骨科康复护理质量评价指标的构建

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...

Establishment of a nursing quality evaluation indicator system for orthopedic rehabilitation

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.