Construction of nursing quality evaluation indicator system for comprehensive stroke center based on the structure-process-outcome quality model
10.3760/cma.j.cn111325-20200310-00633
- VernacularTitle:基于三维质量结构模式的综合卒中中心护理质量评价指标体系构建
- Author:
Yushi ZHOU
1
;
Xiaoping ZHU
;
Xiaobing YIN
;
Qiong DONG
;
Rongmin QIU
;
Xujuan CHEN
;
Xiaohong LI
;
Li AO
Author Information
1. 同济大学附属第十人民医院护理部，上海 200072
- From:
Chinese Journal of Hospital Administration
2020;36(9):782-787
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct nursing quality evaluation indicator system for comprehensive stroke center, so as to provide reference for standardized nursing quality evaluation of comprehensive stroke center.Methods:From September 2018 to December 2019, based on the theory of Donabedian′s structure-process-outcome quality model, literature review, semi-structured interview, Delphi method and analytic hierarchy process were used to determine nursing quality evaluation index system and index weight for comprehensive stroke center.Results:A total of 16 experts from comprehensive stroke center were consulted for two rounds. The clinical working time was 24.63±10.08 years, and the effective recovery rates of two rounds were 100%. The authority coefficient of experts was 0.888, and the coordination coefficients W of two rounds were 0.229 and 0.283 respectively.Finally, a nursing quality evaluation indicator system for comprehensive stroke center was constructed, including 3 first-level indicators, 13 second-level indicators and 46 third-level indicators. Conclusions:The established nursing quality evaluation indicator system for comprehensive stroke center covers the whole process of stroke emergency, stroke unit, and follow-up, which is scientific and reliable, and provides an evaluation tool for daily nursing quality monitoring and continuous quality improvement in comprehensive stroke centers.
