Construction of nursing quality standards in patients who underwent spine surgery based on three-dimensional quality model
10.3760/cma.j.cn211501-20231106-00936
- VernacularTitle:基于三维质量评价模型构建脊柱外科专科护理质量标准
- Author:
Bingdu TONG
1
;
Xinhe HUANG
;
Xiaoyan HE
;
Lin ZHANG
;
Yaping CHEN
Author Information
1. 中国医学科学院北京协和医院骨科，北京 100730
- Keywords:
Spine;
Nursing quality;
Quality control
- From:
Chinese Journal of Practical Nursing
2024;40(9):679-686
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and construct the nursing quality standards of spine surgery, provide a scientific basis for improving the nursing quality of spine surgery.Methods:Taking the "structure-process-outcome" three-dimensional quality model as the theoretical framework, through evidenced-based literature search and semi-structured interview, the items pool was formed, and finally the nursing quality standards were determined by two rounds of Delphi method of expert inquiry from May to July 2023.Results:The positive coefficients of the two rounds of inquiries to experts were 0.90 and 1.00, respectively. The authority coefficients were 0.946 and 0.951, respectively. The Kendall coefficients of the first, second and third level standards in the first round were 0.161, 0.095 and 0.108, respectively, and the Kendall coefficients of the first, second and third level standards in the second round were 0.162, 0.088 and 0.100, respectively, the differences were statistically significant (all P<0.05). The final nursing quality standards were finally constructed, including 3 first-level standards (structural quality, process quality and outcome quality), 20 second-level standards and 60 third-level standards.Conclusions:The nursing quality standards of spine surgery based on the three-dimensional quality model of "structure-process-outcome" have high reliability and science, which can provide target incentives for clinical nurses, provide a basis for the quality of specialized spine nursing, and promote the development of nursing specialization and the construction of nursing discipline.
