摘要
目的探索构建北京市产科护理安全管理指标体系,为产科护理安全管理提供内容依据和量化标准。方法 2018年12月~2019年6月,课题小组采用文献回顾法及头脑风暴法拟定量表指标池,然后筛选北京大学第一医院、北京大学人民医院、北京大学国际医院、北京妇产医院、北京空军总医院、北京燕化医院、北京世纪坛医院、首都医科大学宣武医院、解放军304医院及首都医科大学附属北京潞河医院10所医院中的20名护理专家利用德尔菲法对初选指标的科学性及可操作性进行两轮打分。利用界值法筛选评价指标,再使用百分权重法计算指标权重,构建北京市产科护理安全管理指标体系。结果两轮函询问卷回收率均为100%,专家的权威系数均>0.70;Kendall′s W协调性检验专家具有一致性(P<0.01)。通过第一轮专家咨询:删除二级指标1个、三级指标6个,增加三级指标1个;第二轮专家咨询:删除三级指标2个;构建了北京市产科护理安全管理指标体系:3个一级指标,11个二级指标和33个三级指标。结论构建的北京市产科护理安全管理指标体系具有较高的科学性和可靠性,可为北京市产科护理安全评价提供一定的依据。
Objective To explore and construct indicator system of Beijing′s obstetric nursing safety management, and provide content basis and quantitative standards for obstetric nursing safety management. Methods From December 2018 to June 2019, literature review and brainstorming were used by research team to draw up a quantitative table indicator pool. Then 20 nursing specialists were selected from the First Hospital of Beijing University, Peking University People′s Hospital, International Hospital of Beijing University, Beijing Obstetrics and Gynecology Hospital, Beijing Air Force General Hospital, Beijing Yanhua Hospital, Beijing Century Temple Hospital, Xuanwu Hospital, Capital Medical University, 304 Hospital of PLA and Beijing Luhe Hospital, Capital Medical University (10 hospitals). Delphi method was used by nursing specialists to score the scientificity and operability of the primary indicators in two rounds. The indicator system of obstetric nursing safety management in Beijing was constructed by screening evaluation indicator with boundary value method and calculating indicator weight with percentage weight method. Results The recovery rates of two rounds of inquiry papers were 100%, and the authoritative coefficients of experts were more than 0.70;experts had consistency of Kendall′s W coordination test (P<0.01). Through the first round of expert consultation: delete 1 secondary indicator, 6 tertiary indicators and increase 1 tertiary indicator;the second round of expert consultation: delete 2 tertiary indicators. This study constructed the index system of obstetric nursing safety management in Beijing: 3 first-level indicators, 11 second-level indicators and 33 third-level indicators. Conclusion The indicator system of obstetric nursing safety management in Beijing is scientific and reliable, which can provide a basis for the evaluation of obstetric nursing safety in Beijing.
作者
田丹
李蕊
孟开
赵磊
TIAN Dan;LI Rui;MENG Kai;ZHAO Lei(School of Public Health,Capital Medical University,Beijing 100069,China;Department of Obstetrics,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)
出处
《中国医药导报》
CAS
2019年第25期179-184,共6页
China Medical Herald
基金
北京市通州区科技计划项目(KJ2019CX003-05)
关键词
德尔菲法
产科
护理安全
指标体系
Delphi method
Obstetrics
Nursing safety
Indicator system
