基于循证构建静脉血栓栓塞症预防护理敏感质量指标体系
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女,硕士,护士

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Construction of an evidenced-based nursing-sensitive quality indicator system for venous thromboembolism prevention
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    目的 构建静脉血栓栓塞症预防护理敏感质量指标体系,为静脉血栓栓塞症预防护理质量评价和监测提供工具。方法 以“结构-过程-结果”模式为理论框架,采用澳大利亚JBI循证方法收集评价证据,由小组讨论筛选指标,初步拟订静脉血栓栓塞症预防护理敏感质量指标,进行2轮专家函询确立静脉血栓栓塞症预防护理敏感质量指标体系,最后通过层次分析法计算指标权重。结果 静脉血栓栓塞症预防护理敏感质量指标体系包含3项一级指标、6项二级指标、22项三级指标;2轮函询专家积极系数分别为84.85%与96.43%,权威系数分别为0.863与0.869,协调系数分别为0.099~0.163,0.096~0.135。结论 构建的静脉血栓栓塞症预防护理敏感质量指标体系过程严谨,具有可靠性,权重分配合理,可用于临床静脉血栓栓塞症预防护理质量评估。

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    Objective To develop a nursing-sensitive quality indicator system for venous thromboembolism (VTE) prevention, and to provide reference for quality evaluation and monitoring of nursing care in VTE prevention. Methods Using the "Structure-Process-Outcome" model as theoretical framework and based on the JBI model of evidence-based healthcare, we discussed and selected indicators and developed the draft, then successive rounds of Delphi surveys were conducted to determine the nursing-sensitive quality indicator system. At last, weight of each indicator was calculated. Results The indicator system included 3 first-level indicators, 6 second-level indicators, and 22 third-level indicators. The response rate of questionnaire was 84.85% in round 1 and 96.43% in round 2. The expert authority coefficients were 0.863 and 0.869 respectively, and the Kendall′s W coordination coefficients were 0.099-0.163 in round 1 and 0.096-0.135 in round 2. Conclusion The nursing-sensitive quality indicator system,with reasonable weight of each indicator, is scientific and reliable, which may provide a theoretical basis for continuous improvement of VTE prevention in clinical practice.

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晏蓉,李素云,赵诗雨,米元元,刘云访,戴璐璐,刘天艺.基于循证构建静脉血栓栓塞症预防护理敏感质量指标体系[J].护理学杂志,2021,36(10):57-61

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  • 收稿日期:2020-11-15
  • 最后修改日期:2021-02-20
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  • 在线发布日期: 2022-09-16