Dreyer E
Unidade Respiratória do Hospital das Clínicas, Unicamp, Campinas, S.P.
Rev Bras Enferm. 1997 Apr-Jun;50(2):229-46. doi: 10.1590/s0034-71671997000200008.
The purpose of this study is the development of valid standards and criteria of nursing care quality for intensive care units (ICUs) based on Donabedian's approach to quality access. Eighteen standards and 219 criteria have been formulated by ICU staff nurses at a school-hospital, according to a protocol. These standards/criteria have then been evaluated by 14 experts in ICU Nursing from 5 other hospitals by means of a written questionnaire. The results indicated a high acceptance thereof and only one criterion was rejected. This showed that staff nurses and the experts involved had similar concepts about quality of ICU practice. The developed operational definition may be a basis to quality access tool. Staff nurses participation in this process is recommended.
本研究的目的是基于唐纳贝迪安的质量评估方法，制定重症监护病房（ICU）护理质量的有效标准和准则。一所校医院的ICU护士按照一份方案制定了18项标准和219条准则。然后，来自其他5家医院的14名ICU护理专家通过书面问卷对这些标准/准则进行了评估。结果显示，这些标准/准则得到了高度认可，只有一条准则被否决。这表明参与其中的护士和专家对ICU护理质量有着相似的概念。所制定的操作定义可能是质量评估工具的基础。建议护士参与这一过程。
