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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16.	郭良芳, 廖艳, 杨清荣, 等. 泌尿外科常见手术术后疼痛的现状调查及特点分析. 中华现代护理杂志, 2018, 24(4): 423-427.
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1. 邹思敏, 徐依, 陈杨, 等. 护理敏感指标的研究及应用现状. 护理研究, 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. 国务院新闻办公室. 国务院政策例行吹风会材料: 公立医院综合改革情况. (2018-05-11)[2021-01-26]. http://www.chinaasa.org/nd.jsp?id=93.
4. 国务院办公厅. 国务院办公厅关于加强三级公立医院绩效考核工作的意见(国发办[2019]4号). (2019-01-30)[2021-01-26]. http://www.gov.cn/zhengce/content/2019-01/30/content_5362266.htm.
5. 张雨晨, 戴燕. 日间腹腔镜下胆囊切除术患者出院准备度与出院指导质量现状调查及相关性分析. 华西医学, 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. 基于三维质量结构模式PICU护理敏感性质量指标体系的构建. 护理学报, 2019, 26(1): 17-21.
9. 蒋文春, 温贤秀, 顾凤娇. 应用德尔菲法和层次分析法构建血液透析室护理管理质量评价标准体系. 护理学报, 2018, 25(18): 16-21.
10. 刘晓, 何桂娟, 俞梦盈, 等. 基于循证方法和德尔菲专家咨询法构建老年护理院护理安全质量敏感性指标. 护理研究, 2017, 31(29): 3667-3671.
11. 关勋强, 李瑞兴, 刘运成. 医学研究生教育评价研究与实践. 北京: 军事医学科学出版社, 2001: 80-84.
12. Donabedian A. Evaluating the quality of medical care. 1966. Milbank Q, 2005, 83(4): 691-729.
13. 易慧, 葛权虎, 丁留敏, 等. 护患比与护理质量相关性分析. 中国社会医学杂志, 2018, 35(4): 400-403.
14. 刘名君, 吴丹, 吴德全, 等. 基于三维质量结构理论对PICC护理质量评价指标体系的构建. 护理学杂志, 2017, 32(21): 39-42.
15. 沈美萍, 陈朔晖, 刘鑫鑫, 等. 以Donabedian结构-过程-结果理论构建儿科护理敏感性质量指标评价体系. 中国实用护理杂志, 2018, 34(26): 2035-2041.
16. 郭良芳, 廖艳, 杨清荣, 等. 泌尿外科常见手术术后疼痛的现状调查及特点分析. 中华现代护理杂志, 2018, 24(4): 423-427.
17. 李诗涵, 刘芳, 杜姣姣, 等. 日间手术患者当日取消手术原因分析及改进建议. 中国卫生质量管理, 2019, 26(4): 45-47.
18. 孙慧慧, 陈淑琴, 王小焕, 等. 基于三维质量结构模式普外科加速康复护理质量评价指标体系的构建. 护理学报, 2019, 26(23): 29-33.
19. 桑丽云, 商临萍. 我国出院准备度的研究现状. 护理研究, 2020, 34(1): 105-110.
20. 赵延慧, 唐楠, 韩琳, 等. 国内外日间手术患者延续性护理研究进展. 护理学报, 2018, 25(6): 24-27.
21. 敬洁, 顾凤娇, 蒋文春. 基于结构-过程-结果三维质量评价模式构建手术室护理管理质量评价体系. 护理研究, 2017, 31(29): 3659-3662.

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