期刊导航

论文摘要

基于结构—过程—结果模型的口腔门诊护理质量管理评价指标体系构建

Construction of the evaluation index system for nursing quality management in outpatient dental clinics based on the structure-process-outcome model

作者:韦靖怡, 刘帆, 杨春霞, 王敬钧, 马永红, 杨金容, 谢静颖, 许力升

Author:Wei Jingyi, Liu Fan, Yang Chunxia, Wang Jingjun, Ma Yonghong, Yang Jinrong, Xie Jingying, Xu Lisheng

收稿日期:2025-01-12          年卷(期)页码:2025,43(6):860-860-870

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:结构—过程—结果模型,口腔门诊,护理管理,指标体系,

Key words:structure-process-outcome model,outpatient dental clinic,nursing management,index system,

基金项目:四川大学华西口腔医院软科学研究项目(RD-01-2024-01)

中文摘要

目的 构建基于结构—过程—结果模型的口腔门诊护理质量管理评价指标体系,为口腔门诊护理质量评价提供客观标准。 方法 通过文献查阅、多元主体访谈和专家会议,拟定口腔门诊护理质量管理评价指标初稿。采用德尔菲法,遴选并邀请全国15名医院感染管理、护理管理、口腔专科护理领域专家对初稿进行修改。 结果 2轮函询专家积极系数分别为86.7%、92.3%,权威系数分别为0.791、0.717,三级指标重要性、可行性均分均≥4.333,变异系数均≤0.150,肯德尔协调系数分别为0.308、0.184,均P<0.05。最终构建的口腔门诊护理质量管理评价指标体系包括一级指标3项、二级指标7项、三级指标22项、指标内涵69项,3项一级指标权重均为0.333,组合权重排名居前的三级指标分别为患者满意度(0.076,结果维度)、手卫生(0.061,结果维度)、椅护比(0.057,结构维度)及离职率(0.057,结构维度)。 结论 口腔门诊护理质量管理评价指标体系构建方法具有科学性和可靠性,可为口腔门诊护理质量管理水平的评价提供参考,促进口腔门诊护理质量的持续改进。

英文摘要

ObjectiveThis study aimed to construct an evaluation index system for nursing quality management in outpatient dental clinics based on the structure-process-outcome model and provide an objective standard for the evaluation of nursing quality in outpatient dental clinics.MethodsThrough literature review, multi-subject interviews, and expert meetings, the first draft of the evaluation index for nursing quality management in outpatient dental clinics was formulated. The Delphi method was adopted to select and invite 15 experts in the fields of hospital infection management, nursing management, and specialized oral care from across the country to modify the first draft.ResultsThe positive coefficients of the experts in the two rounds of consultation were 86.7% and 92.3%, respectively. The total authority coefficients of the experts were 0.791 and 0.717, respectively. The mean scores of the importance and feasibility of the third-level indices in the two rounds of consultation were all ≥4.333; the coefficients of variation were all ≤0.150; and the Kendall’s coordination coefficients were 0.308 and 0.184 respectively, withP<0 .05 for all. these results indicated that the experts were motivated to participate in this study. they recognized the importance and feasibility of the overall items in this index system, and their opinions were relatively consistent. finally, an evaluation index system, which included 3 first-level indices, 7 second-level indices, 22 third-level indices, and 69 index connotations, for nursing quality management in outpatient dental clinics was determined. the weights of the three first-level indicators were all 0.333. patient satisfaction (0.076, outcome dimension), hand hygiene (0.061, outcome dimension), chair care ratio (0.057, structural dimension), and turnover rate (0.057, structural dimension) were the top tertiary indicators in terms of portfolio weight.ConclusionThe construction method of the evaluation index system for nursing quality management in outpatient dental clinics is scientific and reliable. It can provide a reference for the evaluation of the management level of nursing quality in outpatient dental clinics and promote the continuous improvement of nursing quality in outpatient dental clinics.

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