护理质量评估框架,用于使用结构 - 过程 - 结果模型在脑创伤后的气管切割失调中进行护理质量评估
Delian An1, Yanfeng Li2, Yingjie Zhang3
1Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Journal of clinical nursing
|October 16, 2024
概括
这项研究确定了护理敏感的质量指标 (NSQI),用于获得性脑损伤 (ABI) 后气管切除术患者. 这些指标为改善护理质量和患者结果提供了一个框架.
科学领域:
- 护理科学 护理科学
- 提高质量 提高质量
- 康复医学 康复医学 康复医学
背景情况:
- 获得性脑损伤 (ABI) 的患者在气管切除术后经常出现食障碍,使恢复复杂化.
- 有效的护理护理对于管理食障碍和改善这一群体的结果至关重要.
- 现有的质量指标可能无法完全满足ABI患者的特定需求,这些患者患有气管切除术后的呼吸障碍症.
研究的目的:
- 开发和验证一套综合的护理敏感质量指标 (NSQI),用于因ABI而进行气管切除术后患有缺食症的患者.
- 建立基于结构-过程-结果模型的系统框架,用于评估护理护理质量.
主要方法:
- 采用了混合方法的方法,包括系统的文献评论和定性访谈.
- 两轮德尔菲专家咨询与失调康复和护理管理专家进行.
- 专家达成共识,以完善和完成NSQIs.
主要成果:
- 建立了一套完善的NSQIs,包括4个结构性,13个过程和4个结果指标.
- 这些指标涵盖了护理的关键方面,包括资源分配,患者评估和临床结果.
- 专家共识验证了这些指标,高度一致 (肯德尔和系数> 0.304,p < 0.001) 和平均重要性评级为3.90-5.00.00.
结论:
- 开发的NSQI提供了一个系统的框架,以提高ABI患者的护理护理质量,这些患者患有气管切除术后的呼吸障碍症.
- 这种模式促进了护理实践的精确监测和主动管理.
- 国家护理素质指标旨在改善患者的治疗结果,简化护理流程,支持专业护理教育.
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