为中央消毒供应部建立护理敏感质量指标：改良德尔菲研究。

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2024-02-29 DOI:10.1097/QMH.0000000000000418

Ruixue Hu, Yanhua Chen, Juan Hu, Liangying Yi

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引用次数: 0

摘要

背景和目的：既往研究表明，改善中央消毒供应部（CSSD）的质量管理是控制和减少医院感染的有效措施。本研究旨在为中国中央消毒供应科护理建立护理敏感质量指标：方法：在结构-过程-结果模型的基础上，我们起草了护理敏感质量指标，然后采用改良德尔菲法与专家进行了两轮磋商，以确定指标和科学的测量方法：结果：我们确定了 5 个 CSSD 护理敏感质量指标。两轮有效问卷的回收率均为 100%。专家权威系数分别为 0.810 和 0.902。肯德尔一致性系数分别为 0.168 和 0.210（P < .05）：结论：建立了以证据为基础的 CSSD 护理敏感质量指标。

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Establishing Nursing-Sensitive Quality Indicators for the Central Sterile Supply Department: A Modified Delphi Study.

Background and objectives: Previous studies have shown that improving quality management in the central sterile supply department (CSSD) is an effective measure to control and decrease hospital-acquired infections. This study aimed to establish nursing-sensitive quality indicators for CSSD nursing in China.

Methods: We drafted nursing-sensitive quality indicators on the basis of the Structure-Process-Outcome model, and then conducted 2 rounds of consultation with experts using a modified Delphi method to determine the indicators and scientific methods of measurement.

Results: We identified five CSSD nursing-sensitive quality indicators. Recovery rates of the 2 rounds of valid questionnaires were 100%. Expert authority coefficients were 0.810 and 0.902, respectively. Kendall's coefficients of concordance were 0.168 and 0.210, respectively ( P < .05).

Conclusion: Evidence-based nursing-sensitive quality indicators for the CSSD were established.

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.