Construction of nursing quality evaluation index system for acute aortic dissection surgery
10.3760/cma.j.cn115682-20200206-00469
- VernacularTitle:急性主动脉夹层手术护理质量评价指标体系的构建
- Author:
Xin ZHENG
1
;
Junhua FU
;
Ruirui ZHAO
;
Li WANG
Author Information
1. 青岛大学附属医院手术室，青岛 266003
- Keywords:
Aortic diseases;
Aortic dissection;
Delphi method;
Nursing quality;
Quality evaluation;
Index system
- From:
Chinese Journal of Modern Nursing
2020;26(18):2479-2484
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct evaluation index system of nursing cooperation quality in acute aortic dissection surgery based on three-dimensional quality structure model and to provide reference standards and evaluation standards for nursing staff who cooperate with emergency dissection surgery so as to improve the quality of operation cooperation.Methods:From March to November 2019, based on the "structure-process-result" quality structure model as the theoretical basis, the evaluation index system of nursing cooperation quality in acute aortic dissection surgery was initially established by literature retrieval. Then Delphi method was used to consultation 36 experts so as to determine the index system and assign the importance.Results:The questionnaire recovery rates of the two rounds of expert consultation were respectively 97.2% (35/36) and 100.0% (35/35) , the expert authority coefficients ( Cr) were respectively 0.838 and 0.867 and the Kendall coordination coefficients ( W) were respectively 0.210 and 0.128 ( P <0.01) . The final evaluation standard included 3 first-level indexes, 10 second-level indexes and 30 third-level indexes (6 structure indexes, 19 process indexes, and 5 result indexes) . The full score rates of the questionnaire indexes were all over 50%, the significance values were all greater than or equal to (4.29±0.71) and the coefficients of variation were all less than 0.2. Conclusions:The experts participating in the consultation have good enthusiasm, authority and coordination of evaluation opinions. The content of nursing quality evaluation index system for acute aortic dissection surgery is objective, reasonable and effective. It can be used as a reference standard and quality evaluation standard for nursing cooperation with aortic dissection surgery in nursing staff , which lays a foundation for improving the quality of surgical cooperation and ensuring the safety of patients during perioperative period.
