以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (9): 16-20.doi: 10.16460/j.issn1008-9969.2022.09.016

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Construction of "Internet + Nursing Service" Risk Management Evaluation Index System Based on 4R-model Crisis Management Theory

HUANG Pan-pan1, CHENG Hong1, ZHANG Ying-hong1, WANG Yan2, ZHANG Lian-sheng1   

  1. 1. School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, China;
    2. Dept. of Disinfection Supply,General Hospital of Central Theater Command, Wuhan 430070, China
  • Received:2021-10-16 Online:2022-05-10 Published:2022-06-09

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Abstract: Objective To construct a risk management evaluation index system of "Internet+ nursing service",to provide reference for risk management of "Internet+ nursing service" for hospitals. Methods Based on 4R-model crisis management theory,combined with literature review and qualitative interview,the draft of the index system was established. Two rounds of consultation were conducted by Delphi method with 21 experts. Analytic hierarchy process (AHP) was adopted to determine the weights and then consistency test was conducted. Results The effective response rate of the two rounds of expert consultation was 88% and 91% respectively. Expert authority coefficient was 0.813 and 0.848 and Kendall's coefficient 0.172 (χ2=225.352, P<0.001) and 0.135 (χ2=164.312, P<0.001) respectively. The coefficients of variation were 0~0.220 and 0.044~0.198. The final version of "Internet + nursing service" risk management evaluation index system consisted of 4 first-level, 9 second-level and 46 third-level indicators. Conclusion The risk management evaluation index system of "Internet+ nursing service" constructed in this study is reliable and scientific, which provides reference for the risk management of "Internet + nursing service".

Key words: Internet + nursing service, 4R-model crisis management theory, index system, Delphi technique, nursing management

CLC Number: 

  • R47
[1] 陈齐, 黎蔚华. 互联网+护理服务背景下护士执业安全风险及对策[J]. 护理学报, 2020,27(24):15-18.DOI:10.16460/j.issn1008-9969.2020.24.015.
[2] 刘秋霞, 孙鸿燕, 余思萍, 等. 我国“互联网+护理服务”面临的困境及对策[J]. 护理学杂志,2019,34(17):11-13.DOI:10.3870/j.issn.1001-4152.2019.17.011.
[3] 姜贺,许乐.4R危机管理理论在护理风险管理中的应用[J]. 中国护理管理, 2011,11(5):57-59.DOI:10.3969/j.issn.1672-1756.2011.05.019.
[4] 颜德如,麻跃琪. 构建全过程的社区应急信息管理体系:基于4R危机管理理论的分析[J]. 北方论丛, 2021(1):78-87. DOI:10.3969/j.issn.1000-3541.2021.01.008.
[5] 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.
[6] 刘自远, 刘成福. 综合评价中指标权重系数确定方法探讨[J]. 中国卫生质量管理, 2006, 13(2):44-46,48.DOI:10.3969/j.issn.1006-7515.2006.02.018.
[7] 吕跃进. 指数标度判断矩阵的一致性检验方法[J]. 统计与决策, 2006(18):31-32.DOI:10.3969/j.issn.1002-6487.2006.18.013.
[8] 陈娟慧,陈燕萍,蒙昱妃,等. 社区护士对老年人家庭访视的知信行评价指标体系构建[J]. 护理学报, 2020,27(12):73-78. DOI:10.16460/j.issn1008-9969.2020.12.073.
[9] 李希琳,张琰,陶艳玲,等. 基于决策评价导向模型构建广东省护理学本科毕业实习基地评价指标体系的研究[J]. 护理学报, 2020,27(18):15-20.DOI:10.16460/j.issn1008-9969.2020.18.015.
[10] 彭蕾,张君燕. 4R危机管理理论在新型冠状病毒肺炎疫情期间门诊管理中的作用[J]. 中华护理杂志, 2020, 55(S1):512-514.DOI:10.3761/j.issn.0254-1769.2020.S1.194.
[11] 王非凡,向克兰,屈红,等. 基于危机管理4R理论护理安全质量管理体系的构建与实施[J]. 护理学杂志, 2017, 32(5):52-55. DOI:10.3870/j.issn.1001-4152.2017.05.052.
[12] 张燕,马君,王伟. 突发事件对医院应急管理的影响分析与对策研究[J]. 中国卫生产业, 2016, 13(14):7-9.DOI:10.16659/j.cnki.1672-5654.2016.14.007.
[13] 申微,秦月兰,石泽亚,等. 我国不同层级护士“互联网+护理服务”需求现状及影响因素分析[J]. 中华医院管理杂志,2021,37(4):326-331.DOI:10.3760/cma.j.cn111325-20200810-01752.
[14] 医政医管局. 国家卫生健康委办公厅关于开展“互联网+护理服务”试点工作的通知[EB/OL]. (2019-02-12)[2022-01-21].http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[15] 邢娟娟. 突发职业危害事故应急响应关键技术[J]. 中国安全生产科学技术, 2010, 6(2):77-81. DOI:10.3969/j.issn.1673-193X.2010.02.015.
[16] Quinn MM, Markkanen PK, Galligan CJ, et al.Occupational Health of Home Care Aides: Results of the Safe Home Care Survey[J]. Occup Environ Med, 2016, 73(4): 237-245. DOI:10.1136/oemed-2015-103031.
[17] Schildmeijer K, Wallerstedt B, Ekstedt M.Healthcare Professionals’ Perceptions of Risk When Care Is Given in Patients’ Homes[J]. Home Healthcare Now, 2019, 37(2): 97-105. DOI:10.1097/NHH.0000000000000717.
[18] Swedberg L, Chiriac EH, Törnkvist L, et al.From Risky to Safer Home Care: Health Care Assistants Striving to Overcome a Lack of Training, Supervision, and Support[J]. Int J Qual Stud Health Well-being, 2013, 8(1):20758. DOI:10.3402/qhw.v8i0.20758.
[19] Islam T, Hutchinson AM, Bucknall TK.Nurse Manager Risk Information Management for Decision-making: A Qualitative Analysis[J]. Collegian, 2018, 25(4):401-407. DOI:10.1016/j.colegn.2017.10.009.
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