基于德尔菲法构建乳腺专科护理质量敏感指标

目的构建有专科特色且科学、实用的乳腺专科护理质量敏感指标。方法于2018年8月成立研究小组,检索国内外数据库,按照约翰霍普金斯证据级别与质量评价标准筛选并确定相关文献,结合文献所涉及的指标初步形成乳腺专科护理质量敏感指标构架。2019年1月编制专家函询问卷,从青岛市医师协会及护理专家委员会中随机抽取20名专家,应用德尔菲法进行2轮函询,构建乳腺专科护理质量的敏感指标体系并进行修订及确认。结果2轮函询专家的权威系数分别为0.815、0.858,专家权威系数>0.80,各指标变异系数<0.30;构建了包含患肢功能锻炼知识知晓率、淋巴水肿预防措施知晓率等11项乳腺专科护理质量敏感指标。结论基于德尔菲法构建的乳腺专科护理质量敏感指标实用性强,可信度高,有专科特色,可用于乳腺疾病患者的全程护理质量评估和管理,为临床护理工作提供精准、科学的评价。

Development of sensitive indicators for nursing quality of breast specialty based on Delphi method

Objective To develop scientific and practical sensitive indicators with its own characteristics for nursing quality of breast specialty.Methods A research team was established in August 2018,which searched the databases both at home and abroad,screened and identified relevant literatures according to John Hopkins'evidence level and quality evaluation standards.A sensitive indicator framework for nursing quality of breast specialty was preliminarily formed based on the indicators involved in the literatures.In January 2019,the expert correspondence questionnaire was prepared.Twenty experts were randomly selected from the Qingdao Medical Doctors Association and the Nursing Experts Committee and received two rounds of correspondence consultations using the Delphi method in order to build,modify and confirm the sensitive indicator system for nursing quality of breast specialty.Results The authority coefficients of the experts in the two rounds of consultation were 0.815 and 0.858;the expert authority coefficient was>0.80;and the coefficient of variation of each indicator was<0.30.Eleven sensitive indicators for nursing quality of breast specialty including the awareness rate of functional exercise of the affected limb and lymphedema prevention measures were developed.Conclusions The sensitive indicators of nursing quality of breast specialty based on the Delphi method is highly practical and credible,which have distinctive specialty characteristics,may be used for the overall care quality assessment and management of breast disease patients,and provide accurate and scientific evaluation for clinical nursing work.