以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (9): 27-32.doi: 10.16460/j.issn1008-9969.2020.09.027

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Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality

MA Ying1a, YE Jun-rong2a, HUANG Zhao-jun2a, XIA Zhi-chun2b, XU Dan3, DENG Ai-ping4, LIU Ming-he5, LUO Si-li6, ZHANG Jian-long1b   

  1. 1a. Department of Medical Education; 1b. Dept. of Affective Disorders, the Third People's Hospital of Zhongshan, Zhongshan 528451, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of General Psychiatry, Hui'ai Hospital of Guangzhou,Guangzhou 510370, China;
    3. Dept. of Clinical Psychiatry, Kangning Hospital of Shenzhen, Shenzhen 518118, China;
    4. Dept. of Hospital Infection Control, the Third People's Hospital of Qingyuan, Qingyuan 511500, China;
    5. The Open University of Hong Kong, Hong Kong 999077, China;
    6. Dept. of Psychological Medicine, Shunde Wu Zhongpei Hospital of Foshan, Foshan 528333, China
  • Received:2019-12-02 Online:2020-05-10 Published:2020-07-14

Abstract: Objective To construct an scientific and objective sensitive indicators of psychiatric nursing quality and to provide scientific basis for nursing management of psychiatric hospital. Methods After literature review, Delphi method was adopted to determine the sensitivity indicators of psychiatric nursing quality. Results After two-round of expert consultation,sensitive indicators of psychiatric nursing quality were formed and it consisted of 5 structure indicators, 11 process indicators and 9 outcome indicators. The positive coefficients of experts were 89% and 83% respectively; the authoritative coefficients 0.727 and 0.871 respectively; and coordination coefficients 0.255 and 0.321 respectively (P<0.01) showing statistical significance. Conclusion Evidence-based sensitive indicators of psychiatric nursing quality established in the study are is professional, scientific and reliable and provide objective basis for quality control and continuous improvement of psychiatric nursing.

Key words: evidence-based nursing, nursing quality, sensitive indicator, Delphi method

CLC Number: 

  • R473.74
[1] Xu X, Li XW, Xu D, et al.Psychiatric and Mental Health Nursing in China: Past, Present and Future[J]. Arch Psychiat Nurs,2017, 31(5):470-476.DOI:10.1016/j.apnu.2017.06.009.
[2] 方娟. 基于循证构建2型糖尿病慢病管理质量指标[D].杭州:浙江大学,2015.
[3] 詹昱新,杨中善,李素云,等.基于循证构建住院患者肠内营养护理质量评价指标体系[J].护理学报,2019,26(10):26-31.DOI:10.16460/j.issn1008-9969.2019.10.026.
[4] 郭红艳,谢红.美国护理质量评价体系对我国护理质量管理的启示[J].中国护理管理,2014,14(5):459-462. DOI:10. 3969/j.issn.1672-1756.2014.05.004.
[5] 刘晓. 基于循证构建老年护理院护理安全质量敏感性指标[D].杭州:浙江中医药大学,2017.
[6] 左红霞,牛玉明,程艳丽.循证护理证据资源的检索[J].循证护理,2015, 1(4):145-151.DOI:10.3969/j.issn.2095-8668.2015.04.001.
[7] 牛亚琦. 精神科开放病房护理质量评价指标体系的构建与初步应用[D].太原:山西医科大学,2018.
[8] 贾艳焕. 精神科护理指标详细化管理的作用探讨[J].世界最新医学信息文摘,2018, 18(29):182-183.DOI:10.19613/j.cnki.1671-3141.2018.29.143.
[9] 李素萍,牛亚琦,赵娟,等.基于三维质量结构模式构建精神科开放病房护理质量评价指标体系[J].护理研究, 2018,32(20):3244-3247. DOI:10.12102/j.issn.1009-6493.2018.20.020.
[10] 刘娟,向凤玲,田继书.精神专科护理质量评价指标体系的构建[J].齐鲁护理杂志,2018,24(21):55-58.DOI:10.3969/j.issn.1006-7256.2018.21.017.
[11] 徐秋霞,谢珊,吴华.二级精神专科医院护理敏感性质量指标的构建[J].中西医结合护理(中英文),2018,4(10):104-107.DOI:10.11997/nitcwm.201810029.
[12] 严芳,李拴荣,张凌芳,等.河南省精神科护理质量敏感指标评价体系的构建[J].中华护理杂志,2017, 52(10):1173-1178.DOI:10.3761/j.issn.0254-1769.2017.10.004.
[13] 武继红. 精神科分级护理量化标准的探讨[J].临床医药文献电子杂志,2015,2(4):737.DOI:10.16281/j.cnki.jocml.2015.04.107.
[14] Domino ME,Beadles CA,Lichstein JC,et al.Heterogeneity in the Quality of Care for Patients with Multiple Chronic Conditions by Psychiatric Comorbidity[J]. Med Care,2014(52):101-109.DOI:10.1097/MLR.0000000000000024.
[15] 王爱波,司桂梅.ISO9001质量管理体系在精神科护理质量管理中的应用[J].中国医疗前沿,2013,8(6):112-113.DOI:10.3969/j.issn.1673-5552.2013.06.0082.
[16] Byrne SL, Hooke GR, Page AC.Readmission: A Useful Indicator of the Quality of Inpatient Psychiatric Care[J]. J Affect Disord, 2010, 126(1/2):206-213.DOI:10.1016/j.jad.2010.02.135.
[17] Bjorngaard JH, Ruud T,Garratt A,et al.Patients' Experiences and Clinicians' Ratings of the Quality of Outpatient Teams in Psychiatric Care Units in Norway[J]. Psychiatric Services,2007, 58(8):1102-1107.DOI:10.1176/appi.ps.58.8.1102.
[18] Zima BT,Hurlburt MS,Knapp P,et al.Quality of Publicly-funded Outpatient Specialty Mental Health Care for Common Childhood Psychiatric Disorders in California[J]. J Am Acad Child Adolesc Psychiatry, 2005, 44(2):130-144.DOI:10.1097/00004583-200502000-00005.
[19] Paton C, Lelliott P.The Use of Prescribing Indicators to Measure the Quality of Care in Psychiatric Inpatients[J]. Qual Saf Health Care, 2004(13):40-45. DOI:101136/qshc.2003.006338.
[20] Olusina AK, Ohaeri JU, Olatawura MO.Patient and staff satisfaction with the quality of in-patient psychiatric care in a Nigerian general hospital[J]. Soc Psychiatry Psychiatr Epidemiol,2002,37(6):283-288.DOI:10.1007/s00127-002-0548-5.
[21] Kunze H, Priebe S.Assessing the Quality of Psychiatric Hospital Care: A German Approach[J]. Psychiatric Services,1998,49(6):794-796.
[22] Davis GE, Lowell WE, Davis GL.Measuring Quality of Care in a Psychiatric Hospital Using Artificial Neural Networks[J]. Am J Med Qual,1997,12(1):33-43.
[23] Donabedian A.Evaluating the Quality of Medical Care 1966[J].Milbank Q,2005,83(4):691-729.
[24] 施榕,郭爱民.全科医生科研方法[M].北京:人民卫生出版社,2013:194-202.
[25] Smeulers ML, Verweij LL, Maaaskant JM, et al.Quality Indicatiors for Safe Medication Preparation and Administration: A Systematic Review[J]. PLoS One,2015,10(4):e0122695.
[26] 邓红欣,张勇.应用FMEA降低精神疾病患者自杀自伤发生率[J].护理学报,2017, 24(10):10-13.DOI:10.16460/j.issn1008-9969.2017.10.010.
[27] Spittal MJ, Bismark M.Reducing Suicide through Improved Quality of Care[J]. Lancet Psychiatry, 2016,3(6):491-492.DOI:10.1016/S2215-0366(16)30023-2.
[28] 么莉. 护理敏感质量指标监测基本数据集实施指南(2018版)[M]. 北京:人民卫生出版社,2018:82-145.
[29] 井霖源. 精神科护理[M].北京:人民卫生出版社,2010.
[30] National Database of Nursing Quality Indicators.Turn Quality Data for Your Hospital into Solutions You Can Use[Z]. [2014-04-14]..Turn Quality Data for Your Hospital into Solutions You Can Use[Z]. [2014-04-14].http://www.nursingquality.org/#intro.
[31] 刘敏杰,张兰凤.结构-过程-质量模式在护理质量评价中的应用进展[J].中华护理杂志,2013,48(4):371-374.DOI:10.3761/j.issn.0254-1769.2013.04.030.
[32] 张玉莲,高瑞香,高飞钰.对妇产科患者整全化护理的干预措施分析[J].中国社区医师,2019,35(10):173-176.DOI:10.3969/j.issn.1007-614x.2019.10.115.
[33] 王向林,马莹.治疗性沟通系统护理对抑郁症患者抑郁情绪和护理满意度的影响[J]. 实用临床护理学电子杂志,2017,2(29):144-145.
[34] 周湘梅,马莹,吴虹.药物管理训练应用于精神分裂症患者后服药效果观察[J].护理学报,2014,21(15):58-60.DOI:10.16460/j.issn1008-9969.2014.15.020.
[35] 许冬梅,邵静,吴艳.国内外精神科护理现状与展望[J].中国护理管理,2012,12(4):7-9.
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