Hu Ruixue, Chen Yanhua, Hu Juan, Yi Liangying
Author Affiliations : Department of Sterile processing Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China; and Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Qual Manag Health Care. 2024;33(4):253-260. doi: 10.1097/QMH.0000000000000418. Epub 2024 Sep 30.
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.
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.
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).
Evidence-based nursing-sensitive quality indicators for the CSSD were established.
既往研究表明，改善中心供应室（CSSD）的质量管理是控制和减少医院感染的有效措施。本研究旨在建立我国CSSD护理的护理敏感质量指标。
我们基于结构-过程-结果模型起草护理敏感质量指标，然后采用改良德尔菲法与专家进行两轮咨询，以确定指标及其科学测量方法。
我们确定了五项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。肯德尔和谐系数分别为0.168和0.210（P <.05）。
建立了基于证据的CSSD护理敏感质量指标。
