以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (9): 27-32.doi: 10.16460/j.issn1008-9969.2020.09.027

• 循证护理 • 上一篇    下一篇

基于循证构建精神科护理质量敏感性指标

马莹1a, 叶君荣2a, 黄昭君2a, 夏志春2b, 徐丹3, 邓爱萍4, 刘名河5, 罗斯莉6, 张建龙1b   

  1. 1.中山市第三人民医院 a.医教科; b.情感障碍科,广东 中山 528451;
    2.广州市惠爱医院 a.护理部;b.成人精神科,广东 广州 510370;
    3.深圳市康宁医院 临床心理科,广东 深圳 518118;
    4.清远市第三人民医院 院感科,广东 清远 511500;
    5.香港公开大学,香港 999077;
    6.佛山市顺德区伍仲佩纪念医院 心理医学科,广东 佛山 528333
  • 收稿日期:2019-12-02 出版日期:2020-05-10 发布日期:2020-07-14
  • 作者简介:马莹（1979-）,女,吉林吉林人,本科学历,主管护师。

Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality

MA Ying1a, YE Jun-rong2a, HUANG Zhao-jun2a, XIA Zhi-chun2b, XU Dan3, DENG Ai-ping4, LIU Ming-he5, LUO Si-li6, ZHANG Jian-long1b   

  1. 1a. Department of Medical Education; 1b. Dept. of Affective Disorders, the Third People's Hospital of Zhongshan, Zhongshan 528451, China;
    2a. Dept. of Nursing Administration; 2b. Dept. of General Psychiatry, Hui'ai Hospital of Guangzhou,Guangzhou 510370, China;
    3. Dept. of Clinical Psychiatry, Kangning Hospital of Shenzhen, Shenzhen 518118, China;
    4. Dept. of Hospital Infection Control, the Third People's Hospital of Qingyuan, Qingyuan 511500, China;
    5. The Open University of Hong Kong, Hong Kong 999077, China;
    6. Dept. of Psychological Medicine, Shunde Wu Zhongpei Hospital of Foshan, Foshan 528333, China
  • Received:2019-12-02 Online:2020-05-10 Published:2020-07-14

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摘要： 目的 构建科学客观的精神科护理质量敏感指标,为精神科专科医院护理质量管控提供科学依据。方法 采用文献回顾和德尔菲法（Delphi）,确定精神科护理质量的敏感性指标。结果 经过2轮专家函询,专家积极系数分别为89%和83%,权威系数为0.727和0.871,协调系数为0.321和0.255,P<0.01,具有统计学意义。最终构建包含5项结构指标,11项过程指标和9项结果指标的精神科护理质量敏感性指标。结论 基于循证和德尔菲法构建的精神科护理质量敏感性指标,具有专业性、科学性和可靠性,对精神科专科护理质量管控和持续改进提供了客观依据。

关键词: 循证护理, 护理质量, 敏感性指标, 德尔菲法

Abstract: Objective To construct an scientific and objective sensitive indicators of psychiatric nursing quality and to provide scientific basis for nursing management of psychiatric hospital. Methods After literature review, Delphi method was adopted to determine the sensitivity indicators of psychiatric nursing quality. Results After two-round of expert consultation,sensitive indicators of psychiatric nursing quality were formed and it consisted of 5 structure indicators, 11 process indicators and 9 outcome indicators. The positive coefficients of experts were 89% and 83% respectively; the authoritative coefficients 0.727 and 0.871 respectively; and coordination coefficients 0.255 and 0.321 respectively (P<0.01) showing statistical significance. Conclusion Evidence-based sensitive indicators of psychiatric nursing quality established in the study are is professional, scientific and reliable and provide objective basis for quality control and continuous improvement of psychiatric nursing.

Key words: evidence-based nursing, nursing quality, sensitive indicator, Delphi method

中图分类号: 

  • R473.74
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