以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (1): 17-21.doi: 10.16460/j.issn1008-9969.2019.01.017

Previous Articles     Next Articles

Development of PICU Nursing Sensitivity Quality Index System Based on Three-Dimensional Quality Structure Model

WANG Bin1a, WANG Lin2, LI Ping1b, WANG Hong-mei3, WU Ying-yu3, LU Xue-ping3, YU Tian-qian1a, QUAN Lin2, HUANG Xia1c   

  1. 1a. Dept. of Critical Care Medicine; 1b. Dept. of Abdominal Ultrasound; 1c. Dept. of Nursing Administration, Affiliated Hospital of Qingdao University, Qingdao 266000,China;
    2. Dept. of Gastrointestional Surgery, Laoshan Branch, Affiliated Hospital of Qingdao University, Qingdao 266000,China;
    3. School of Nursing, Qingdao University, Qingdao 266000, China
  • Received:2018-08-05 Online:2019-01-10 Published:2020-07-16

PDF (PC)

584

Like

Abstract: Objective To construct a PICU nursing sensitivity quality index, and provide reference for the evaluation and monitoring of nursing safety quality. Methods With Delphi method, 27 experts completed 3 rounds of effective correspondence to obtain expert consensus then the PICU nursing sensitivity quality index system was developed. Results The effective recovery rate of the 3 rounds of expert inquiry was 96.6%, 96.4% and 100% respectively; the authoritative coefficient was 0.899, 0.900 and 0.910 respectively and the coordination coefficient of the first-, second- and third-level indicators was 0.338, 0.392 and 0.412, respectively. All these indicated statistical significance (P<0.01). The final constructed PICU nursing sensitivity quality index included 3 first-level, 15 second-level, and 69 third-level indicators. The selection opinions of all levels of indicators gradually converged. Conclusion PICU nursing sensitivity quality indicators can be employed for the evaluation of nursing safety and quality.

Key words: PICU, three-dimensional quality structure, quality of care sensitivity, Delphi method

CLC Number: 

  • C931.2
[1] 刘晓红. PICU专科护理敏感指标的构建与应用[J]. 医学信息, 2017,30(24):166-167. DOI:10.3969/j.issn.1006-1959.2017.24.087.
[2] 杨苏,黄丽华.PICU护理质量敏感性指标的研究进展[J]. 护理与康复,2015, 14(9):834-836.DOI:10.3969/j.issn.1671-9875.2015.09.010.
[3] 崔金锐,陈英.Donabedian结构-过程-结果模式在护理敏感性质量指标构建中的应用进展[J] 护理研究, 2015,29(3A):769-772. DOI:10.3969/j.issn.10096493.2015.07.001.
[4] Donabedian A.Measuring the Effectiveness of Medical Interventions: New Expectations of Health Services Research[J]. Health Serv,1966,25(15):697-708.DOI:10.1016/j.ecns.2012.07.049.
[5] Liu M, Zhang L, Liu Z, et al.Practice and Effects of Transitional Care Quality Management Program Based on Structure-process-outcome Model[J]. Chin J Nurs, 2015,36(2):175-187.
[6] Schofield R, Chircop A, Baker C, et al.Entry-to-practice Public Health Nursing Competencies: A Delphi Method and Knowledge Translation Strategy[J]. Nurs Educ Today, 2018,65(2):102-107.DOI:10.1016/j.nedt.2018.03.001.
[7] Lake E.Development of the Practice Environment Scale of the Nursing Work Index[J]. Res Nurs Health, 2002,25(3):176-188.DOI:10.1002/nur.10032.
[8] Chang A, Gardner G, Duffield C, et al.A Delphi Study to Validate an Advanced Practice Nursing Tool[J]. J Adv Nurs, 2014, 66(10):2320-2330. DOI:10.1111/j.1365-2648.2010.05367.x.
[9] Sjw O, Au S, des Ordons A, et al. A Modified Delphi Process to Identify Clinical and Research Priorities in Patient and Family Centred Critical Care[J]. J Crit Care, 2017,42(3):243-252.DOI:10.1016/j.jcrc.2017.08.008.
[10] 匡玲,温贤秀,唐颖,等. 中美护理质量敏感性指标评价研究现状[J]. 实用医院临床杂志, 2016,13(2):183-185.
[11] 丁雪茹,李新琳,马健,等. 心脏中心监护室护理安全质量评价指标体系的构建[J]. 护理学报, 2016,23(17):26-30. DOI:10.16460/j.issn1008-9969.2016.17.026.
[12] 成守珍,汪牡丹,陈利芬,等. PICU护理安全质量评价指标体系的构建[J].中华护理杂志, 2014,49(3):270-274. DOI:10.3761/j.issn.0254-1769.2014.03.003.
[13] 李智英,成守珍,吕林华. 护理质量敏感指标在优质护理评价及持续改进中的应用[J]. 中华护理杂志, 2014,49(10):1168-1171.DOI:10.3761/j.issn.0254-1769.2014.10.002.
[14] 李冬梅,钱火红,朱建英. 医院PICC护理质量评价指标体系的构建[J]. 中国护理管理, 2013,13(10):48-51. DOI:10.3969/j.issn.1672-1756.2013.010.018.
[1] GUO Lin-fang, ZHANG Pei-li, HOU Xiao-ya, LI Ying, CAO Min, GAO Chao-yue. Construction of online and offline nutrition intervention program for liver cancer patients undergoing chemotherapy [J]. Journal of Nursing, 2025, 32(4): 1-5.
[2] NIU Qing-mei, YU Ying, ZHANG Qian, JIA Ya-tian, TIAN Yu. Construction of follow-up management evaluation index system for patients with lower extremity atherosclerotic occlusive disease based on “three-dimensional quality structure” model [J]. Journal of Nursing, 2025, 32(2): 70-73.
[3] QUAN Yi-ping, CHEN Xia, HU Qiong-dan. Construction of core competency evaluation index system for heart-brain health managers [J]. Journal of Nursing, 2024, 31(9): 5-9.
[4] CHEN Jie, LAI Jing, WANG Cheng-yue, XU Liang-ying, YAN Juan, LUO Xue. Construction of humanistic care quality evaluation index system of ICU nursing based on Three-dimensional Quality Structure Theory [J]. Journal of Nursing, 2024, 31(9): 54-59.
[5] CHEN Rui, WANG Mei, TANG Xiao-xia, ZHU Ao-xue, MAO Hui-na. Construction of nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy based on ERG theory [J]. Journal of Nursing, 2024, 31(7): 1-5.
[6] CHEN Jian, XIANG Li-jun, LUO Yan-si, CHEN Jian-hui, CUI Yan-li, LIAO Lin, YAN Ming-yu, ZHANG Xiao-mei. Construction of “Internet +” continuous rehabilitation management program for patients with post-stroke dysphagia [J]. Journal of Nursing, 2024, 31(24): 1-6.
[7] LI Xiao-mei, TAO Ming, LI Qian-Qian, LI Lin-lin, LI Chun. Construction of symptom management theory-based self-management intervention scheme for neurogenic bladder patients [J]. Journal of Nursing, 2024, 31(22): 61-66.
[8] GUAN Ya-ping, ZHENG Wei-liang, SUN Li-jun, CHEN Yuan, DING Jie-ying, XU Jia-jia. Construction of four-level nurse-led early mobilization program for patients after open heart surgery [J]. Journal of Nursing, 2024, 31(22): 67-72.
[9] DING Li-na, YAO Zhuo-ya, GENG Jun-hui, LI Man-chun, ZHAN Meng, YIN Yue, WANG Jun-feng, YU Li-ying. Construction of quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization in hospitals [J]. Journal of Nursing, 2024, 31(20): 60-66.
[10] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity [J]. Journal of Nursing, 2024, 31(2): 6-11.
[11] ZOU Zhao-hua, QINGN Wei, ZHU Mao-cai, ZHANG Ji-quan, YI Zi-han, HU Xiu. Construction of nursing quality-sensitive indicator system for continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(2): 70-74.
[12] LUO Duo-lin, YANG Chun-qing, GAO Ping, HU Qing-wen, XU Xiao-qun. Localization of type 2 diabetes distress assessment system and its reliability and validity [J]. Journal of Nursing, 2024, 31(19): 24-30.
[13] ZHANG Li, LI Fu-hua, GU Xiao-gai, HAO Na, WANG Dan-dan, GUAN Mei-qi. Construction of training program for nurse specialist of inflammatory bowel disease [J]. Journal of Nursing, 2024, 31(19): 31-36.
[14] LIU Yu-wei, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue. Construction of multi-level training path for candidates of master of nursing specialist: a healthy aging perspective [J]. Journal of Nursing, 2024, 31(19): 37-41.
[15] GUAN Yan, CHEN Chen, SU Yun-yan, JIN Hua, XIE Xiao-li, HU Yue-xiu, WANG Zhe-yun. Construction of training program for cardiac surgery nurse specialists based on Taylor model [J]. Journal of Nursing, 2024, 31(18): 67-72.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!