摘要
目的建立三级医院延续性护理服务质量评价指标体系,为客观评价与规范三级医院延续性护理服务提供参考。方法以"结构-过程-结果"模式为基础,结合现行延续性护理服务内容和患者需求,参考国内外文献和专家访谈形成问卷初稿;采用德尔菲(Delphi)法,通过2轮23名专家咨询初步确立三级医院延续性护理服务质量评价指标体系。结果专家咨询的权威系数、判断系数、熟悉系数分别为0.882,0.942,0.822;确定三级医院延续性护理服务质量评价指标体系,包括一级指标3项,二级指标10项,三级指标41项;一、二、三级指标的协调系数分别为0.736、0.521、0.627,具有统计学意义(均P<0.01)。结论三级医院延续性护理服务质量评价指标体系内容科学可靠,有助于客观评价延续性护理服务质量,促进护理质量提升。
Objective To develop a set of quality indicators for evaluation of transitional care provided by tertiary hospitals, and to provide references for objective evaluation and standardization of transitional care. Methods Based on the ＂structure-process-out- come＂ model and the current practice of transitional care and patients＇ needs, we developed an item pool for assessing quality of transitional care by using literature review and expert interview. Then a 2-round Delphi study was conducted among 23 experts to collect their opinions about these indicators. Results The experts＇ authority coefficient was 0. 882; the coefficient of determination was 0. 942; and the degree of familiarity was 0. 822. The evaluation system for transitional care by tertiary hospitals consisted of 3 level-1 indicators, 10 level-2 indicators, and 41 level-3 indicators. The Kendall coefficients of concordance of the three level indica- tors were 0. 736, 0. 521, and 0. 627, respectively （P〈0.01 for all）. Conclusion The ＂consensus＂ --evaluation system for transi- tional care by tertiary hospitals--obtained from expert consultation, is valid to objectively evaluate quality of transitional care, which would be beneficial to qualitv improvement.
基金
国家临床重点专科建设项目(卫办医政函[2011]872号)
南京市医学科技发展项目(ZKX12013)
关键词
延续护理
三级医院
质量评价
质量指标
Delphi技术
护理实践
transitional care
tertiary hospital
quality evaluation
indicator for quality evaluation
Delphi technique
nursing practice
