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骨科康复护理质量评价指标的构建
引用本文:蔡立柏,刘延锦,郭玉茹,王琦,詹昱新,刘阳阳,崔妙然,赵惠. 骨科康复护理质量评价指标的构建[J]. 中华护理杂志, 2021, 56(4): 508-514. DOI: 10.3761/j.issn.0254-1769.2021.04.005
作者姓名:蔡立柏  刘延锦  郭玉茹  王琦  詹昱新  刘阳阳  崔妙然  赵惠
作者单位:450052 郑州市 郑州大学第一附属医院骨科(蔡立柏,郭玉茹,王琦,崔妙然),护理部(刘延锦),康复医学科(刘阳阳),妇科(赵惠);华中科技大学同济医学院附属协和医院护理部(詹昱新)
基金项目:河南省高等学校重点科研项目计划(19A320060);河南省医学科技攻关计划联合共建项目(LHGJ20190074)
摘    要:目的 构建骨科康复护理评价指标,旨在为临床评价骨科康复护理质量提供参考.方法 2020年6月—8月,课题组以"结构-过程-结果"三维质量模型为框架,通过文献回顾、半结构式访谈制订骨科康复护理质量评价指标初稿,采用德尔菲专家函询法对全国10个省市的23名专家进行问卷函询,并通过层次分析法,确定骨科康复护理质量评价指标及其...

关 键 词:骨科  德尔菲技术  护理质量审核  护理评价研究  康复护理
收稿时间:2020-09-04

Establishment of a nursing quality evaluation indicator system for orthopedic rehabilitation
CAI Libai,LIU Yanjin,GUO Yuru,WANG Qi,ZHAN Yuxin,LIU Yangyang,CUI Miaoran,ZHAO Hui. Establishment of a nursing quality evaluation indicator system for orthopedic rehabilitation[J]. Chinese Journal of Nursing, 2021, 56(4): 508-514. DOI: 10.3761/j.issn.0254-1769.2021.04.005
Authors:CAI Libai  LIU Yanjin  GUO Yuru  WANG Qi  ZHAN Yuxin  LIU Yangyang  CUI Miaoran  ZHAO Hui
Abstract:Objective To establish an evaluation indicator system of nursing quality for orthopedic rehabilitation,and to provide references for related clinical evaluation. Methods From June to August 2020,the research group established the first draft of orthopedic rehabilitation nursing quality evaluation index system based on the framework of the three-dimensional “structure-process-outcome” quality model,literature review and semi-structured interviews,and then 23 experts from 10 provinces in China were consulted through Delphi technique. The final nursing quality evaluation system and index weight for orthopedic rehabilitation were analyzed by analytic hierarchy process. Results The recovery rates of 2 rounds of expert consultations were 92.60% and 92.00%. The authority coefficients were 0.909 and 0.917. The Kendall harmony coefficients were 0.272 and 0.318,respectively. The average importance value of indexes ranged from 3.65 to 5.00,and variation coefficients of each item ranged from 0 to 0.22. The final nursing quality evaluation indicator system for orthopedic rehabilitation consisted of 3 first-level indicators(structure indicators,process indicators,outcome indicators),9 second-level indicators(human resources,management system,facilities and equipment,nursing evaluation,nursing practice,health education,follow-up management,nurse outcomes,patient outcomes),and 56 third-level indicators. Conclusion The nursing quality evaluation indicator system for orthopedic rehabilitation was scientific and reliable,which can provide scientific references for evaluating nursing quality for orthopedic rehabilitation.
Keywords:Orthopedics  Delphi Technique  Nursing Audit  Nursing Evaluation Research  Rehabilitation Nursing  
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