Construction of clinical nursing quality evaluation standard for gastrointestinal bleeding
10.3760/cma.j.cn115682-20200117-00269
- VernacularTitle:消化道出血临床护理质量评价标准的构建
- Author:
Xianzhi ZHAO
1
;
Lili WEI
;
Wenjuan WANG
;
Ti LIU
;
Weiwei BING
;
Xin ZHANG
;
Mei KANG
Author Information
1. 青岛大学附属医院消化内科，青岛 266003
- Keywords:
Gastrointestinal hemorrhage;
Nursing quality;
Quality index;
Delphi method
- From:
Chinese Journal of Modern Nursing
2020;26(23):3170-3176
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the clinical nursing quality evaluation standard for gastrointestinal bleeding based on three-dimensional quality model so as to provide clinical evaluation standards for the nursing quality of gastrointestinal bleeding.Methods:Totals of 30 experts from 8 ClassⅢ Grade A hospitals in Beijing, Shanghai, Shandong and Zhejiang were selected by convenience sampling as the research subjects. Based on the theoretical basis of "structure-process-outcome" quality structure model, the evaluation standards and weights of clinical nursing quality of gastrointestinal bleeding were determined through the literature search, semi-structured interviews, expert meetings, expert consultations and analytical hierarchy process.Results:In two rounds of expert consultations, the recovery rates were 93.33% and 100%; expert authority coefficients were 0.766 and 0.859, and Kendall coordination coefficient W values were 0.281 and 0.362 respectively. The final clinical nursing quality evaluation standard for gastrointestinal bleeding included 3 first-level indicators, 11 second-level indicators and 46 third-level indicators (9 structure indicators, 16 process indicators and 21 outcome indicators) . Conclusions:The clinical nursing quality evaluation indexes of gastrointestinal bleeding are constructed scientifically and the content is reasonable, which can reflect the characteristics of clinical nursing of gastrointestinal bleeding.
