Volume 22 Issue 4
Apr.  2024
Turn off MathJax
Article Contents
CHEN Lili, PAN Aihong, TANG Li, ZHANG Tong, HU Yaqing, HU Guozhi. Construction a quality evaluation index system for the management of Class A infectious disease wards[J]. Chinese Journal of General Practice, 2024, 22(4): 695-699. doi: 10.16766/j.cnki.issn.1674-4152.003482
Citation: CHEN Lili, PAN Aihong, TANG Li, ZHANG Tong, HU Yaqing, HU Guozhi. Construction a quality evaluation index system for the management of Class A infectious disease wards[J]. Chinese Journal of General Practice, 2024, 22(4): 695-699. doi: 10.16766/j.cnki.issn.1674-4152.003482

Construction a quality evaluation index system for the management of Class A infectious disease wards

doi: 10.16766/j.cnki.issn.1674-4152.003482
Funds:

 KJ2021A0929

 KJ2021A0930

  • Received Date: 2023-06-06
    Available Online: 2024-05-29
  •   Objective  The objective is to construct a scientific and practical quality evaluation index system for managing Class A infectious disease wards, offering a comprehensive and measurable reference framework to standardize their management.  Methods  Based on Donabedian ' s three-dimensional quality theory and Service Quality evaluation model, the index system for the management of Class A infectious disease wards was initially constructed through literature research and by referencing China ' s guidelines for managing novel coronavirus pneumonia. A questionnaire survey involving five categories of personnel was conducted from May to July 2022. The purpose sampling method was adopted to select 13 consulting experts specializing in infectious disease healthcare, nursing management, clinical nursing, hospital infection, and logistics management. Two rounds of expert letter consultation and the Delphi method were utilized to finalize the evaluation index system and determine the weightage of each index.  Results  The recovery rate and effective rate for both rounds of expert correspondence questionnaires were 100.0%, with expert authority coefficient values of 0.842 and 0.838. Kendall ' s coefficients of concordance (Kendall ' s W) for the first and second indexes, following two rounds of letter consultation, were 0.116 and 0.098 respectively. The corresponding chi-square statistics were 180.961 and 152.882, with P-values less than 0.01. The final evaluation index system for managing Class A infectious disease wards include 3 first-level indexes, 8 second-level indexes, and 114 third-level indexes. The 3 first-level indexes are structure quality, process quality, and result quality, with weights of 0.2, 0.4, and 0.4, respectively. The 8 second-level indexes included fundamentality, supportability, standardization, reliability, scientificity, effectiveness, safety, and economy.  Conclusion  The quality evaluation index system for managing of Class A infectious disease wards demonstrates excellent scientific validity, reliability, and practicality. The assigned index weights are reasonable, and there is a high level of consistency among expert evaluation results. This system serves as a valuable reference for standardizing the management of Class A infectious disease wards.

     

  • loading
  • [1]
    陈园园, 王勤, 薛缪群, 等. 医院质量管理工具应用的实践与体会[J]. 中国卫生质量管理, 2022, 29(8): 50-51, 67. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG202208012.htm

    CHEN Y Y, WANG Q, XUE M Q, et al. Practice and Experience in the Application of Hospital Quality Management Tools[J]. Chinese Health Quality Management, 2022, 29(8): 50-51, 67. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG202208012.htm
    [2]
    鲁敏, 毛燕君. 肺移植围术期护理质量评价指标体系的构建[J]. 上海护理, 2021, 21(11): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202111004.htm

    LU M, MAO Y J. Construction of A Quality of Care Indicator System for Perioperative Patients Undergoing Lung Transplantation[J]. Shanghai Nursing, 2021, 21(11): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202111004.htm
    [3]
    余雁, 过骁忆, 赵从敏, 等. 血液净化患者专科护理质量评价指标体系的构建研究[J]. 临床护理杂志, 2021, 20(5): 8-12. https://www.cnki.com.cn/Article/CJFDTOTAL-LCHL202105003.htm

    YU Y, GUO X Y, ZHAO C M, et al. Study on Construction of Evaluation Index System of Specialized Nursing Quality for Patients with Blood Purification[J]. Journal of Clinical Nursing, 2021, 20(5): 8-12. https://www.cnki.com.cn/Article/CJFDTOTAL-LCHL202105003.htm
    [4]
    王茜, 王洁, 徐贵霞, 等. 护理本科临床实践教学质量评价指标体系的构建[J]. 中华全科医学, 2023, 21(6): 1044-1047, 1052. doi: 10.16766/j.cnki.issn.1674-4152.003045

    WANG Q, WANG J, XU G X, et al. Construction of evaluation index system of nursing undergraduate clinical practice teaching quality[J]. Chinese Journal of General Practice, 2023, 21(6): 1044-1047, 1052. doi: 10.16766/j.cnki.issn.1674-4152.003045
    [5]
    刘菲, 钱瑾, 桑乃华, 等. 静脉血栓栓塞症预控护理质量评价指标体系的研究进展[J]. 中国实用护理杂志, 2021, 37(24): 1909-1913.

    LIU F, QIAN J, SANG N H, et al. Research progress on nursing quality evaluation indicators of precontrol of venous thromboembolism[J]. Chinese Journal of Practical Nursing, 2021, 37(24): 1909-1913.
    [6]
    邢小利, 郑秀萍, 陈晓霞, 等. 胃癌病人围术期护理质量评价指标体系的构建[J]. 护理研究, 2021, 35(23): 4181-4186. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202123008.htm

    XING X L, ZHENG X P, CHEN X X, et al. Construction of evaluation index system for the perioperative nursing quality of patients with gastric cancer[J]. Chinese Nursing Research, 2021, 35(23): 4181-4186. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202123008.htm
    [7]
    李俊玲. 糖尿病专科护理质量评价体系的构建及应用[J]. 护理实践与研究, 2021, 18(10): 1558-1561. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202110043.htm

    LI J L. Construction and application of diabetic nursing quality evaluation system[J]. Nursing Practice and Research, 2021, 18(10): 1558-1561. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202110043.htm
    [8]
    彭蕾, 陈雪妹, 刘建, 等. 严重创伤急救护理质量评价指标体系的构建[J]. 护理学报, 2021, 28(23): 20-24. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL202123005.htm

    PENG L, CHEN X M, LIU J, et al. Construction of Quality Evaluation Index System of Emergency Nursing for Severe Trauma[J]. Journal of Nursing, 2021, 28(23): 20-24. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL202123005.htm
    [9]
    彭东风, 李飞飞, 仇宁, 等. 救护车院际转运危重新生儿护理质量评价指标的构建[J]. 中华全科医学, 2023, 21(5): 886-890. doi: 10.16766/j.cnki.issn.1674-4152.003007

    PENG D F, LI F F, QIU N, et al. 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
    [10]
    王艳艳, 刘娟, 张俊, 等. 基于德尔菲专家咨询法和层次分析法对儿科门诊护理质量评价体系的构建的应用[J]. 护士进修杂志, 2019, 34(22): 2036-2040. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201922005.htm

    WANG Y Y, LIU J, ZHANG J, et al. Construction of nursing quality evaluation system in pediatrics outpatient department based on Delphi method and analytic hierarchy process[J]. Journal of Nurses Training, 2019, 34(22): 2036-2040. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201922005.htm
    [11]
    盖莉莉, 高洁, 傅衍勇, 等. 新冠肺炎疫情下应急筹建救治医院的实践探索[J]. 现代医院, 2020, 20(5): 634-636, 639. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYU202005004.htm

    GAI L L, GAO J, FU Y Y, et al. Exploration of preparations for constructing emergency-oriented hospitals under COVID-19 Pandemic[J]. Modern Hospitals, 2020, 20(5): 634-636, 639. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYU202005004.htm
    [12]
    芦秀燕, 迟琨, 郇姗姗, 等. 慢性心力衰竭患者远程照护护理问题评估指标的构建[J]. 中华护理杂志, 2023, 58(2): 165-171. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202302005.htm

    LU X Y, CHI K, HUAN S S, et al. Construction of an evaluation index system for remote care in patients with chronic heart failure[J]. Chinese Journal of Nursing, 2023, 58(2): 165-171. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202302005.htm
    [13]
    蒋楠楠, 张艳丽, 张静, 等. 本科老年护理学课程"SPOC+任务驱动案例"思政育人方案的构建与应用[J]. 中华全科医学, 2023, 21(4): 685-688. doi: 10.16766/j.cnki.issn.1674-4152.002960

    JIANG N N, ZHANG Y L, ZHANG J, et al. Construction and application of the ideological and political education program of"SPOC+task driven case"in the undergraduate geriatric nursing course[J]. Chinese Journal of General Practice, 2023, 21(4): 685-688. doi: 10.16766/j.cnki.issn.1674-4152.002960
    [14]
    雷微, 韩燕红, 谭继平, 等. 基于CIPP评价模式构建临床护理教学质量评价指标体系[J]. 护理学杂志, 2023, 38(8): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202308022.htm

    LEI W, HAN Y H, TAN J P, et al. Construction of an evaluation index system for clinical nursing teaching quality based on CIPP evaluation model[J]. Journal of Nursing Science, 2023, 38(8): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202308022.htm
    [15]
    柳国芳, 郑桃花, 王斌, 等. 人工肝治疗护理质量敏感指标评价体系的构建研究[J]. 中华急危重症护理杂志, 2021, 2(5): 395-399. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZH202105003.htm

    LIU G F, ZHENG T H, WANG B, et al. Construction of nursing quality sensitive index system in artificial liver treatment[J]. Chinese Journal of Emergency and Critical Care Nursing, 2021, 2(5): 395-399. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZH202105003.htm
  • 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(6)

    Article Metrics

    Article views (120) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return