| 张志英.综合性医院传染病突发事件护理应急管理质量评价指标体系的构建[J].上海护理,2024,24(10): |
| 综合性医院传染病突发事件护理应急管理质量评价指标体系的构建 |
| To construct an evaluation index system for nursing emergency management quality of infectious disease emergencies in general hospitals |
| 投稿时间：2024-03-29 修订日期：2024-09-29 |
| DOI： |
| 中文关键词: 传染病突发事件 护理应急管理 质量评价指标 德尔菲法 |
| 英文关键词:Infectious disease emergency Nursing emergency management Quality evaluation indicators Delphi method |
| 基金项目:上海市浦东新区公共卫生学科建设项目(PWGw2020-03) |
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| 中文摘要: |
| 目的 构建综合性医院传染病突发事件护理应急管理质量评价指标体系，旨在为管理者开展相关质量评价提供参考。方法 在质性访谈、文献研究的基础上，拟定综合性医院传染病突发事件护理应急管理质量评价指标体系，采用德尔菲法对来自护理管理、灾害护理、医院感染、公共卫生及传染病护理领域的18名专家进行2轮专家函询，根据专家意见修改并确定最终质量评价指标体系，并运用优序图法和乘积法确定各级指标的权重和组合权重。结果 2轮专家函询的积极系数均为100%，专家权威系数均为0.92，肯德尔和谐系数分别为0.125及0.079。经过2轮专家函询后，各指标的重要性评分分别为4.39～5.00、4.63～5.00，变异系数分别为 0.00～0.22、0.00～0.17。最终形成的质量评价指标体系包括12项一级指标[结构（预防）、过程（预防）、结果（预防）、结构（准备）、过程（准备）、结果（准备）、结构（响应）、过程（响应）、结果（响应）、结构（恢复）、过程（恢复）、结果（恢复）]、26项二级指标和97项三级指标。一级指标中，权重前四位为过程（预防）、过程（准备）、过程（响应）、过程（恢复）；二级指标中，组合权重前四位：隔离病区传染病突发事件患者护理、传染病预检分诊、传染病突发事件相关培训与演练、传染病突发事件患者收治。三级指标中，组合权重前四位：传染病突发事件危急值处置及时率、传染病突发事件针对性专科护理技术操作合格率、潜在危重症患者识别准确率、特殊病例、死亡病例上报及讨论规范落实率。结论 本研究构建的综合性医院传染病突发事件护理应急管理质量评价指标体系具有一定的科学性、适用性与可靠性，可为我国传染病突发事件护理应急管理质量水平提供客观评价工具。 |
| 英文摘要: |
| 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. |
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