Construction of a nursing quality evaluation index system for ICU aspiration prevention based on three-dimensional quality model
10.3760/cma.j.cn115682-20200406-02499
- VernacularTitle:基于三维质量模型构建ICU误吸预防护理质量评价指标体系
- Author:
Yuxin ZHAN
1
;
Yuanyuan MI
;
Haiyan HUANG
;
Suyun LI
;
Jiaohua YU
Author Information
1. 华中科技大学同济医学院附属协和医院护理部，武汉 430022；华中科技大学同济医学院护理学院，武汉 430030
- Keywords:
Intensive Care Unit;
Aspiration;
Nursing quality;
Evaluation index;
Delphi technique;
Three-dimensional quality model
- From:
Chinese Journal of Modern Nursing
2020;26(27):3751-3757
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the nursing quality evaluation index system for Intensive Care Unit (ICU) aspiration prevention so as to provide a scientific basis for the monitoring and evaluation of nursing quality of ICU inpatients aspiration prevention.Methods:We initially constructed an item pool of quality evaluation index and a questionnaire by taking "structure-process-outcome" three-dimensional quality model as the framework and combining literature retrieval, semi-structured interviews and group discussions. We also used Delphi method combined with analytic hierarchy process to determine the index system and its weight.Results:In two rounds of questionnaires, the response rates were 100% and 96%, and the authority coefficients were 0.894 and 0.912, and the judgment coefficients were 0.960 and 0.964, and the familiarity coefficients were 0.828 and 0.860, and the Kendall's W were 0.072 and 0.189 respectively. The nursing quality evaluation index system for ICU aspiration prevention included 3 first-level indicators (structural indicators, process indicators, and outcome indicators) , 12 second-level indicators and 48 third-level indicators. Conclusions:The nursing quality evaluation index system for ICU aspiration prevention is scientific, reliable and instructive, which provides a scientific decision-making basis for the clinical practice of ICU nurses and improves the ICU nursing quality and guarantees patient safety.
