建立并分析儿科肿瘤护理质量指标体系。

Establishment and analysis of quality index system for pediatric tumor nursing.

机构信息

Children's General Surgery and Oncology Surgery, Hainan Women and Children's Medical Center, Haikou, China.

Children's Respiratory Department, Hainan Women, and Children's Medical Center, Haikou, China.

出版信息

Technol Health Care. 2024;32(6):4343-4351. doi: 10.3233/THC-240252.

DOI:10.3233/THC-240252

PMID:39058465

Abstract

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.

摘要

背景

护理管理以护理质量管理为核心。护理质量评价指标不仅控制护理质量，衡量工作积极性，判断护理水平的差异，而且帮助护士准确了解患者的满意度。

目的

分析儿科肿瘤护理质量评价指标，建立科学严谨的儿童护理质量指标体系。

方法

本研究采用“结构-过程-结果”的方法，采用德尔菲法对国内儿科、儿科肿瘤内科、儿科肿瘤外科护理及临床护理领域的专家进行了两轮问卷调查和意见收集。此外，还采用 Kendall 协调系数和层次分析法确定各级指标的内容，设置权重，最终建立儿科肿瘤护理质量指标体系。

结果

第一轮问卷专家的回复率为 100%，Ca0.77，Cs0.73，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。两轮咨询后，各指标重要性评价得分范围为 3.31-4.88 和 3.29-5.00，指标重要性评价得分高于 3.50 的比例均在 94.7%以上。最终确定了 3 个一级指标、12 个二级指标和 54 个三级指标。