. Results The expert authority coefficient in the two rounds of consultation was 0.885 and 0.889 respectively. The Kendall harmony coefficient was 0.174 and 0.192, respectively (all P<0.001). The final quality evaluation index system of clinical nursing innovation consisted of 3 first-level, 13 second-level and 55 third-level indicators. Conclusion The quality evaluation index of clinical nursing innovation is in line with the patient-centered concept, which is scientific and practical, and has guiding significance for evaluating the quality of clinical nursing innovation.

Key words: patient-centered, clinical nursing intervention, nursing innovation, quality evaluation index

中图分类号: 

  • R47
[1] Huang CY, Weng RH, Wu TC, et al.Developing and testing the patient-centred innovation questionnaire for hospital nurses[J]. J Nurs Manag, 2018,26(2):227-237.DOI:10.1111/jonm.12539.
[2] 杨幽红. 创新质量理论框架:概念、内涵和特点[J]. 科研管理, 2013,34(S1):320-325. DOI:10.19571/j.cnki.1000-2995.2013.s1.047.
[3] Gardner G, Gardner A, O’Connell J. Using the Donabedian framework to examine the quality and safety of nursing service innovation[J]. J Clin Nurs, 2014,23(1-2):145-155. DOI: 10.1111/jocn.12146.
[4] Hernandez SE, Conrad DA, Marcus-Smith MS, et al.Patient-centered innovation in health care organizations: a conceptual framework and case study application[J].Health Care Manage Rev, 2013, 38(2):166-175.DOI:10.1097/HMR.0b013e31825e718a.
[5] Zhou H, Bai G, Gao J, et al.The development of indicator measure for monitoring the quality of patient-centered care in China’s tertiary hospitals[J]. PLoS One,2018,13(10):e205489. DOI: 10.1371/journal.pone.0205489.
[6] Georgeson K.Surgical innovation and quality assurance: can we have both?[J]. Semin Pediatr Surg, 2015,24(3):112-114. DOI: 10.1053/j.sempedsurg.2015.02.007.
[7] Emiralioğlu R, Sönmez B.The relationship of nursing work environment and innovation support with nurses’ innovative behaviours and outputs[J]. J Nurs Manag, 2021,29(7):2132-2141. DOI: 10.1111/jonm.13354.
[8] Yan D, Li M, Zhang Y, et al.A qualitative study of facilitators and barriers to nurses’ innovation at work[J]. J Nurs Manag, 2022,30(7):3449-3456. DOI: 10.1111/jonm.13811.
[9] 党桂宁, 徐宁君, 周瑾, 等. 护理人员对开设中医护理门诊认知及态度的质性研究[J]. 护理学报, 2022,29(18):23-26. DOI: 10.16460/j.issn1008-9969.2022.18.023.
[10] 石海宁, 陈玲, 周丽静, 等. 乳腺癌术后患者快速康复护理敏感质量指标体系的构建[J]. 护理学报, 2022,29(15):14-18. DOI: 10.16460/j.issn1008-9969.2022.15.014.
[11] 蔡立柏, 刘延锦, 郭玉茹, 等. 骨科康复护理质量评价指标的构建[J]. 中华护理杂志, 2021,56(4):508-514. DOI: 10.3761/j.issn.0254-1769.2021.04.005.
[12] 王红燕, 谢臻蔚, 张珂, 等. 盆底康复管理质量评价指标体系的构建[J]. 中华护理杂志, 2021,56(12):1800-1805. DOI: 10.3761/j.issn.0254-1769.2021.12.007.
[13] Liang Z, Xu M, Liu G, et al.Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals[J]. BMC Med Ethics,2022,23(1):38.DOI:10.1186/s12910-022-00777-w.
[14] Stewart M, Fortin M.Patient-Centred Innovations for Persons with Multimorbidity: funded evaluation protocol[J]. CMAJ Open, 2017,5(2):E365-E372. DOI:10.9778/cmajo.20160097.
[1] 连蕊, 郑福雪, 李琳, 胡君. 腹股沟专用压力固定裤的制作及应用[J]. 护理学报, 2023, 30(1): 76-78.
[2] 金婕, 钟美容, 银星凤, 龙后莲, 陆毅. 中段尿培养标本收集装置的研制[J]. 护理学报, 2020, 27(7): 77-78.
[3] 刘双, 张平. 待产裙裤的研制及应用[J]. 护理学报, 2020, 27(22): 77-78.
[4] 张俊红, 王丽芹, 张聪. 新型呼吸机前置管路支撑装置的研制[J]. 护理学报, 2019, 26(2): 76-76.
[5] 詹昱新, 韩克霞, 杨中善, 乐革芬. 预防口咽黏膜损伤型口咽通气道的研制与应用[J]. 护理学报, 2019, 26(12): 76-77.
[6] 宋亚敏. 静脉输液延长管整理装置的研制[J]. 护理学报, 2018, 25(4): 77-78.
[7] 沈敏, 郑雅宁, 张竑. 会阴冷敷护带的研制[J]. 护理学报, 2018, 25(24): 59-60.
[8] 张同,李婷,刘春花,汤和庆. 氧气吸入与氧气雾化吸入转换装置的研制与应用[J]. 护理学报, 2018, 25(18): 76-78.
[9] 孙建华,蒋永红,赵芬兰,汤彩虹,王红华. 肩关节镜手术梯形抗菌膜的研制与使用[J]. 护理学报, 2018, 25(18): 75-76.
[10] 叶剑波. 医疗废液隔离回收装置的研制[J]. 护理学报, 2017, 24(21): 75-76.
[11] 张媛媛. 体温计消毒存放一体盒的研制[J]. 护理学报, 2017, 24(19): 72-73.
[12] 严婷婷,李茹恬,李燕,王漪,陈晓雨,武丽桂. 医用改良型肺穿刺活检术病员服的研制与应用[J]. 护理学报, 2017, 24(12): 73-74.
[13] 金园飞,丁小萍. 新型静脉留置针保护套的制作和应用[J]. 护理学报, 2017, 24(10): 77-78.
[14] 夏冬云. 伤口信息标识固定装置的研制[J]. 护理学报, 2017, 24(1): 78-78.
[15] 王安素,张莉. 胸腔闭式引流患者病服的研制[J]. 护理学报, 2016, 23(3): 73-73,74.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!