Construction of the "Internet + " PICC home nursing service quality evaluation index system
10.3760/cma.j.cn115682-20230203-00346
- VernacularTitle:"互联网+"PICC居家护理服务质量评价指标体系的构建
- Author:
Chunbo LIU
1
;
Qingwen SU
;
Simeng WANG
;
Qian XU
;
Fengwei ZHU
;
Haiping YANG
;
Wenmin SU
;
Zhiren SHENG
Author Information
1. 宁波大学医学院附属医院护理部，宁波 315000
- Keywords:
Nursing;
Internet + nursing service;
Peripherally inserted central venous catheters;
Quality evaluation;
Index system
- From:
Chinese Journal of Modern Nursing
2023;29(33):4507-4514
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the "Internet +" peripherally inserted central catheter (PICC) home nursing service quality evaluation index system, so as to provide objective basis for standardizing the "Internet +" PICC home nursing service quality evaluation.Methods:Based on the three-dimensional quality structure model of "structure-process-outcome", combined with literature research, semi-structured interviews, group discussions and Delphi method, 20 experts who were engaged in intravenous therapy nursing and had management or practical experience in "Internet + nursing services" were selected for two rounds of consultation to determine the "Internet?+" PICC home nursing service quality evaluation index system. The positive coefficient of experts was expressed by the effective response rate of the questionnaire and the rate of expert opinion submission. The degree of expert authority was expressed by the expert authority coefficient. The coordination degree of expert opinions was represented by the Kendall harmony coefficient. The concentration degree of expert opinions was usually expressed in terms of the importance assigned to the indicator, the coefficient of variation, and the full score rate (%) .Results:The effective response rates of the two rounds of consultation questionnaires were all 100%, with expert authority coefficients of 0.793 and 0.848 respectively. The Kendall coordination coefficients of expert opinions were 0.202-0.216 and 0.222-0.270 respectively ( P<0.05). After the second round of expert consultation, the mean importance assigned to all indicators was greater than 4.0, the coefficient of variation was less than 0.2, and the full score rate was greater than 20%. The final "Internet +"PICC home nursing service quality evaluation index system included 3 first-level indicators, 12 second-level indicators and 64 third-level indicators. Conclusions:The "Internet + " PICC home nursing service quality evaluation index system constructed is scientific, reliable and practical, and reflects the specialty characteristics. It can effectively evaluate the "Internet + " PICC home nursing service quality and provide guidance for continuous improvement.
