以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (13): 13-18.doi: 10.16460/j.issn1008-9969.2021.13.013

Previous Articles     Next Articles

Construction of Sensitive Index System of Emergency Nursing Quality

ZHANG Li-xiu1, FAN Luo1,2, LI Lin3, WANG Xue3, WEI Jing-yun1, FENG Lan-ling2   

  1. 1. Dept. of Emergency, Gansu Provincial People's Hospital, Lanzhou 730000, China;
    2. School of Nursing, Lanzhou University, Lanzhou 730000, China;
    3. School of Nursing, Gansu University of Chinese Medicine, Lanzhou 730000, China
  • Received:2021-03-13 Published:2021-08-06

PDF (PC)

565

Like

Abstract: Objective To construct sensitive index system of emergency nursing quality, and provide a scientific quality monitoring tool for emergency clinical practice. Methods After review of evidence-based literature, the index system in line with clinical practice was identified and determined by expert interview and two rounds of Delphi expert consultation within 46 experts. Results Authority coefficient, judgment coefficient and familiarity degree of expert consultation was 0.93, 0.96 and 0.89 respectively; the coordination coefficient of the sensitivity index in emergency room, emergency intensive care unit and observation room was 0.364, 0.443 and 0.516 respectively; the P-value of the chi-square test was all less than 0.05. The results were statistically significant, which indicated good expert coordination. The index system consisted of 3 first-level, 5 second-level and 15 third-level indexes. Conclusion With concentrated expert opinions and being highly reliable, the constructed sensitive index system of emergency nursing quality provides evidence for quality assessment, post setting and process optimization in emergency nursing.

Key words: emergency, nursing quality, sensitive index

CLC Number: 

  • R472.2
[1] 简伟研,周宇奇,吴志军等.护理敏感质量指标的发展和应用[J].中国护理管理,2016,16(7):865. DOI:10.3969/j.issn.1672-1756.2016.07.001.
[2] Isis M.The National Database of Nursing Quality Indicators NDNQI[J]. Online J Issues Nurs,2007,3(12):3-7. DOI:10.3912/OJIN.Vol12No03Man02.
[3] 国家卫生计生委医院管理研究所护理中心.护理敏感质量指标实用手册[M].北京:人民卫生出版社,2016.
[4] 徐秋香,马森,刘箐.麻醉恢复室护理质量敏感性指标的构建[J].护理学报,2021,28(3):6-9.DOI:10.16460/j.issn1008-9969.2021.03.006.
[5] 张文彤,董伟. SPSS 统计分析高级教程[M]. 北京:高等教育出版社,2013.
[6] 张华芳,黄丽华.护理质量敏感性指标的研究进展[J].中华护理杂志, 2014,49(8):991-993. DOI:10.3761/j.issn.0254-1769.2014.08.024.
[7] Thomas-Hawkins C, Latham CE, Hain DJ.Emphasizing the Value of Nephrology Nursing Through Nursing-sensitive Indicators: A Call for Action[J]. Nephrol Nurs J, 2017,44(4):317-325.
[8] 王斌,王琳,李萍等.基于三维质量结构模式PICU护理敏感性质量指标体系的构建[J].护理学报,2019,26(1):17-21.DOI:0.16460/j.issn1008-9969.2019.01. 017.
[9] 戚雯雯,景峰,午敬华,等.优质护理服务在急诊科的实施与效果[J].解放军护理杂志,2018,35(18):69-71. DOI:10.3969/j.issn.1008-9993.2018.18.017.
[10] National Database of Nursing Quality Indicators.Turn Quality Data for Your Hospital into Solutions You Can Use[EB/OL]. [2020-08-16]. http://www.nursingquality.org/#intro.
[11] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32.DOI:10.16460/j.issn.1008-9969.2020.09.027.
[12] 李东洋,吴世芬,莫新少,等.专升本与全日制本科护士核心能力的比较分析[J].中国实用护理杂志, 2014, 30(32):24-27. DOI:10.3760/cma.j.issn.1672-7088.2014.32.007.
[13] 国家卫生健康委员会. 2020中国卫生健康统计年鉴[EB/OL].[2021-04-12].https://www.yearbookchina.com/navibooklist-n3020013080-1.html?from=singlemessage,2021-04-09.
[14] 刘敏杰,张兰凤,叶赟,等.结构-过程-结果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.
[15] 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.
[16] American Nurses Association.Nursing Quality Indicators: Definitions and Implications. Washington, DC: American Nurses Publishing[EB/OL]. [2020-08-25]. http://nursingworld.org/books/pdescr.cfm?cnum=11#NP-108.
[17] Taggu A, Murthy S, Krishna B, et al.Mishaps During Intrahospital Transport of Patients from Emergency Department-a mixed Bag of Patients[J]. Intensive care Medicine Experimental, 2015, 3(1):A69.DOI:10.1186/2197-425X-3-S1-A69.
[18] 马莉,王志稳,葛宝兰,等.急诊科危重病人院内转运过程中不良事件及风险因素分析[J].护理研究,2019,11(21):3676-3680. DOI:10.12102/j.issn.1009-6493. 2019.21.008.
[19] 赵泽华,孙琳,刘云,等.急诊创伤患者低体温管理方案的构建[J].中华护理杂志,2018,53(4):448-453. DOI:10.3761/j.issn.0254-1769.2018.04.014.
[20] American Nurses Association.NDNQI Transforming Data into Quality Care[EB/OL].[2020-08-16].https://www.nursingworld.org.
[21] Burstin H, Leatherman S, Goldmann D.The Evolution of Healthcare Quality Measurement in the United States[J]. J Intern Med,2016,279(2):154-159.DOI:10.1111/joim.12471.
[22] Lim MK.Quest for Quality Care and Patient Safety:the Case of Singapore[J].Qual Saf Health Care,2004,13:71-75. DOI:10.1136/qshc.2002.004994.
[1] LI Huan-ze, CHEN Hong-fang, HUANG Li-qun, AN Fang-fang, XU Peng, ZHUANG Miao-qing, ZHANG Lu-yu, WANG Jia-yi. Qualitative Studies on Experience of Emergency Nurses in Hospice Care: A Meta-synthesis [J]. Journal of Nursing, 2021, 28(7): 43-48.
[2] XU Qiu-xiang, MA Sen, LIU Qing. Construction of Nursing Quality Sensitive Indicator System in Post Anesthesia Recovery Room [J]. Journal of Nursing, 2021, 28(3): 6-9.
[3] JI Xue-li, LI Mei, ZHANG Li, ZHANG Yang-chun, JIANG Li-li, ZHANG Jin-song. Application and Management of Emergency Negative-pressure Room in Critically Ill Patients Suspected with COVID-19 [J]. Journal of Nursing, 2020, 27(9): 55-58.
[4] MA Ying, YE Jun-rong, HUANG Zhao-jun, XIA Zhi-chun, XU Dan, DENG Ai-ping, LIU Ming-he, LUO Si-li, ZHANG Jian-long. Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality [J]. Journal of Nursing, 2020, 27(9): 27-32.
[5] ZHANG Xiao-ru, TONG Yu-ping. Influence Factors of Response Capacity for Public Health Emergencies in Emergency Nurses [J]. Journal of Nursing, 2020, 27(13): 1-5.
[6] MA Meng-di, XUE Ting, CHEN Qiang, ZHANG Jie, JIANG Yong-mei. Mediating Effect of Humanistic Management Perception on Salary Satisfaction and Work Engagement of Emergency Department Nurses [J]. Journal of Nursing, 2020, 27(1): 39-42.
[7] LI Lu-liu, WANG Jian-ning, ZHOU Song. Emotional Labor of Nurses in Emergency Department [J]. Journal of Nursing, 2019, 26(6): 43-46.
[8] LI Xiao-fang, LI Yu-ling, Yu Jing. Construction of Nursing-sensitive Outcome Indicator System for Patients with PICC after Discharge [J]. Journal of Nursing, 2019, 26(20): 5-10.
[9] YANG Hui, KANG Jun-xiu, SI Jiao-jiao, QIAO Zhao-jun, LIU Yan-li, JIA Yuan, LI Jing. Development, Application of Sensitive Indicators of Nursing Quality in Management of Patients with Esophageal Varices Ligation under Endoscopy [J]. Journal of Nursing, 2019, 26(19): 16-21.
[10] ZHAN Yu-xin, YANG Zhong-shan, LI Su-yun, YU Jiao-hua, MI Yuan-yuan, HUANG Hai-yan, SHI Wen-jia, CHEN Jian-ping. Construction of Evidence-based Evaluation Index System for Nursing Quality of Enteral Nutrition for Hospitalized Patients [J]. Journal of Nursing, 2019, 26(10): 26-31.
[11] GAO Lu-lu, SHENG Jin-qian, LI Tian-tian. Role and Effect of Information Management Nurse in Nursing Unit [J]. Journal of Nursing, 2019, 26(1): 22-24.
[12] YANG Jian,ZHANG Qi-hong,TIAN Yu,CHEN Jie. The Study of Effect of Three-level Quality Control and Mutual Promotion Model in Emergency Department [J]. Journal of Nursing, 2018, 25(5): 15-18.
[13] SUN Xue-lian, ZHANG Na-qin, LIANG Xiao. Effect of Video Case Combined Situational Simulation Teaching for Emergency Nursing Students [J]. Journal of Nursing, 2018, 25(23): 1-4.
[14] LENG Zhi-bing, YANG Xiao-ling, YANG Ping, WANG Xiao-yuan, XIE Jian-lei, PU Heng-ping. Meta-analysis of Different Effects of Pre-hospital and Hospital Endotracheal Intubation on Prognosis of Patients with Severe Traumatic Brain Injury [J]. Journal of Nursing, 2018, 25(20): 18-23.
[15] YIN Xiang-guang ,XU Hua ,ZHOU Yu-feng ,GU Ze-juan ,ZHAI Feng-ping . Relationship between Resilience and Quality of Work Life of Emergency Nurses [J]. Journal of Nursing, 2017, 24(7): 1-5.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LIU Jin, LU Na, ZHANG Feng-wa, NIU Xiao-dan, YUAN Rong-jing, LI Wen-yan, WANG Ye-tong, WANG Yan-hong. Influence Factors of Cancer Recurrence Fear in Breast Cancer Patients：A Meta-analysis[J]. Journal of Nursing, 2021, 28(14): 1 -7 .
[2] MENG Yi, SUN Jia-le, TAN Jing. Characteristics of Australia Respite Care and Its Inspiration[J]. Journal of Nursing, 2021, 28(14): 64 -68 .
[3] SONG Shan, WEI Lin, LIU Yang-chen, WANG Qiu-ting, LUO Yao-yue, LIN Mei-zhen. Efficiency Evaluation of Nursing Human Resource Based on DEA-Malmquist Index[J]. Journal of Nursing, 2021, 28(13): 1 -5 .
[4] DING Han-qin, LI Li-hua, HE Xia-jun. Construction of Training System for Nursing Interview Ability of Psychiatric Nurses and Its Reliability and Validity[J]. Journal of Nursing, 2021, 28(13): 6 -12 .
[5] . [J]. Journal of Nursing, 2021, 28(13): 19 -23 .
[6] . [J]. Journal of Nursing, 2021, 28(13): 24 -28 .
[7] LV Yong-li, WANG Huan-huan, LI Sha-sha, WAN Cheng, WU Pei. Evidence-based Nursing Practice for Prevention and Management of Urinary Retention after Laparoscopic Radical Resection of Cervical Cancer[J]. Journal of Nursing, 2021, 28(13): 29 -33 .
[8] DENG Yang-qing, PAN Cen, WANG Qing-lan, WANG Di. Qualitative Research on Exercise Experience of Patients with Breast Cancer: A Meta-synthesis[J]. Journal of Nursing, 2021, 28(13): 34 -39 .
[9] DENG Bo, LIU Ning, YANG Lin. Scoping Review of Clinical Practice Project Sustainability Assessment Tools[J]. Journal of Nursing, 2021, 28(13): 40 -45 .
[10] LV Yun-xia, FENG Shao-juan, LIU Zheng-wei, CHEN Yan-qiu, LIU Jie, HUANG Jie-ying. Best Evidence Summary for Prevention of Early Airway Complications in Children with Non-mechanical Ventilation after Tracheotomy[J]. Journal of Nursing, 2021, 28(13): 46 -51 .