Abstract:

Objective To establish a set of scientific,systematic and operable sensitive index of traditional Chinese medicine （TCM） nursing quality,in order to provide references for TCM nursing quality evaluation of nursing managers. Methods Based on the three-dimensional quality model of Donabedian “structure-process-result”,the literature review and group discussion were conducted to screen the sensitive index items of TCM nursing quality. From September to December 2020,through the improved version of Delfi method,20 experts from Beijing,Shandong,Nanjing and other places were consulted,and the hierarchical analysis method was adopted to determine the index weight of each level. Results The constructed sensitive indicators involve 8 sensitive indicators of TCM nursing quality,including the proportion of nurses in TCM nursing colleges and the incidence rate of TCM nursing operation scald. The positive coefficients of experts in 2 rounds of consultations are 91% and 100%,with the authority coefficients of 0.848 and 0.928. The coefficient of variation after 2 rounds of letter inquiry is 0~0.22;Kendall’s W is 0.288~0.738,and P<0.05. Conclusion The sensitive index of TCM nursing quality constructed based on the Donabedian “structure-process-result” model by the improved Delphi method is rich in TCM nursing characteristics,in line with the scientific and practical principles. It has certain guiding significance for the quantification of clinical TCM nursing quality.

Key words: Donabedian Model, TCM Nursing, Sensitive Index, Delphi Method, Nursing Administration Research

摘要：

目的 建立一套科学、系统、具有可操作性的中医护理质量敏感指标,为护理管理者进行中医护理质量评价提供参考。 方法 以Donabedian“结构-过程-结果”三维质量模型为理论基础,通过文献回顾与小组讨论筛选中医护理质量敏感指标,2020年9月—12月,采用改良德尔菲法对来自北京市、山东省、南京市、广东省、四川省等地的20名专家进行2轮咨询,采用层次分析法确定各层级指标权重。 结果 构建的中医护理质量敏感指标包括8项指标,如中医院校或中医护理专业护士占比、中医护理操作烫伤发生率等。2轮咨询专家积极系数分别为91%、100%,权威系数为0.848、0.928,2轮咨询后变异系数为0~0.22,肯德尔和谐系数为0.288~0.738（P<0.05）。 结论 该研究构建的中医护理质量敏感指标具有中医护理特色,符合科学性、实用性原则,对量化临床中医护理质量有一定指导意义。

关键词: Donabedian模式, 中医护理, 敏感指标, 德尔菲法, 护理管理研究