应用Delphi法建立医院病房护理质量的评价指标

目的应用Delphi法建立医院病房护理质量的评价指标。方法先确立备选指标，采用Delphi法对35名专家进行2轮问卷调查。结果专家的积极性系数为100％，专家对指标的权威系数为0．856；专家咨询后，一级指标未改变仍为6项，二级指标由32项变为29项：基础护理（5项）、专科护理（5项）、技术操作（2项）、病历书写（4项）、病房管理及管理制度（13项）。结论应用Delphi法建立的病房护理质量评价指标中删除二级指标4项、增加1项、分值改变3项，主要增加了心理护理、出入院指导、病历书写等项目的比重，体现了新形势下患者需求的变化和护理质量内涵的更新。

Delphi Method in Building Up Evaluation System for Nursing Quality in Hospitals

Objective To build up a scientific evaluation system for the Ward Nursing Quality in hospitals.Methods The candidate indices were established and Delphi method was then used to sought the advice of 35 experts by 2 rounds of questionnaire survey.Results The index of the expert active attitude was 100%;the expert's authority coefficient was 0.856.The first class indices had no change after expert consultation;the second class indices decreased from 32 to 29,including 5 on basic nursing ones,5 on specialized nursing ones,2 on manual skills,4 on medical record writing,13 on ward management,and 1 on patient satisfaction.Conclusion The newly established evaluation system based on Delphi method removes 4 second class indices,adds 1 index,and the scores are changed for 3 indices,which reflects the changes in patient demand and the content of nursing quality.