【摘要】：研究目的：本研究旨在循證的基礎(chǔ)上,建立敏感、科學(xué)、實(shí)用的手術(shù)室護(hù)理質(zhì)量評價指標(biāo),為中國醫(yī)院的手術(shù)室護(hù)理質(zhì)量評價與監(jiān)測提供依據(jù)。研究方法：本研究制定嚴(yán)密的檢索策略,采用美國霍普金斯證據(jù)等級與質(zhì)量評價方法對檢索到的相關(guān)文獻(xiàn)進(jìn)行等級與質(zhì)量評定,總結(jié)出手術(shù)室護(hù)理質(zhì)量敏感性指標(biāo)及其計(jì)算公式與資料收集方法,利用專家組討論初步擬定適合中國國情的手術(shù)室護(hù)理質(zhì)量敏感性指標(biāo)。采用Delphi專家咨詢法,按照5分級Likert標(biāo)度法,對初步形成的指標(biāo)條目的重要性、計(jì)算公式的合理性、收集資料方法可操作性進(jìn)行評價。由浙江省內(nèi)51名專家進(jìn)行咨詢論證,確立符合中國國情的手術(shù)室護(hù)理質(zhì)量敏感性指標(biāo)及其計(jì)算方法與資料收集方法。運(yùn)用專家積極系數(shù)、權(quán)威系數(shù)、變異系數(shù)、協(xié)調(diào)系數(shù)等指標(biāo),對專家咨詢的可靠性和代表性進(jìn)行檢驗(yàn)。研究結(jié)果：構(gòu)建了包含過敏史的核對率、手術(shù)部位核對率、手術(shù)病人核對率等在內(nèi)的23項(xiàng)護(hù)理質(zhì)量敏感性指標(biāo),其包含了指標(biāo)內(nèi)涵、計(jì)算方法、資料收集方法。2輪專家咨詢的積極系數(shù)均為100%(60%),專家的權(quán)威系數(shù)分別為0.85和0.86(≥0.7),2輪專家咨詢后各項(xiàng)指標(biāo)重要性的變異系數(shù)為0.00-0.26,計(jì)算公式合理性變異系數(shù)為0.03-0.26,收集資料方法可操作性變異系數(shù)為0.06-0.24,均小于0.3。研究結(jié)論：構(gòu)建了一套包含23項(xiàng)指標(biāo)的綜合醫(yī)院手術(shù)室護(hù)理質(zhì)量敏感性指標(biāo)體系,確立了各指標(biāo)的內(nèi)涵、計(jì)算方法及資料收集方法。專家咨詢的積極系數(shù)、權(quán)威系數(shù)、變異系數(shù)等結(jié)果證明專家咨詢代表性和可信度高。
[Abstract]:Objective: the purpose of this study was to establish sensitive, scientific and practical evaluation indexes of operating room nursing quality on the basis of evidence, and to provide basis for evaluation and monitoring of operating room nursing quality in Chinese hospitals. Methods: in this study, a rigorous retrieval strategy was established, and Hopkins evidence rating and quality evaluation method was used to evaluate the relevant literature. The sensitivity index of nursing quality in operating room, its calculation formula and data collection method were summarized, and the sensitivity index of nursing quality in operating room was preliminarily drawn up by expert group discussion. By using the Delphi expert consultation method, according to the 5 grade Likert scale method, the importance of the preliminary formed index items, the reasonableness of the calculation formula and the maneuverability of the data collection method are evaluated. In this paper, 51 experts from Zhejiang province were consulted and demonstrated to establish the sensitivity index, calculation method and data collection method of operating room nursing quality in accordance with the situation of China. The reliability and representativeness of expert consultation are tested by using expert positive coefficient, authority coefficient, variation coefficient, coordination coefficient and so on. Results: 23 items of nursing quality sensitivity indexes, including the check rate of allergy history, operation site check rate, operation patient check rate and so on, were constructed, which included the connotation and calculation method of the indicators. The positive coefficient of expert consultation was 100% (60%), the authority coefficient of expert was 0.85 and 0.86 (鈮，

本文編號：2256345