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基于Donabedian理论的儿童肝移植全程护理质量评价体系

[A Whole-Course Nursing Quality Evaluation System for Liver Transplantation in Children Based on Donabedian Theory].

作者信息

Tang Shi, Huang Ming-Zhu, Lu Ye-Feng, Liu Wenzhuo, Wang Bei-Bei, Wang Yan

机构信息

Department of Nursing,Ren Ji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2024 Feb;46(1):55-61. doi: 10.3881/j.issn.1000-503X.15888.

Abstract

Objective To build a whole-course nursing quality evaluation system for liver transplantation in children,so as to provide a basis for nursing quality evaluation and management. Methods With Donabedian's "structure-process-outcome" model as the theoretical framework,we employed literature analysis,Delphi method,and hierarchical analysis to determine the contents and weights of indexes in the whole-course nursing quality evaluation system for liver transplantation in children. Results The three rounds of survey based on questionnaires showed the questionnaire recovery rate of 100%,the expert authority coefficients of 0.95,0.96,and 0.98,and the Kendall's coefficients of concordance of 0.165,0.209,and 0.220,respectively(all <0.001).The established nursing quality evaluation system included 3 first-level indexes,15 second-level indexes,and 67 third-level indexes. Conclusion The whole-course nursing quality evaluation system for liver transplantation in children that was built in this study can provide a basis for the evaluation of the nursing quality.

摘要

目的 构建小儿肝移植全程护理质量评价体系,为护理质量评价与管理提供依据。方法 以Donabedian的“结构-过程-结果”模型为理论框架,采用文献分析、德尔菲法和层次分析法确定小儿肝移植全程护理质量评价体系指标的内容及权重。结果 三轮问卷调查的问卷回收率均为100%,专家权威系数分别为0.95、0.96、0.98,肯德尔和谐系数分别为0.165、0.209、0.220(均P<0.001)。构建的护理质量评价体系包括3个一级指标、15个二级指标和67个三级指标。结论 本研究构建的小儿肝移植全程护理质量评价体系可为护理质量评价提供依据。

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