Construction of nursing quality standard in bone oncology department
10.3760/cma.j.cn211501-20230728-00120
- VernacularTitle:骨肿瘤科专科护理质量标准的构建
- Author:
Weiling ZHANG
1
;
Xiaomin HUANG
;
Qian WANG
;
Sushuang CHEN
;
Xiaolin CAI
;
Tianwen HUANG
;
Yuan GAO
Author Information
1. 中山大学附属第一医院骨肿瘤科，广州 510080
- Keywords:
Bone neoplasms;
Delphi technique;
Nursing quality;
Evaluation criteria;
Nursing management
- From:
Chinese Journal of Practical Nursing
2024;40(9):701-709
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish the standard of nursing quality in bone oncology department, and provide the basis for scientific evaluation of nursing quality in bone oncology department.Methods:On the theoretical basis of Donabedian′s three-dimensional quality model of "structure-process-outcome", and through literature review and semi-structured interview method, the "evaluation index of nursing quality in bone oncology department" was preliminatively formulated from November 2022 to June 2023. The Delphi method was used to select 31 experts from 31 third-level A hospitals and nursing colleges in 27 provinces or municipalities across the country for two rounds of correspondence consultation. The criteria were screened and modified to determine the evaluation criteria of nursing quality in bone tumor specialty.Results:The questionnaire recovery rate of 2 rounds of expert consultation was 100.00%, the authority coefficient of 2 rounds of expert consultation was 0.93, and the coefficient of variation of 1, 2 and 3-grade standards were all less than or equal to 0.25. The Kendall′s coefficient of concordance of the primary standards of the two rounds of expert consultation were both 0.088, in the secondary standards were 0.103 and 0.140, in the tertiary standards were 0.119 and 0.110. Through 2 rounds of expert letter consultation, the evaluation criteria for the quality of care in bone tumor specialties were divided into three levels, including 3 primary standards (structural quality criteria, process quality criteria and outcome quality criteria), 21 secondary standards and 80 tertiary standards.Conclusions:The construction process of nursing quality standard in bone oncology department is scientific and reliable, reflecting specialty characteristics, and can provide scientific basis for the evaluation of nursing quality in bone oncology department and standardize nursing behavior.
