“互联网+中医护理”服务能力评价指标的构建

doi:10.3761/j.issn.0254-1769.2024.15.004

摘要/Abstract

摘要：

目的构建“互联网+中医护理”服务能力评价指标，为规范、有效评价“互联网+中医护理”服务能力提供参考依据。方法采用文献分析法，以三维质量结构模型为理论框架，初步构建“互联网+中医护理”服务能力评价指标条目池。2022年7月—10月采用德尔菲法对广东省的16名专家进行2轮函询，评价函询专家的积极性、权威性、意见集中程度及意见协调程度，并结合层析分析法，确定指标权重。结果专家函询问卷回收率均为100%，专家权威系数分别为0.844和0.834；肯德尔和谐系数分别为0.161、0.110（P<0.001）。最终构建的指标包括结构评价、过程评价、结果评价等一级指标3项、二级指标14项、三级指标57项。结论该研究构建的评价指标科学性、实用性较强，围绕“互联网+中医护理”服务能力展开，可为有效评价护士的“互联网+中医护理”服务能力提供一定的依据。

关键词: 互联网+, 中医护理学, 三维质量结构模型, 服务能力评价, 指标构建

Abstract:

Objective To construct an evaluation index system of “Internet+ Traditional Chinese Medicine nursing” service capability，in order to provide references for the standardized and effective evaluation of “Internet+ Traditional Chinese Medicine nursing” service capability. Methods Literature analysis and semi-structured interview method were adopted，and three-dimensional quality structure model was used as the theoretical framework to initially construct the “Internet+ Traditional Chinese Medicine nursing” service capability evaluation index item pool. From July to October 2022，the Delphi method was used to conduct 2 rounds of consultation with 16 experts from Guangdong Province，to evaluate the enthusiasm，authority，degree of opinion concentration and degree of opinion coordination of the experts in the correspondence consultation，and the weight of the index system was determined with the combination of chromatography analysis. Results 2 rounds of expert letter consultation were conducted. The questionnaire recovery rates were 100%，and the authority coefficients were 0.844 and 0.834，respectively. Kendall coordination coefficients were 0.161 and 0.110，respectively（P<0.001）. The first level indexes of the index system are structure evaluation，process evaluation and outcome evaluation. There were 3 first-level evaluation indicators，14 second-level evaluation indicators and 57 third-level evaluation indicators. Conclusion The evaluation index is scientific and practical，and it is carried out around the Internet+ Traditional Chinese Medicine nursing capability，which provides a certain reference for the effective evaluation of the service capability of “Internet+ Traditional Chinese Medicine nursing”.

Key words: Internet+, Traditional Chinese Medicine Nursing, Three-Dimensional Quality Structure Model, Service Capability Evaluation, Index Construction

胡燕娇, 黎妍, 罗仕妙, 邹涛, 丁美祝. “互联网+中医护理”服务能力评价指标的构建[J]. 中华护理杂志, 2024, 59(15): 1818-1823.

HU Yanjiao, LI Yan, LUO Shimiao, ZOU Tao, DING Meizhu. Construction of an “Internet+ Traditional Chinese Medicine nursing” service capability evaluation index system based on the three-dimensional quality structure model[J]. Chinese Journal of Nursing, 2024, 59(15): 1818-1823.

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参考文献 18

[1]	国家卫生健康委. 国家卫生健康委办公厅关于开展“互联网+护理服务”试点工作的通知[EB/OL]. (2020-12-08)[2023-07-13]. http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
	National Health Commission. Notice of the General Office of the National Health Commission on the pilot work of “Internet+ nursing service”[EB/OL]. (2020-12-08)[2023-07-13]. http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[2]	谭萍芬, 蔡少华, 严亮华, 等. “互联网+护理”服务试点项目比较研究[J]. 中国医院, 2022, 26(7):75-77.
	Tan PF, Cai SH, Yan LH, et al. Comparative study on pilot projects of Internet+nursing service[J]. Chin Hosp, 2022, 26(7):75-77.
[3]	向美焕, 冯晓玲, 陈珺仪, 等. 广东省“互联网+护理服务”试点医疗机构护理服务调查[J]. 护理学杂志, 2023, 38(3):54-58.
	Xiang MH, Feng XL, Chen JY, et al. Survey on “Internet plus nursing service” provided by pilot medical institutions in Guangdong province[J]. J Nurs Sci, 2023, 38(3):54-58.
[4]	陈娟, 林美珍, 丁美祝, 等. “互联网+中医护理”服务模式的实践[J]. 护理学报, 2022, 29(24):14-17.
	Chen J, Lin MZ, Ding MZ, et al. Practice of “Internet+ Traditional Chinese Medicine Nursing” service model[J]. J Nurs (China), 2022, 29(24):14-17.
[5]	Donabedian A. Evaluating the quality of medical care. 1966[J]. Milbank Q, 2005, 83(4):691-729. DOI PMID
[6]	庄惠人, 张伟英, 马丽莉, 等. 基于三维质量结构模式构建“互联网+护理服务”质量评价指标体系[J]. 中华现代护理杂志, 2021, 27(25):3367-3373.
	Zhuang HR, Zhang WY, Ma LL, et al. Construction of the “Internet+ nursing service” quality evaluation index system based on the three-dimensional quality structure model[J]. Chin J Mod Nurs, 2021, 27(25):3367-3373.
[7]	Powell C. The Delphi technique:myths and realities[J]. J Adv Nurs, 2003, 41(4):376-382.
[8]	杜美晨, 汪晖, 刘于, 等. 护理人力资源配置评价指标的范围综述[J]. 中华护理杂志, 2023, 58(3):366-373. DOI
	Du MC, Wang H, Liu Y, et al. Indicators to evaluate nursing staff allocation:a scoping review[J]. Chin J Nurs, 2023, 58(3):366-373.
[9]	贾晓洁, 魏雅琪, 洪珍兰, 等. “互联网+”时代下中医护理技术院外开展现状研究[J]. 全科护理, 2021, 19(36):5068-5071.
	Jia XJ, Wei YQ, Hong ZL, et al. Research on the current situation of Traditional Chinese Medicine nursing technology in the era of “Internet+”[J]. Chin Gen Pract Nurs, 2021, 19(36):5068-5071.
[10]	马楠楠. 基于“三维质量结构”模式的社区产后家庭访视护理质量评价指标体系的构建与应用研究[D]. 银川: 宁夏医科大学, 2016.
	Ma NN. Construction and application of nursing quality evaluation index system in community postpartum visit based on “three-dimensional quality structure”model[D]. Yinchuan: Ningxia Medical University, 2016.
[11]	Adam S, Mohos A, Kalabay L, et al. Potential correlates of burnout among general practitioners and residents in Hungary:the significant role of gender,age,dependant care and experience[J]. BMC Fam Pract, 2018, 19(1):193.
[12]	孙秋华. 中医护理学[M]. 第5版. 北京: 人民卫生出版社, 2022.
	Sun QH. Traditional Chinese medicine nursing[M]. 5nd ed.ed. Beijing: People’s Medical Publishing House,2022.
[13]	汪苗, 杨燕, 李远珍, 等. 互联网+护理服务护士岗位胜任力评价指标体系的构建[J]. 护理学报, 2022, 29(11):20-24.
	Wang M, Yang Y, Li YZ, et al. Construction of evaluation index system of post competence for nurses in “Internet plus nursing service” program[J]. J Nurs, 2022, 29(11):20-24.
[14]	郭俊晨, 龚有文, 戴云云, 等. 生命末期成人住院患者护理评估的最佳证据总结[J]. 中华护理杂志, 2023, 58(13):1571-1578. DOI
	Guo JC, Gong YW, Dai YY, et al. Summary of best evidence for comprehensive nursing assessment of adults hospitalised at the end of life[J]. Chin J Nurs, 2023, 58(13):1571-1578. DOI
[15]	谢晖, 梁鸽, 翟春晓, 等. 老年慢性病患者对长期照护志愿者的需求及影响因素分析[J]. 中华护理杂志, 2015, 50(7):781-784.
	Xie H, Liang G, Zhai CX, et al. Demands for volunteer services in long-term care among geriatric patients with chronic diseases[J]. Chin J Nurs, 2015, 50(7):781-784.
[16]	俞利琴. 出院患者对延续中医护理技术的需求调查[J]. 中医药管理杂志, 2023, 31(3):49-51.
	Yu LQ. Investigation on the demand of discharged patients for continuing traditional Chinese medicine nursing technology[J]. J Tradit Chin Med Manag, 2023, 31(3):49-51.
[17]	姜勤勤, 张泽洪, 熊晶晶, 等. 基于技术接受模型和计划行为理论的“互联网+护理服务”患者采纳意愿研究[J]. 解放军护理杂志, 2022, 39(2):42-45,50.
	Jiang QQ, Zhang ZH, Xiong JJ, et al. Patients’ adoption intention to “Internet+ nursing service” based on technology acceptance model and theory of planned behavior theory[J]. Nurs J Chin PLA, 2022, 39(2):42-45,50.
[18]	许晓红. 南昌三甲医院临床护士对“互联网+护理服务”的意愿现状调查及分析[D]. 南昌: 南昌大学, 2020.
	Xu XH. Investigation and analysis on the current situation of clinical nurses’ willingness to “Internet+ nursing service” in Nanchang tertiary hospitals[D]. Nanchang: Nanchang University, 2020.