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高级护理实践案例报告质量评价指标体系构建

Construction of quality evaluation index system of advanced nursing practice case report
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摘要 目的 构建高级护理实践案例报告质量评价指标体系,对高级实践护士角色的有效性进行直观、量化评价,为进一步完善高级实践护士的培训及管理提供依据。方法 应用文献分析法,基于护理程序理论初步拟定高级护理实践案例报告质量评价指标体系,运用德尔菲法及层次分析法,确定高级护理实践案例报告质量评价指标体系及各指标权重。结果 共进行3轮函询,问卷有效回收率均为100%,3轮函询专家权威系数均为0.917;各级指标的肯德尔和谐系数分别为0.159、0.164、0.172(P<0.001)。最终形成的高级护理实践案例报告质量评价指标体系包含5个一级指标、12个二级指标、35个三级指标。结论 该研究构建的高级护理实践案例报告质量评价指标体系,为客观评价高级护理实践质量、查找APN核心能力薄弱环节、改善护理质量水平提供了科学依据。 Objective To construct a quality evaluation index system of advanced nursing practice case report,to intuitively and quantitatively evaluate the effectiveness of advanced practice nurses,and to provide reference for improving the training and management of advanced practice nurses.Methods After literature review,a quality evaluation index system of advanced nursing practice case report was initially developed based on the nursing procedure theory.Delphi method and analytic hierarchy process were used to determine the quality evaluation index system of advanced nursing practice case report and the weight of each index.Results The effective recovery rate of the three rounds of correspondence was all 100%,and the coefficient of expert authority 0.917.Kendall harmony coefficient of items of each level was 0.159,0.164,and 0.172 respectively(P<0.001).The final quality evaluation index system of advanced nursing practice case report consisted of 5 first-level,12 second-level and 35 third-level indexes.Conclusion The quality evaluation index system of advanced nursing practice case report constructed in this study provides a scientific basis for objectively evaluating the nursing quality of advanced nursing practice,finding out the weak link of APN core competence and improving nursing quality.
作者 杨青 汪艳 罗迎霞 朱艳 YANG Qing;WANG Yan;LUO Ying-xia;ZHU Yan(Dept.of Endocrinology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Dept.of Urological Surgery,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Dept.of Nursing Administration,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)
出处 《护理学报》 北大核心 2023年第15期38-42,共5页 Journal of Nursing(China)
关键词 高级护理实践 高级实践护士 案例报告 评价指标 advanced nursing practice advanced practice nurse case report evaluation index
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