[养老院护理服务质量指标的制定与应用]
[Development and application of nursing service quality indicators in nursing homes].
作者信息
Chung Jane
机构信息
College of Nursing, Yonsei University, Korea.
出版信息
Taehan Kanho Hakhoe Chi. 2007 Apr;37(3):401-13. doi: 10.4040/jkan.2007.37.3.401.
PURPOSE
This study was designed to develop Nursing Service Quality Indicators(NSQIs) in nursing homes that would lead to an appropriate evaluation and improvement of nursing service quality.
METHODS
The preliminary NSQIs were developed through literature reviews and analysis of existing quality indicators. A content validity testing was done twice by using a panel of experts who were from academia and the clinical areas. The final NSQIs were confirmed and applied in three nursing homes to test feasibility.
RESULTS
The preliminary NSQIs had 4 domains and 31 indicators. Two content validity testings were performed. The indicators scoring over .80 CVI for each testing were selected and modified by experts' opinions. The final NSQIs consisted of7 domains and 33 indicators. They were applied in three nursing homes and it was revealed that all the indicators were applicable.
CONCLUSION
In this study, it is shown that this new 'Nursing Service Quality Indicators in Nursing Homes' is suitable for a holistic evaluation of nursing service quality of elderly patients in nursing homes. This NSQIs will be able to provide a basis for establishing nursing care standards and improving the nursing care quality in nursing homes.
目的
本研究旨在制定养老院护理服务质量指标（NSQIs），以实现对护理服务质量的恰当评估与改进。
方法
通过文献综述和对现有质量指标的分析来制定初步的NSQIs。由来自学术界和临床领域的专家小组进行了两次内容效度测试。最终的NSQIs在三家养老院得到确认并应用以测试可行性。
结果
初步的NSQIs有4个领域和31项指标。进行了两次内容效度测试。每次测试中内容效度指数（CVI）得分超过0.80的指标由专家意见进行挑选和修改。最终的NSQIs由7个领域和33项指标组成。它们在三家养老院得到应用，结果显示所有指标均适用。
结论
本研究表明，这种新的“养老院护理服务质量指标”适用于对养老院老年患者护理服务质量进行全面评估。该NSQIs将能够为制定护理标准和提高养老院护理质量提供依据。
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