| Abstract： Objective A quality evaluation index system for nursing emergency management of infectious disease emergencies in general hospitals was constructed with the aim of providing a reference for managers to carry out relevant quality evaluations. Methods On the basis of qualitative interviews and literature research, the quality evaluation index system for nursing emergency management of infectious disease emergencies in general hospitals was formulated, and the Delphi method was used to conduct 2 rounds of expert correspondence with 18 experts from the fields of nursing management, disaster nursing, hospital infection, public health, and nursing of infectious diseases, to modify and determine the final quality evaluation index system according to the experts' opinions and to determine the weights and combination weights of indicators at all levels by applying the superiority diagram method and the multiplication method. weights and combination weights of indicators at all levels. Results The positive coefficient of the 2 rounds of expert correspondence was 100%, the coefficient of expert authority was 0.92, and the coefficient of Kendall's harmony was 0.125 and 0.079, respectively.After the 2 rounds of expert correspondence, the importance ratings of the indicators were 4.39-5.00 and 4.63-5.00, and the coefficients of variation were 0.00-0.22 and 0.00-0.17, respectively.The final formation of quality The evaluation index system includes 12 first-level indicators [structure (prevention), process (prevention), result (prevention), structure (preparation), process (preparation), result (preparation), structure (response), process (response), result (response), structure (recovery), process (recovery), result (recovery)], 26 second-level indicators, and 97 third-level indicators. In the first-level indicators, the top four weights are process (prevention), process (preparation), process (response), and process (recovery); in the second-level indicators, the top four combination weights are: care of patients with infectious disease outbreaks in isolation wards, pre-screening and triage of infectious diseases, training and rehearsal related to infectious disease outbreaks, and admission of patients with infectious disease outbreaks. Among the tertiary indicators, the top four in terms of combined weight: timely rate of critical value disposal of infectious disease outbreaks, qualified rate of targeted specialized nursing technical operation in infectious disease outbreaks, accurate rate of identification of potentially critically ill patients, and rate of implementation of the norms for the reporting and discussion of special cases and fatal cases. Conclusions The quality evaluation index system for nursing emergency management of infectious disease emergencies in general hospitals constructed in this study has a certain degree of scientificity, applicability and reliability, and can provide an objective evaluation tool for the quality level of nursing emergency management of infectious disease emergencies in China. |
