[基于结构-过程-结果模型的门诊牙科诊所护理质量管理评估指数系统的构建]
Jingyi Wei1, Fan Liu1, Chunxia Yang1
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
概括
这项研究开发了一种可靠的评估指数系统,用于使用结构-过程-结果模型在牙科诊所的护理质量. 该系统旨在客观地评估和改进护理管理标准,以改善患者护理.
科学领域:
- 医疗保健管理的管理
- 护理质量评估 护理质量评估
- 牙科公共卫生 牙科公共卫生
背景情况:
- 在门诊牙科诊所中,有效的护理质量管理至关重要.
- 现有的评估方法可能缺乏客观性和全面性.
- 结构-过程-结果 (SPO) 模型为系统的质量评估提供了一个框架.
研究的目的:
- 构建一个科学和可靠的评估指数系统,用于门诊牙科诊所的护理质量管理.
- 建立一个客观的标准来评估护理质量在这个环境中.
- 为护理管理的持续改进提供基础.
主要方法:
- 文献审查,多主题访谈和专家会议,以起草初始索引系统.
- 用德尔菲方法与15名国家专家在医院感染管理,护理管理和口腔护理方面合作.
- 两轮专家咨询以完善和验证索引系统,评估专家权威,重要性,可行性和共识.
主要成果:
- 获得了高专家参与度和共识 (正系数为86.7%-92.3%,权威系数为0.791-0.717).
- 专家们认识到指数的重要性和可行性 (平均得分≥4.333,变化系数≤0.150).
- 确定了一个最终评估指数系统,包括3个一级指数,7个二级指数和22个三级指数 (69个内涵). 关键指标包括患者满意度,手部卫生,椅子护理比例和营业额率.
结论:
- 开发的评估指数系统在科学上是合理的,可靠的,用于评估牙科门诊机构的护理质量管理.
- 该系统为评估管理水平和推动护理质量的持续改进提供了宝贵的参考.
- 结构-过程-结果模型有效地指导了构建一个全面和客观的评估框架.
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