构建严重创伤患者的紧急护理敏感质量指标系统:在中国背景下修改后的Delphi研究
La Xie1, Meng He1, Nianlu Xing1
1Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
BMJ open
|February 15, 2026
概括
这项研究开发了严重创伤急救护理的护理敏感质量指标系统. 该系统提供了一个科学工具来评估和提高紧急创伤护理服务的质量.
科学领域:
- 紧急医疗 紧急医疗
- 提高护理质量 提高护理质量
- 创伤护理 创伤护理
背景情况:
- 有效的质量评估对于严重创伤紧急护理至关重要.
- 现有的工具可能无法充分捕捉护理的具体贡献.
- 需要制定一个量身定制的指标系统来衡量和提高护理质量.
研究的目的:
- 开发一个护理敏感的质量指标系统,用于重创患者的紧急护理.
- 为评估紧急创伤护理质量提供科学测量工具.
- 通过专家咨询建立基于共识的系统.
主要方法:
- 采用了经过修改的Delphi研究方法.
- 最初的指标是从证据综合和专家采访中得出的.
- 两轮与15名专家进行的专家商完善了这些指标.
- 分析层次过程确定了指标权重.
主要成果:
- 实现了高响应率 (88.89%和93.75%) 和专家权威 (0.856和0.880).
- 在一个全面的指标系统上达成共识.
- 最终的系统包括3个一级,11个二级和49个三级指标.
结论:
- 建立了一个科学有效的护理敏感质量指标系统,用于重创急救护理.
- 该系统是评估和提高护理服务质量的宝贵工具.
- 这些发现支持基于证据的实践和提高紧急创伤护理的质量.
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