关键词: 神经外科, 重症监护病房, 护理质量, 评价指标, 德尔菲法, 护理管理研究

Abstract:

Objective To establish an evaluation index system of nursing quality in neurosurgery ICU in accordance with China’s conditions,in order to provide a scientific reference for the evaluation and monitoring of nursing quality in neurosurgery ICU. Methods Based on the three-dimensional quality model of “structure-process-outcome”,the domestic and foreign literatures were retrieved;clinical practice and individual needs of patients were integrated;the index entry pool was set;the inquiry content was determined by semi-structured interview method. Finally,the index system and its weight were determined by Delphi method and analytic hierarchy process. Results The recovery rates of two rounds of expert consultation were 96.67% and 100%;the authority coefficients were 0.8975 and 0.900;the judgment coefficients were 0.956 and 0.962;the familiarity coefficients were 0.838 and 0.837,and the Kendall harmony coefficients were 0.219 and 0.226,respectively. The final evaluation index system of nursing quality in neurosurgery ICU included three first-level indicators,namely,structure indicators,process indicators and outcome indicators,17 second-level indicators and 104 third-level indicators. Conclusion The evaluation index system of nursing quality in neurosurgery ICU established in this study is comprehensive and practical,which can provide objective and quantitative quality evaluation tools for nursing managers,guide the clinical practice of nurses,and promote continuous nursing quality improvement in neurosurgery ICU.

Key words: Neurosurgery, Intensive Care Units, Nursing Quality, Appraisal Indicators, Delphi Method, Nursing Administration Research