以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (15): 7-11.doi: 10.16460/j.issn1008-9969.2024.15.007

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Construction of quality index system for nursing management in nerve block room

HUANG Mei-hua, ZHANG Zhuan-yun, ZHUANG Shan-shan, WANG Qing, ZHANG Ruo-cui, HUA Wei   

  1. Dept. of Anesthesia and Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
  • Received:2024-03-18 Online:2024-08-10 Published:2024-09-04

Abstract: Objective To construct a quality index system for nursing management in nerve block room, and to provide reference for monitoring and evaluating the quality of nursing management in nerve block room. Methods According to Donabedian's structure-process-outcome quality of care model, the quality index system for nursing management in nerve block room was constructed by literature review, Delphi method, priority diagram method and product method. Results In the two rounds of correspondence, the positive coefficient of the experts was 100%; the authority coefficient 0.925, and the Kendall harmony coefficient 0.213 and 0.182 respectively. The quality index system consisted of 3 first-level, 8 second-level, and 59 third-level indicators. Conclusion The constructed quality index system for nursing management in nerve block room is scientific and reliable, and provides reference for evaluating the quality of nursing management in nerve block room.

Key words: nerve block, nursing management, quality indicators, anesthesia care, Delphi method

CLC Number: 

  • R47
[1] RonaldD.Miller.米勒麻醉学[M].邓小明,黄宇光,译.9版.北京:北京大学医学出版社,2021:1407-1408.
[2] Catalani B, Jones J Jr.Peripheral nerve block complications in children[J]. Orthop Clin North Am, 2022,53(2):179-186. DOI: 10.1016/j.ocl.
[3] 刘斌,邱贵兴,裴福兴,等.骨科加速康复围手术期疼痛管理专家共识[J].中华骨与关节外科杂志, 2022, 15(10):739-745.DOI:10.3969/j.issn.2095-9958.2022.10.04.
[4] 刘斌,黄宇光,邱贵兴,等.骨科加速康复围手术期麻醉管理专家共识[J].中华骨与关节外科杂志, 2022,15(10):726-732.DOI:10.3969/j.issn.2095-9958.2022.10.02.
[5] 国家卫生健康委.关于印发麻醉科医疗服务能力建设指南(试行)的通知[EB/OL].(2019-12-18)[2024-06-11].http://www.gov.cn/xinwen/2019-12/18/content_5462015.htm.
[6] 陈罡,周芸,刘尚昆,等. 超声引导椎旁神经阻滞胸腔镜手术的护理配合[J]. 护理学杂志,2018,33(20):45-46;51.DOI:10.3870/j.issn.1001-4152.2018.20.045.
[7] 卢芳燕,董丽,刘元,等.儿童肝移植围手术期护理质量评价指标体系的构建[J].中华护理杂志,2022,57(6):666-673.DOI:10.3761/j.issn.0254-1769.2022.06.004.
[8] 李鑫,兰星,熊莉娟,等.围手术期患者院内转运护理质量评价指标的构建[J].护理学杂志,2024,39(8):81-84.DOI:10.3870/i.issn.1001-4152.2024.08.081.
[9] 曲俊晓,付秀荣.手术室泌尿亚专科护理质量评价指标体系的构建[J].护理研究,2022, 36(22):4007-4012.DOI:10.12102/j.issn.1009-6493.2022.22.011.
[10] 薛友儒,郭丙秀,邵慧慧,等. ICU机械通气患者早期活动护理质量敏感指标的构建[J].中华护理杂志, 2020,55(1):16-21.DOI:10.3761/j.issn.0254-1769.2020.01.002.
[11] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32.DOI:10.16460/j.issn1008-9969.2020.09.027.
[12] 邵佳馨,杜敏,刘瑞华.基于集聚度和秩和比法的广东省护理人力资源研究[J].护理学报,2023,30(4):33-37.DOI:10.16460/j.issn1008-9969.2023.04.033.
[13] 马跃,陈静文,魏铭,等.神经阻滞预防全麻术后导尿管相关膀胱不适的研究进展[J].国际麻醉学与复苏杂志,2023,44(1):85-88.DOI:10.3760/cma.j.cn321761-20220802-00719.
[14] 蔡卫新,尹志科,张冉,等.脑卒中患者护理质量控制系统的构建及应用研究[J].中华护理杂志,2020,55(11):1612-1619.DOI:10.3761/j.issn.0254-1769.2020.11.002.
[15] 陈思涓,谌永毅,谭慧,等.恶性肿瘤伤口评估及管理的研究进展[J].中国护理管理,2018,18(11):1558-1561.DOI:10.3969/j.issn.1672-1756.2018.11.027.
[16] 李加敏,庞冬,张剑锋,等.造口周围皮肤评估工具的研究进展[J].护理研究,2019,33(24):4267-4270.DOI:10.12102/j.issn.1009-6493.2019.24.015.
[17] 杨靓,袁小山,刘棋胜,等.重庆市某三甲医院门诊身份识别智慧防控体系的构建与实施效果[J].医学与社会,2020,33(8):90-93;102.DOI:10.13723/j.yxysh.2020.08.018.
[18] 王琪,刘腊梅,陈莉娜,等.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[J].护理学报,2022,29(8):69-74.DOI:10.16460/j.issn1008-9969.2022.08.069.
[19] Lisa Warren,Aimee Pak. Local anesthetic systemic toxicity[EB/OL].(2024-07-23)[2024-08-10].https://www.uptodate.com/contents/local-anesthetic-systemic-toxicity
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