The establishment of quality indicator system of interventional nursing based on Donabedian quality structure model
10.3969/j.issn.1008-794X.2024.07.016
- VernacularTitle:基于三维质量结构模型构建介入护理质量指标体系
- Author:
Zhengli HUANG
1
;
Xiaoyan WANG
;
Youhua XUE
;
Xuemei WANG
;
Yang XU
Author Information
1. 210009 江苏南京东南大学附属中大医院介入与血管外科
- Keywords:
interventional nursing;
nursing quality;
quality indicator;
Delphi method
- From:
Journal of Interventional Radiology
2024;33(7):785-789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish a quality indicator system of interventional nursing.Methods Taking Donabedian quality structure model as the theoretical basis and through literature analysis,expert meeting and summarizing the clinical problems,the first draft about interventional nursing care quality indicators was composed,which included 3 first-level indicators,12 second-level indicators and 55 third-level indicators.A total of 27 experts on interventional nursing and nursing administration were selected from 25 grade-3A level hospitals in 13 provinces and cities of China.The Delphi method was used to conduct two rounds of expert correspondence consultation,and the quality indicator system of interventional nursing was established.Results Finally,a quality indicator system of interventional nursing,which included 3 first-level indicators,7 second-level indicators and 29 third-level indicators,was formulated.In both the two rounds of expert letter inquiry,the positive coefficient and authority coefficient were 100％and 0.95 respectively.The coefficient of variation of each index in the first and the second round of expert letter inquiry was 0-0.25 and 0-0.21 respectively.In the first round of expert letter inquiry,the Kendall harmony coefficients of the first-level,second-level and third-level indexes were 0.672,0.271 and 0.341 respectively,while in the second round of expert letter inquiry,the Kendall harmony coefficients of the first-level,second-level and third-level indexes were 0.462,0.475 and 0.330 respectively,the differences were statistically significant(all P＜0.01).Conclusion The quality indicator system of interventional nursing established in this study carries a relatively high reliability and scientific nature,and it can provide reference for evaluating and monitoring the safety and quality control in interventional nursing.
