Gagnon Johanne, Grenier Raymond
Faculté des Sciences Infirmières, l'Université Laval, Québec.
Rech Soins Infirm. 2004 Mar(76):50-67.
The purpose of the study was to identify, validate and rank, through multi-attribute hierarchical analysis, indicators of quality of care related to the empowerment of patients having a chronic complex illness, or their natural care givers. This methodological study was carried within case management and was theoretically based on the quality model of Donabedian (1980) and the empowerment theory of Zimmerman (1995), while also drawing from values underlying nursing practise described by the health promotion model of Allen (1977). Two groups of professional and one group of non professional were considered. Using the DELPHI technique and interviews, the study has 1) provided an evaluation model for quality of care comprising 239 elements (12 main attributes, 75 secondary attributes and 152 indicators), 2) allowed its validation, and 3) its ranking by experts. The discussion encompasses theoretical, empirical and methodological considerations.
本研究的目的是通过多属性层次分析，识别、验证并对与慢性复杂疾病患者或其天然护理者赋权相关的护理质量指标进行排序。这项方法学研究是在病例管理中进行的，理论上基于多纳贝迪安（1980年）的质量模型和齐默尔曼（1995年）的赋权理论，同时也借鉴了艾伦（1977年）健康促进模型所描述的护理实践的潜在价值观。研究考虑了两组专业人员和一组非专业人员。通过德尔菲技术和访谈，该研究：1）提供了一个包含239个要素（12个主要属性、75个次要属性和152个指标）的护理质量评估模型；2）对其进行了验证；3）由专家进行了排序。讨论涵盖了理论、实证和方法学方面的考虑。
