以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (3): 6-9.doi: 10.16460/j.issn1008-9969.2021.03.006

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Construction of Nursing Quality Sensitive Indicator System in Post Anesthesia Recovery Room

XU Qiu-xiang, MA Sen, LIU Qing   

  1. Post Anesthesia Recovery Room, South Branch, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 201112, China
  • Received:2020-08-11 Published:2021-03-12

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Abstract: Objective To construct nursing sensitive indicators applicable to post anesthesia recovery room (PACU), so as to provide standardized basis for nursing quality monitoring and evaluation in PACU. Methods Through literature review and based on the theory of "structure quality-process quality-result quality", a sensitive indicator framework was set up. After two rounds of expert consultation by using Delphi method, the final nursing quality sensitive indicator system in PACU was established. Results Expert authority coefficient was>0.80 and variation coefficient of each indicator <0.30. Through two rounds of expert correspondence,nursing quality sensitive indicator system consisted of 5 structural indicators, 10 process indicators and 5 outcome indicators. Conclusion Nursing quality sensitive indicator system in PACU based on Delphi method is sensitive, scientific and practical, which provides guidance for the improvement of nursing quality and safety in PICU and benefits the sustainable development of PACU.

Key words: PACU, nursing quality, sensitive indicator

CLC Number: 

  • R47
[1] 么莉. 护理敏感质量指标实用手册[M].北京:人民卫生出版社,2016:1-2.
[2] Kim My.Effects of Oncology Clinical Nurse Specialists Interventions on Nursing-sensitive Outcomes in South Korea[J].Clin J Oncol Nurs, 2011, 15(5):E66-E77.DOI:10.1188/11.onf.e66-e74.
[3] Wilson S, Hauck Y, Bremner A, et al.Quality Nursing Care in Australian Pacdiatric Hospitals:A Delphi Approach to Identifying Indicators[J]. J Clin Nurs,2012,21(11/12):1594-1605.DOI:10.1111/j.1365-2702.2011.04004.x
[4] Dearholt S L, Dang D.Johns Hopkins Nursing evidence—based Practice: Model and Guidelines, Second Edition[M].Sigma: Center for Nurse. 2012. DOI:10.1016/j,aorn.2012.10.004.
[5] 张笑,赵滨,李静,等.三级综合医院护理质量敏感性指标的构建[J].护理学杂志,2016,31(24):4-8.DOI:10.3870/j.issn.1001-4152.2016.24.004.
[6] Heslop L,Lu S.Nursing-sensitive Indicators:A Concept Analysis[J]. J Adv Nurs,2014,70(11):2469-2482.DOI:10.1111/jan.12503.
[7] 孙欲敏,王丽丽,张兰.麻醉恢复室护理安全质量评价指标体系的构建[J].护理研究,2015,29(10):3504-3507.DOI:10.3969/j.issn.1009-6493.2015.28.014.
[8] 温贤秀,谢彩霞,蒋文春,等.综合医院基础护理质量评价指标体系的构建[J].中国护理管理,2014,14(2):131-134.DOI:10.3969/j,issn.1672-1756.2014.02.007.
[9] Donabedian A.The Quality of Care,How can it be Assessed?[J]. JAMA, 1988, 260(12):1743-1748.DOI:10.1001/jama.1988.03410120089003.
[10] 吴超喻,刘尚昆.麻醉恢复室护士岗位胜任力指标体系的构建[J].护理学报,2018,25(12):17-21.DOI:10.16460/j.issn.1008-9969.2018.12.017.
[11] 杨苏. 基于循证构建ICU护理质量敏感性指标的研究 [D]. 杭州:浙江大学,2016.
[12] Chang AM,Gardner GE,Duffield C, et al.A Delphi Study to Validate an Advanced Practice Nursing Tool[J]. J ADV Nurs, 2010, 66(10):2320-2330. DOI:10.1111/j.1365-2648.2010.05367.x.
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