黄天雯，张伟玲，刘圆圆，肖萍，陈晓玲，戴巧艳，黎小霞，彭莉，成守珍

引用本文： 黄天雯，张伟玲，刘圆圆，肖萍，陈晓玲，戴巧艳，黎小霞，彭莉，成守珍.基于敏感指标的骨科专科护理质量标准的构建[J].护理研究,2022,36(4):580-586

摘要： [目的]构建基于敏感指标的骨科专科护理质量标准，为改善骨科专科护理质量提供依据。[方法]结合前期研究和临床实践资料分析，通过系统的文献回顾、半结构式访谈、专家会议法，初步拟订基于敏感指标的骨科专科护理质量标准，采用德尔菲法进行筛选、论证与校正，采用层次分析法确定权重。[结果]2轮专家函询的问卷回收率分别为93.02%、100.00%；2轮专家权威系数均为0.915；2轮积极系数分别为0.93，1.00；第2轮函询后变异系数为0.03~0.18；第2轮函询一级标准、二级标准肯德尔和谐系数分别为0.287，0.474，差异均有统计学意义（<0.001）；最终构建的骨科专科护理质量标准包括一级标准10项、二级标准62项。[结论]基于敏感指标的骨科专科护理质量标准构建过程科学、可靠，标准内容与敏感指标之间建立了内在联系，体现了骨科专科护理服务特点，可为全面、精确、针对性地改善骨科专科护理质量提供依据。

关键词： 护理质量标准;医院;骨科;德尔菲技术;护理管理

课题： 广东省护理学会护理科研指令性面上课题(gdhlxueh2019zl024)

HUANG Tianwen，ZHANG Weiling，LIU Yuanyuan，XIAO Ping，CHEN Xiaoling，DAI Qiaoyan，LI Xiaoxia，PENG Li，CHENG Shouzhen

Abstract [Objective]To construct an orthopedic specialist nursing quality standard based on sensitive indicators to provide a basis for improving the quality of orthopedic specialist nursing.[Methods]Combined with previous research and clinical practice data analysis，systematic literature review，semi⁃structured interviews，and expert meeting methods，the quality standards of orthopedic specialist nursing based on sensitive indicators were preliminarily formulated.The Delphi method was used for screening，demonstration，and correction，then the analytic hierarchy process（AHP）was used to determine the weights.[Results]The questionnaire recovery rates of the two rounds of expert consultation were 93.02% and 100.00%，respectively；the authoritative coefficients of the two rounds of expert consultation were both 0.915；the positive coefficients of the two rounds were 0.93 and 1.00，respectively；the coefficient of variation after the second round of consultation was 0.03⁃0.18；the Kendall's harmony coefficients of the first⁃level standard and the second⁃level standard in the second round consultation were 0.287 and 0.474，respectively，and the differences were statistically significant（<0.001）.The final quality standards for orthopedic specialist nursing included 10 first⁃level and 62 second⁃level standards.[Conclusions]The construction process of quality standards for orthopedic specialist nursing based on sensitive indicators was scientific and reliable， and an internal relationship was established between the standard content and sensitive indicators， which reflected the characteristics of orthopedic specialist nursing services，and could provide the reference for improving the quality of orthopedic specialist nursing in a comprehensive，accurate and targeted manner.

Keywords nursing quality standard;hospital;orthopedics;Delphi method;nursing management

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