摘要
目的构建"互联网+"PICC居家护理服务质量评价指标体系,为规范开展"互联网+"PICC居家护理服务质量评价提供客观依据。方法基于"结构-过程-结果"三维质量结构模型,结合文献检索、半结构式访谈、小组讨论、德尔菲法,选取20名从事静脉治疗护理、有"互联网+护理服务"管理或实践经验的专家进行2轮咨询,确定"互联网+"PICC居家护理服务质量评价指标体系。专家积极系数用问卷的有效回收率和专家意见提出率表示;专家权威程度采用专家权威系数表示;专家意见协调程度采用肯德尔和谐系数表示;专家意见集中程度通常以指标的重要性赋值均数、变异系数、满分率(%)表示。结果2轮咨询问卷有效回收率均为100%,专家的权威系数分别为0.793、0.848,专家意见的肯德尔和谐系数分别为0.202~0.216,0.222~0.270(P<0.05),在第2轮专家咨询后所有指标的重要性赋值均数均>4.0分,变异系数均<0.2,满分率均>20%。最终构建的"互联网+"PICC居家护理服务质量评价指标体系包括一级指标3项、二级指标12项、三级指标64项。结论构建的"互联网+"PICC居家护理服务质量评价指标体系具有科学性、可靠性、实用性,并体现专科特色,可有效评价"互联网+"PICC居家护理服务质量。
Objective To construct the"Internet+"peripherally inserted central catheter(PICC)home nursing service quality evaluation index system,so as to provide objective basis for standardizing the"Internet+"PICC home nursing service quality evaluation.Methods Based on the three-dimensional quality structure model of"structure-process-outcome",combined with literature research,semi-structured interviews,group discussions and Delphi method,20 experts who were engaged in intravenous therapy nursing and had management or practical experience in"Internet+nursing services"were selected for two rounds of consultation to determine the"Internet+"PICC home nursing service quality evaluation index system.The positive coefficient of experts was expressed by the effective response rate of the questionnaire and the rate of expert opinion submission.The degree of expert authority was expressed by the expert authority coefficient.The coordination degree of expert opinions was represented by the Kendall harmony coefficient.The concentration degree of expert opinions was usually expressed in terms of the importance assigned to the indicator,the coefficient of variation,and the full score rate(%).Results The effective response rates of the two rounds of consultation questionnaires were all 100%,with expert authority coefficients of 0.793 and 0.848 respectively.The Kendall coordination coefficients of expert opinions were 0.202-0.216 and 0.222-0.270 respectively(P<0.05).After the second round of expert consultation,the mean importance assigned to all indicators was greater than 4.0,the coefficient of variation was less than 0.2,and the full score rate was greater than 20%.The final"Internet+"PICC home nursing service quality evaluation index system included 3 first-level indicators,12 second-level indicators and 64 third-level indicators.Conclusions The"Internet+"PICC home nursing service quality evaluation index system constructed is scientific,reliable and practical,and reflects the specialty characteristics.It can effectively evaluate the"Internet+"PICC home nursing service quality and provide guidance for continuous improvement.
作者
柳春波
苏青雯
王思蒙
徐倩
朱峰微
杨海萍
苏文敏
盛芝仁
Liu Chunbo;Su Qingwen;Wang Simeng;Xu Qian;Zhu Fengwei;Yang Haiping;Su Wenmin;Sheng Zhiren(Nursing Department,the Affiliated Hospital of Medical School,Ningbo University,Ningbo 315000,China;Nursing Intravenous Therapy Group,the Affiliated Hospital of Medical School,Ningbo University,Ningbo 315000,China)
出处
《中华现代护理杂志》
2023年第33期4507-4514,共8页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2020KY873)
宁波市"科技创新2025"重大专项科技项目(2019B10035)。
