Establishment of a quality-sensitive indicator system for day surgery nursing_West China Medical Journal

Authors：

ZHANG Yuchen ,  DAI Yan , SONG Yinghan

Day Surgery Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DAI Yan, Email: 1846703501@qq.com

Keywords：

Day surgery; Nursing management research; Quality indicators; Delphi method

DOI：

10.7507/1002-0179.201912254

Video：

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Objective To establish a systematic, scientific, and sensitive index system to provide a scientific basis for quality evaluation and comprehensive quality management of day surgery nursing.Methods The databases of Wanfang, China National Knowledge Infrastructure, CQVIP, PubMed, and Web of Science were searched. The retrieval time was from the establishment of the databases to 15th July, 2019. Based on the “structure-process-outcome” management model, Delphi method was used to conduct two rounds of expert consultation for nursing experts related to day surgery in five tertiary hospitals. The results of the consultation were sorted out and the consensus of experts was obtained, so as to determine the quality-sensitive indicators of day surgery nursing.Results A total of 20 nursing experts participated in the questionnaire survey. The final evaluation indicators determined by expert correspondence included 1 structural indicator, 9 process indicators, and 4 outcome indicators.Conclusions The construction of quality evaluation standard of day surgery nursing not only embodies the connotation of nursing management of day surgery, but also puts forward clear requirements and quality standards for specialized nursing management. It has high reliability, scientificity, and strong operability, which can effectively improve the quality of nursing management and service level of day surgery.

Citation： ZHANG Yuchen, DAI Yan, SONG Yinghan. Establishment of a quality-sensitive indicator system for day surgery nursing. West China Medical Journal, 2021, 36(2): 220-224. doi: 10.7507/1002-0179.201912254 Copy

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21.	敬潔, 顧鳳嬌, 蔣文春. 基于結構-過程-結果三維質量評價模式構建手術室護理管理質量評價體系. 護理研究, 2017, 31(29): 3659-3662.

1. 鄒思敏, 徐依, 陳楊, 等. 護理敏感指標的研究及應用現狀. 護理研究, 2018, 32(12): 1836-1838.
2. Maas ML, Johnson M, Moorhead S. Classifying nursing-sensitive patient outcomes. J Nurs Scholarsh, 1996, 28(4): 295-302.
3. 國務院新聞辦公室. 國務院政策例行吹風會材料: 公立醫院綜合改革情況. (2018-05-11)[2021-01-26]. http://www.chinaasa.org/nd.jsp?id=93.
4. 國務院辦公廳. 國務院辦公廳關于加強三級公立醫院績效考核工作的意見(國發辦[2019]4號). (2019-01-30)[2021-01-26]. http://www.gov.cn/zhengce/content/2019-01/30/content_5362266.htm.
5. 張雨晨, 戴燕. 日間腹腔鏡下膽囊切除術患者出院準備度與出院指導質量現狀調查及相關性分析. 華西醫學, 2016, 31(4): 635-638.
6. Dearholt S, Dang D. Johns Hopkins nursing evidence-based practice: model and guidelines. 2nd Ed. Indianapolis: Sigma Theta Tau International, 2012: 48-52.
7. Donabedian A. Quality assurance. Structure, process and outcome. Nurs Stand, 1992, 7(11 Suppl QA): 4-5.
8. 王斌, 王琳, 李萍, 等. 基于三維質量結構模式PICU護理敏感性質量指標體系的構建. 護理學報, 2019, 26(1): 17-21.
9. 蔣文春, 溫賢秀, 顧鳳嬌. 應用德爾菲法和層次分析法構建血液透析室護理管理質量評價標準體系. 護理學報, 2018, 25(18): 16-21.
10. 劉曉, 何桂娟, 俞夢盈, 等. 基于循證方法和德爾菲專家咨詢法構建老年護理院護理安全質量敏感性指標. 護理研究, 2017, 31(29): 3667-3671.
11. 關勛強, 李瑞興, 劉運成. 醫學研究生教育評價研究與實踐. 北京: 軍事醫學科學出版社, 2001: 80-84.
12. Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q, 2005, 83(4): 691-729.
13. 易慧, 葛權虎, 丁留敏, 等. 護患比與護理質量相關性分析. 中國社會醫學雜志, 2018, 35(4): 400-403.
14. 劉名君, 吳丹, 吳德全, 等. 基于三維質量結構理論對PICC護理質量評價指標體系的構建. 護理學雜志, 2017, 32(21): 39-42.
15. 沈美萍, 陳朔暉, 劉鑫鑫, 等. 以Donabedian結構-過程-結果理論構建兒科護理敏感性質量指標評價體系. 中國實用護理雜志, 2018, 34(26): 2035-2041.
16. 郭良芳, 廖艷, 楊清榮, 等. 泌尿外科常見手術術后疼痛的現狀調查及特點分析. 中華現代護理雜志, 2018, 24(4): 423-427.
17. 李詩涵, 劉芳, 杜姣姣, 等. 日間手術患者當日取消手術原因分析及改進建議. 中國衛生質量管理, 2019, 26(4): 45-47.
18. 孫慧慧, 陳淑琴, 王小煥, 等. 基于三維質量結構模式普外科加速康復護理質量評價指標體系的構建. 護理學報, 2019, 26(23): 29-33.
19. 桑麗云, 商臨萍. 我國出院準備度的研究現狀. 護理研究, 2020, 34(1): 105-110.
20. 趙延慧, 唐楠, 韓琳, 等. 國內外日間手術患者延續性護理研究進展. 護理學報, 2018, 25(6): 24-27.
21. 敬潔, 顧鳳嬌, 蔣文春. 基于結構-過程-結果三維質量評價模式構建手術室護理管理質量評價體系. 護理研究, 2017, 31(29): 3659-3662.

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