发展护理质量指标,用于呼吸道医学病房的高流量加湿氧疗法
Da-Hong Zhai1, Min-Ling Mo1, Fang-Hui Dong1
1Department of Nursing, Shanghai Sixth People's Hospital, Shanghai, China.
Nursing in critical care
|October 8, 2025
概括
开发了一个新的护理质量指标系统,用于高流量加湿氧疗法. 这一经验证的系统有助于评估和提高呼吸病房的护理质量,以改善患者的治疗结果.
科学领域:
- 提高护理质量 提高护理质量
- 呼吸系统医学 呼吸系统医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高流量加湿氧疗法 (HFHOT) 是一种常见的呼吸治疗方法.
- 目前对HFHOT的护理质量指标缺乏标准化.
- 标准化的评估对于优化HFHOT有效性至关重要.
研究的目的:
- 开发和验证一个全面的护理质量指标系统HFHOT.
- 使用Donabedian的"结构-过程-结果"框架.
- 为了提高护理实践和患者在呼吸护理的结果.
主要方法:
- 混合方法方法结合文献综述和专家采访.
- 基于"结构-流程-结果"模型的指标系统的开发.
- 两轮的德尔菲咨询与11名专家进行,以完善指标.
主要成果:
- 专家小组表现出高度参与和权威 (系数>0.89).
- 显著的共识改善 (肯德尔的W从0.357到0.605).
- 完成的系统包括3个级别:3个第一级,11个第二级和31个第三级指标.
结论:
- 德尔菲方法和分析层次过程创造了一个科学强大的护理质量指标系统.
- 该系统为评估和提高HFHOT护理质量提供了一个实际的框架.
- 实施可以在呼吸道医学环境中改善患者的治疗结果.
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