Volume 21 Issue 5
May  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(5): 886-890
PENG Dongfeng, LI Feifei, QIU Ning, WANG Yun, ZHU Yefen, LU Shasha, CHEN Ren. Construction of quality of care assessment system for critically ill neonates during interhospital ambulance transport[J]. Chinese Journal of General Practice, 2023, 21(5): 886-890. doi: 10.16766/j.cnki.issn.1674-4152.003007
Citation: PENG Dongfeng, LI Feifei, QIU Ning, WANG Yun, ZHU Yefen, LU Shasha, CHEN Ren. Construction of quality of care assessment system for critically ill neonates during interhospital ambulance transport[J]. Chinese Journal of General Practice, 2023, 21(5): 886-890. doi: 10.16766/j.cnki.issn.1674-4152.003007
shu

Construction of quality of care assessment system for critically ill neonates during interhospital ambulance transport

doi: 10.16766/j.cnki.issn.1674-4152.003007

  • Department of Neonatology, the First People ' s Hospital of Wuhu, Wuhu, Anhui 241000, China

Funds:

 工信厅联通信函[2021]220号

  • Received Date: 2022-04-22
    Abstract
  •   Objective  To construct quality of care assessment system for critically ill neonates during interhospital ambulance transport (QCASCINIAT), to provide a basis for evaluating the nursing quality for neonates during interhospital transport.  Methods  Based on the standard system structure of nursing quality, the theoretical model of "element quality-link quality-terminal quality", combined with the relevant policies of pre hospital emergency and hospital management in China and the requirements of neonatal intensive care unit (NICU) infection control, referring to the evaluation indicators of pediatric critical care services and the 2017 version of Neonatal Transport Guidelines, through literature research, group discussions, and expert pre consultation, the QCASCINIAT were initially formulated and defined, and two rounds of expert consultation were conducted by Delphi method from July to December 2021. The score assigned to each item during the second round of consultation was used to construct a judgment matrix, and the weight of each item was calculated using the analytic hierarchy process on SPSS AU. After that, the QCASCINIAT was established.  Results  Sixteen experts from 6 grade A tertiary general hospitals or children ' s hospitals in Shanghai, Jiangsu and Anhui provinces were invited to participate in the consultation. The recovery rates of two rounds of consultation questionnaires were all 93.7%, with expert authority coefficients of 0.836 and 0.849, and Kendall cofficient of concordance of 0.134 and 0.174. According to the two rounds of consultation, the primary and secondary indicators in the initial system (totally 70 indicators, including 3 primary indicators, 13 secondary indicators and 54 tertiary indicators) were retained, but changes occurred in the tertiary indicators: 7 were deleted, 3 were merged, 4 were revised and 1 was added according to the first round of consultation, and 2 were deleted, 1 was revised and 1 was merged according to the second round of consultation. The final system includes 3 primary indicators, 13 secondary indicators and 41 tertiary indicators.  Conclusion  The QCASCINIAT is scientific, objective and reliable, which can be used as a basis for evaluating the nursing quality for critically ill neonates during interhospital transport.

     

    • FullText(HTML)
  • loading
    • References(15)
  • [1]
    孔祥永, 封志纯, 李秋平, 等. 新生儿转运工作指南(2017版)[J]. 发育医学电子杂志, 2017, 5(4): 193-197. doi: 10.3969/j.issn.2095-5340.2017.04.002

    KONG X Y, FENG Z C, LI Q P, et al. Guide to neonatal transport[J]. Electronic Journal of Development Medicine, 2017, 5(4): 193-197. doi: 10.3969/j.issn.2095-5340.2017.04.002
    [2]
    朱晓琴, 洪忠芹, 赵举芳. SBAR标准化沟通模式在危重新生儿转运中的效果观察[J]. 护理实践与研究, 2022, 19(8): 1210-1213. doi: 10.3969/j.issn.1672-9676.2022.08.023

    ZHU X Q, HONG Z Q, ZHAO J F. Observation on the effect of SBAR standardized communication mode in critical newborn transport[J]. Nursing practice and research, 2022, 19(8): 1210-1213. doi: 10.3969/j.issn.1672-9676.2022.08.023
    [3]
    BELLINI C, DEANGELIS L C, GENTE M, et al. Neonatal air medical transportation practices in Italy: a nationwide survey[J]. Air Med J, 2021, 40(3): 232-236.
    [4]
    LEE K S. Neonatal transport metrics and quality improvement in a regional transport service[J]. Transl Pediatr, 2019, 8(3): 233-245. doi: 10.21037/tp.2019.07.04
    [5]
    MARSINYACH ROS I, SANCHEZ GARCÍA L, SANCHEZ TORRES A, et al. Evaluation of specific quality metrics to assess the performance of a specialised newborn transport programme[J]. Eur J Pediatr, 2020, 179(6): 919-928. doi: 10.1007/s00431-020-03573-z
    [6]
    王红燕, 谢臻蔚, 张珂, 等. 盆底康复管理质量评价指标体系的构建[J]. 中华护理杂志, 2021, 56(12): 1800-1805. doi: 10.3761/j.issn.0254-1769.2021.12.007

    WANG H Y, XIE Z W, ZHANG K, et al. Construction of evaluation index system of pelvic floor rehabilitation management qualit[J]. Chinese Journal of Nursing, 2021, 56(12): 1800-1805. doi: 10.3761/j.issn.0254-1769.2021.12.007
    [7]
    CORVIN J A, CHAN I, AGUADO C X, et al. Analytic hierarchy process: An innovative technique for culturally tailoring evidence-based interventions to reduce health disparities[J]. Health Expect, 2021, 24 Suppl 1(Suppl 1): 70-81.
    [8]
    李妍君, 魏来, 范生根, 等. 转岗全科医生服务能力评价指标体系构建及应用研究[J]. 中华全科医学, 2022, 20(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.002396

    LI Y J, WEI L, FAN S G, et al. Research on the Construction and Application of Evaluation Index System of Service Ability of General Practitioners Transferred to Other Posts[J]. Chinese journal of general practice, 2022, 20(4): 539-543. doi: 10.16766/j.cnki.issn.1674-4152.002396
    [9]
    徐筱婧媛, 王丽, 王美荣, 等. 北京市失能老人上门医疗服务评估指标体系的构建[J]. 中华全科医学, 2020, 18(1): 1-4, 14. doi: 10.16766/j.cnki.issn.1674-4152.001153

    XU J Y, WANG L, WANG M R, et al Construction of evaluation index system of home medical service for disabled elderly in Beijing[J]. Chinese journal of general practice, 2020, 18(1): 1-4, 14. doi: 10.16766/j.cnki.issn.1674-4152.001153
    [10]
    SOLIMAN Y, PAUL R, PEARSON K, et al. Neonatal transport services, a cross-sectional study[J]. J Matern Fetal Neonatal Med, 2021, 34(5): 774-779. doi: 10.1080/14767058.2019.1618823
    [11]
    NLEND A E, ZEUDJA C, NSOA L. Transfer and transport of newborn babies in vital distress in Yaoundé, Cameroon: situational analysis conducted in a reference hospital[J]. Pan Afr Med J, 2016, 25: 214.
    [12]
    张敏, 沈国莲, 钱飞阳. 危重患儿院内转运血氧饱和度降低的危险因素分析及预防策略[J]. 中华全科医学, 2020, 18(11): 1864-1868. doi: 10.16766/j.cnki.issn.1674-4152.001640

    ZHANG M, SHEN G L, QIAN F Y. Analysis of risk factors and preventive strategies for the decrease of oxygen saturation in critically ill children in hospital[J]. Chinese Journal of General Practice, 2020, 18(11): 1864-1868. doi: 10.16766/j.cnki.issn.1674-4152.001640
    [13]
    ABDUL WAHAB M G, THOMAS S, MURTHY P, et al. Factors affecting stabilization times in neonatal transport[J]. Air Med J, 2019, 38(5): 334-337.
    [14]
    周蓉, 郭洪花, 张彩虹, 等. 护理硕士专业学位研究生临床指导教师岗位胜任力评价指标体系的构建[J]. 中华护理教育, 2020, 17(12): 1072-1076. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202012004.htm

    ZHOU R, GUO H H, ZHANG C H, et al. Construction of post competency evaluation index system of clinical guidance teachers for nursing master degree graduates[J]. Zhonghua Nursing Education, 2020, 17(12): 1072-1076. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202012004.htm
    [15]
    BHAGWAN R, ASHOKCOOMAR P. An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers[J]. Health SA, 2021, 26: 1562. DOI: 10.4102/hsag.v26i0.1562.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (154) PDF downloads(11) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return