王维,钱蒨健.基于三维质量评价模式构建手术室围术期低体温预防护理管理评价指标体系[J].上海护理,2024,24(3): |
基于三维质量评价模式构建手术室围术期低体温预防护理管理评价指标体系 |
Construction of evaluation index system of perioperative hypothermia prevention and nursing management in operating room based on three-dimensional quality evaluation model |
DOI: |
中文关键词: 三维质量评价模式 围术期低体温预防 护理管理评价指标体系 |
英文关键词:Three - Dimensional quality evaluation model, Perioperative hypothermia prevention, Nursing management evaluation index system |
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中文摘要: |
目的 构建适用于手术室围术期低体温预防管理的评价指标体系。方法 结合手术室护理的精细化管理需求,通过文献检索,以结构-过程-结果三维质量评价模式为指导,邀请22位专家作为咨询对象,采用优序图法确定指标权重。结果 2 轮专家咨询问卷回收率均为100%和95.7%,各项指标变异系数(CV)<0.25,满分率>20%,Kendall"s W值具有统计学意义(P<0.001),表明专家参与积极性高、意见集中、协调程度较好,最终形成手术室围术期低体温预防护理管理评价指标体系,包含3项一级指标,9项二级指标,53项三级指标。结论 本研究通过科学、循证的方法构建的手术室围术期低体温预防评价指标科学性较好,为护理管理者进行手术室护理质量评价提供参考,使手术室护理管理更具科学性、规范性、统一性。 |
英文摘要: |
Objective: To construct an evaluation index system suitable for the prevention and management of perioperative hypothermia in operating rooms. Methods: Combining with the needs of meticulous management of operating room nursing, based on the literature retrieval, and guided by structure-process-result three-dimensional quality evaluation model, 22 experts were invited as consulting objects and the order graph method was adopted to determine the index weight. Results: The recovery rate of the two rounds of expert consultation questionnaire was 100% and 95.7%, the coefficient of variation (CV) of each index was less than 0.25, and the full score rate was larger than 20%. Kendall’s W value was statistically significant (P<0.001), indicating that experts had high participation enthusiasm, concentrated opinions, and a good coordination degree. Finally, an evaluation index system for perioperative hypothermia prevention and nursing management in the operating room was formed, including 3 first-level indexes, 9 second-level indexes, and 53 third-level indexes. Conclusion: The evaluation indexes for perioperative hypothermia prevention in operating rooms constructed by scientific and evidence-based methods in this study have high scientificity, providing a reference for nursing managers to evaluate the nursing quality in operating rooms and making the nursing management in operating rooms more scientific, standardized, and unified. |
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