基于结构-过程-结果模型儿童支气管镜围术期专科护理质量敏感指标的构建

目的 构建儿童支气管镜围术期专科护理质量敏感指标,为儿童呼吸专科护理质量管理提供参考依据。方法 以Donabedian结构-过程-结果模型为理论框架,采用焦点访谈、文献回顾及德尔菲法（Delphi）构建儿童支气管镜围术期专科护理质量敏感指标。结果 2轮函询专家积极系数为100%、94%,权威系数为0.880、0.910,指标重要性协调系数0.151、0.203（P<0.01）,指标可行性协调系数0.222、0.232（P<0.01）。最终构建的专科护理质量敏感指标包含1个结构指标、6个过程指标和12个结果指标。结论 基于Donabedian结构-过程-结果理论基础和Delphi法构建的儿童支气管镜围术期专科护理质量敏感指标具有科学性、实用性和可行性,可以为儿童呼吸专科护理质量管理提供参考依据。

Construction of Sensitivity Indicators of Specialized Nursing Quality of Nursing Perioperative Period of Children's Bronchoscopy

Objective To construct a sensitive index of specialized nursing quality in perioperative period of children's bronchoscopy, so as to provide references for the quality management of specialized nursing in children's respiratory department. Methods Using Donabedian structure-process-result model as the theoretical framework, literature review and Delphi method were used to construct the sensitive indicators of perioperative nursing quality in children with bronchoscopy. Results The positive coefficient of experts was 100% and 94%, the authority coefficient was 0.880 and 0.910, the coordination coefficient of index importance was 0.151 and 0.203 (P<0.01), and the coordination coefficient of index feasibility was 0.222 and 0.232 (P<0.01). The final sensitive indicators of nursing quality include 1 structural indicator, 6 process indicators and 12 outcome indicators. Conclusion Based on Donabedian's theory and Delphi method, the sensitive index of nursing quality in children's bronchoscopy perioperative period is scientific, practical and feasible, which can provide references for nursing quality management in children's respiratory department.