Research on constructing ICU nursing sensitivity quality index system based on evidence-based and"three-dimensional quality structure"model
10.3760/cma.j.issn.1672-7088.2019.06.002
- VernacularTitle:基于循证和"三维质量结构"模式构建重症监护室护理敏感性质量指标体系的研究
- Author:
Bin WANG
1
;
Xia HUANG
;
Yan JIANG
;
Wei LIU
;
Xufeng PANG
;
Jingyuan WANG
;
Hongmei WANG
;
Yingyu WU
;
Xueping LU
;
Jing ZHAO
;
Xutao CUI
Author Information
1. 青岛大学附属医院重症医学科 266000
- Keywords:
Evidence-based method;
Intensive care units;
Three-dimensional quality structure;
Quality index of nursing sensitivity;
Delphi method
- From:
Chinese Journal of Practical Nursing
2019;35(6):405-411
- CountryChina
- Language:Chinese
-
Abstract:
Objective To use the "three-dimensional quality structure" model as a theoretical basis, based on multiple evidence-based evidence, to construct ICU nursing sensitivity quality indicators, and to provide reference for the evaluation and monitoring of ICU department nursing safety quality. Methods Evidence-based and Delphi methods were used to complete 3 rounds of inquiry among 27 experts to obtain consensus opinions of experts and to determine nursing quality indicators. Results Of the 30 articles included, 17 wereⅢA, 10 wereⅣA, 2 wereⅤA, and 1 wasⅤB. According to the"three-dimensional structure theory"model, the included indicators were sorted out and a total of 12 items were obtained. The effective recovery rate of 3 rounds of questionnaires was 96.6％, 100.0％, and 96.4％. The authoritative coefficients were 0.899, 0.895, and 0.909, and the coordination coefficients of the first, second, and third indexes were 0.340, 0.379, and 0.403, respectively,with significance (P<0.01). The final ICU nursing sensitivity quality indicator consists of 3 first-level indicators, 15 second-level indicators and 69 third-level indicators. The selection of indicators at all levels gradually converges. Conclusions The established ICU nursing sensitivity quality index accords with the principle of scientificity and practicality, and can be used for ICU department nursing quality assessment.
