儿科肿瘤护理质量指标体系的建立与分析。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Jieting Lu, Xiaoling Sun, Yun Zhang
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引用次数: 0

摘要

背景:护理管理的核心是护理质量管理。护理质量评价指标不仅能控制护理质量、衡量工作热情、判断护理水平差异,还能帮助护士准确了解患者的满意程度:分析小儿肿瘤护理质量评价指标,建立科学严谨的儿童护理质量评价指标体系: 方法:在本研究 "结构-过程-结果 "的基础上,采用德尔菲法对国内儿科、小儿肿瘤内科、小儿肿瘤外科护理及临床方面的专家进行2次问卷调查及意见征集。并采用肯德尔协调系数法和层次分析法确定各级指标内容,设定权重,最终建立小儿肿瘤护理质量指标体系:第一轮27位专家问卷回复率为100%,Ca0.77,Cs,0.73,Cr0.75,专家协调系数W值为0.315。在第二轮 27 位专家咨询中,回复率为 96%,Ca0.81,Cs0.80,Cr0.805,专家协调系数 W 值为 0.369。经过两轮咨询,各指标的重要性评价得分分别在 3.31-4.88 和 3.29-5.00 之间,94.7%以上的指标重要性评价得分高于 3.50。最后,确定了 3 个一级指标、12 个二级指标和 54 个三级指标:本研究建立了简单、全面、科学的小儿肿瘤护理质量指标体系,突出了小儿肿瘤护理的特点,为小儿肿瘤专科护理提供了评价体系,使小儿肿瘤护理更加规范化,为小儿肿瘤护理的可持续、科学发展做出了贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishment and analysis of quality index system for pediatric tumor nursing.

Background: Nursing management considers nursing quality management at its core. Evaluation indexes of nursing quality not only control nursing quality, measure work enthusiasm, and judge the difference in nursing levels but also help nurses accurately understand the satisfaction degree of patients.

Objective: To analyze pediatric tumor nursing quality evaluation indexes and establish a scientific and rigorous index system of children's nursing quality.

Methods:   Based on the "structure-process-result" in this study, the Delphi method was used to carry out questionnaire investigations and opinion collection for domestic experts in pediatrics, pediatric oncology internal medicine, and pediatric oncology surgical care and clinical aspects two times. In addition, the Kendall coordination coefficient and analytic hierarchy process were used to determine the content of indicators at all levels, set the weight, and finally establish the quality index system of pediatric tumor nursing.

Results: The response rate of 27 experts in the first round of the questionnaire was 100%, Ca0.77, Cs,0.73, Cr0.75, and the W value of the expert coordination coefficient was 0.315. In the second round of 27 expert consultations, the reply rate was 96%, Ca0.81, Cs0.80, Cr0.805, and the specialist coordination coefficient W value was 0.369. After two rounds of consultation, the importance evaluation scores of each indicator ranged from 3.31 to 4.88 and 3.29 to 5.00, respectively, and more than 94.7% of the indicators' importance evaluation scores were higher than 3.50. Finally, 3 Level-1 indicators, 12 Level-2 indicators, and 54 Level-3 indicators are established.

Conclusion: This study has established a simple, comprehensive, and scientific quality index system for pediatric tumor nursing, highlighted the characteristics of pediatric tumor nursing, and provided an evaluation system for specialized nursing of pediatric tumors to more standardized pediatric tumor nursing and contribute to the sustainable and scientific development of pediatric tumor nursing.

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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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