血液专科护理质量指标的构建

目的 构建血液专科护理质量指标,为血液科护理质量监测提供依据。方法 以Donabedian的“结构-过程-结果”三维质量管理模式为理论依据,采用德尔菲法选择来自全国11个省或直辖市的22所三级甲等医院和护理学院的24名专家进行2轮函询,对指标进行筛选和修改,确定血液专科护理质量指标。结果 2轮函询专家积极系数均为100%,专家权威系数分别为0.911和0.917,肯德尔和谐系数分别为0.399和0.393;最终形成血液专科护理质量指标包括一级指标3个、二级指标7个、三级指标38个,各指标变异系数均<0.25。结论 血液专科护理质量指标的构建过程科学,结果可靠,指标具有可操作性,有利于促进血液专科护理质量的提升。

Construction of indicators of hematology nursing quality

Objective To construct indicators of hematology nursing quality. Methods Based on Donabedian's “structure-process-result” quality management model,24 experts were selected by Delphi method from 22 tertiary hospitals and nursing schools in 11 provinces and municipalities for 2 rounds of consultations to screen,modify and determine the sensitive indicators of hematology nursing quality. Results The positive coefficient was 100%, authority coefficient were 0.911,0.917 and Kendall harmony coefficient were 0.399 and 0.393,respectively. Finally,the sensitive indicators of hematology nursing quality were constructed,which included three levels of indicators（three first-level indicators,seven second-level indicators and 38 third-level indicators）. The variation coefficient of each indicator was less than 0.25. Conclusion The development process of indicators is scientific,and the results are reliable,and the indicators are practicable,which can be valuable for the improvement of hematology nursing quality.