基于三维质量结构模式PICU护理敏感性质量指标体系的构建

目的 构建PICU护理敏感性质量指标,为科室护理安全质量评价与监测提供参考。方法 通过Delphi法对27名专家完成3轮有效函询,获得专家一致性意见,确定PICU护理敏感性质量指标。结果 3轮函询问卷有效回收率为96.6%、96.4%、100%,权威系数为0.899、0.900、0.910,一、二、三级指标的协调系数分别为0.338、0.392,0.412,具有统计学意义（P<0.01）,最终构建的PICU护理敏感性质量指标包含3个一级指标、15个二级指标、69个三级指标,各级指标选择意见逐步趋同。结论 建立PICU护理敏感性质量指标,可用于科室护理安全质量评价。

Development of PICU Nursing Sensitivity Quality Index System Based on Three-Dimensional Quality Structure Model

Objective To construct a PICU nursing sensitivity quality index, and provide reference for the evaluation and monitoring of nursing safety quality. Methods With Delphi method, 27 experts completed 3 rounds of effective correspondence to obtain expert consensus then the PICU nursing sensitivity quality index system was developed. Results The effective recovery rate of the 3 rounds of expert inquiry was 96.6%, 96.4% and 100% respectively; the authoritative coefficient was 0.899, 0.900 and 0.910 respectively and the coordination coefficient of the first-, second- and third-level indicators was 0.338, 0.392 and 0.412, respectively. All these indicated statistical significance (P<0.01). The final constructed PICU nursing sensitivity quality index included 3 first-level, 15 second-level, and 69 third-level indicators. The selection opinions of all levels of indicators gradually converged. Conclusion PICU nursing sensitivity quality indicators can be employed for the evaluation of nursing safety and quality.