摘要
目的探讨呼吸窘迫综合征(RDS)患儿专病护理质量评价指标体系,为护理人员临床规范化培训或提升护理质量提供理论依据参考。方法基于Donabedian模型指导,通过组建专业团队、文献检索、头脑风暴分析,初步形成RDS患儿专病护理敏感性指标条目,并通过2轮专家咨询,最终实现RDS患儿专病护理质量评价指标体系构建。结果 9名专家每轮积极程度即回收率均为100.00%,2轮权威系数(Cr)分别为0.89与0.87,该研究邀请专家综合权威性较高,2轮咨询协调程度Kendall’s W值分别为0.319,0.327,差异有统计学意义(P<0.05),显示出专家较高一致性。综合最终形成了RDS患儿专病护理敏感性指标体系,包括3项Ⅰ级指标、8项Ⅱ级指标、35项Ⅲ级指标。结论构建的RDS患儿专病护理质量评价指标体系具有较高科学性、可靠性、合理性,可为护士在临床规范化RDS患儿专病护理培训或提升护理质量提供理论依据。
Objective To explore the evaluation index system of the quality of nursing care for children with respiratory distress syndrome(RDS) and provide a theoretical basis for the standardized clinical training of nursing staff or the improvement of nursing quality. Methods Based on the Donabedian guide model, by organised professional teams, literature review, brainstorming analysis, the sensitivity index items of RDS children special care were initially formed, and through two rounds of expert consultation, the evaluation index system of RDS children special care quality was finally constructed. Results 9 experts in each round, the positive degree same as return rate was 100.00%, and the authority coefficients(CR) of the second round were 0.89 and 0.87 respectively. The comprehensive authority of the invited experts in this study was relatively high. The Kendall’s W values of the coordination degree of the second round of consultation were 0.319 and 0.327 respectively, the difference was statistically significant and showed a high consistency among the experts. Finally, a nursing sensitivity index system for children with RDS was formed, including 3 grade Ⅰ indicators, 8 grade Ⅱ indicators and 35 grade Ⅲ indicators. Conclusion The evaluation index system for the quality of special care for children with RDS was relatively scientific, reliable and reasonable, which could provide a theoretical basis for nurses to standardize the clinical nursing training for children with RDS or improve the quality of care.
作者
林文春
秦怡
颜姝婧
陆嘉宁
游滢
LIN Wenchun(Guangzhou Women and Children Medical Center,Guangzhou 510623,China)
出处
《护理实践与研究》
2021年第13期2045-2050,共6页
Nursing Practice and Research
关键词
呼吸窘迫综合征
患儿专病护理
评价指标体系
筛选
Respiratory distress syndrome
Special care for children
Evaluation index system
Screening
