Construction of nursing quality evaluation index system for pediatric orthopedics
10.3760/cma.j.cn211501-20230724-00082
- VernacularTitle:小儿骨科护理质量评价指标体系的构建
- Author:
Nan WANG
1
;
Wei JIN
;
Yanzhen HU
;
Jie HUANG
;
Dan ZHAO
;
Juan XING
;
Changhong LI
;
Yanan HU
;
Yi LIU
;
Xuemei LU
;
Zheng YANG
Author Information
1. 首都医科大学附属北京积水潭医院小儿骨科，北京 100035
- Keywords:
Delphi technique;
Pediatric nursing;
Orthopedics;
Nursing quality;
Evaluation index
- From:
Chinese Journal of Practical Nursing
2024;40(9):655-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a representative index system for evaluating pediatric orthopedic nursing quality, providing a basis for hospital pediatric orthopedic nursing quality assessment and monitoring.Methods:From April to July 2023, using the "structure-process-outcome" three-dimensional quality structure model as the theoretical framework, a literature review was conducted, and an item pool was formulated. Through two rounds of Delphi method expert consultations, the hierarchical analysis method was finally employed to determine the indicators and their weights at each level.Results:The effective recovery rates of the questionnaire of the two rounds of expert consultations were 100% (20/20), the authority coefficients of experts were 0.87 and 0.88, the coefficients of variation were 0.00 to 0.27 and 0.00 to 0.24. The Kendell harmony coefficients of the second and third indicators in the two rounds of inquiry were 0.140, 0.166 and 0.192, 0.161(all P<0.05). The final pediatric orthopedic nursing quality evaluation index system included 3 primary indicators, 21 secondary indicators and 83 tertiary indicators. Among the primary indicators, the weight of process quality was the highest at 0.493 4, followed by outcome quality at 0.310 8, and the lowest was structural quality at 0.195 8. In the secondary indicators, "assessment criteria of limb blood circulation" had the highest weight at 0.099 8. Conclusions:The constructed pediatric orthopedic nursing quality evaluation index system covers key aspects and is more operationally feasible. It provides better guidance for nursing interventions and quality control.
