Volume 22 Issue 7
Jul.  2024
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HOU Qingmei, YANG Lihua, ZHANG Ziyan, DUAN Peibei, ZHU Chunqin, XIU Minning. Construction of standardized nursing system in oncology department based on three-dimensional structural model[J]. Chinese Journal of General Practice, 2024, 22(7): 1251-1255. doi: 10.16766/j.cnki.issn.1674-4152.003610
Citation: HOU Qingmei, YANG Lihua, ZHANG Ziyan, DUAN Peibei, ZHU Chunqin, XIU Minning. Construction of standardized nursing system in oncology department based on three-dimensional structural model[J]. Chinese Journal of General Practice, 2024, 22(7): 1251-1255. doi: 10.16766/j.cnki.issn.1674-4152.003610

Construction of standardized nursing system in oncology department based on three-dimensional structural model

doi: 10.16766/j.cnki.issn.1674-4152.003610
Funds:

 YB2020011

  • Received Date: 2023-11-01
    Available Online: 2024-09-05
  •   Objective  To build a standardized nursing system for medical oncology and provide a basis for promoting the standardization, refinement and procedural operation of oncology specialist nursing work.  Methods  Using the three-dimensional structural model of system engineering as the theoretical framework, the first draft of a standardized nursing system for anti-tumor treatment patients in the oncology department was drafted through literature research and repeated discussions among project team members. Twenty-four experts in the field of oncology medical nursing and related fields from 12 tertiary hospitals in Jiangsu Province were selected for two rounds of Delphi expert consultation. Both rounds calculated the positive coefficient of expert inquiry, the authority of expert opinions, and the Kendall coordination coefficient. The research group compiled the results of expert consultations, analyzed the indicator structure and items, and determined the standardized nursing system for anti-tumor treatment patients in the oncology department.  Results  The final construction included 3 primary indicators (time dimension, knowledge dimension, logic dimension), 15 secondary indicators, and 105 tertiary indicators for the standardized anti-tumor treatment patient care system in the oncology department. After two rounds of expert inquiries, the average assigned values of the importance of each indicator were 3.88-4.96, and the coefficient of variation was 0.041-0.244. The effective response rates for both rounds of expert consultation questionnaires were 100.0%. The expert authority coefficients were 0.876 and 0.885, respectively. The Kendall coordination coefficients were 0.216 and 0.198, respectively (P < 0.001).  Conclusion  The construction method of standardized nursing system based on the three-dimensional structural model in the medical oncology is scientific and the items are reliable, which can provide path guidance for the comprehensive and standardized practice of clinical nursing in medical oncology.

     

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  • [1]
    SUNG H, FERLAY J, SIEGEL R L, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. doi: 10.3322/caac.21660
    [2]
    LEE T, CLARKE J M, JAIN D, et al. Precision treatment for metastatic non-small cell lung cancer: a conceptual overview[J]. Cleve Clin J Med, 2021, 88(2): 117-127. doi: 10.3949/ccjm.88a.19148
    [3]
    FICHTNER-FEIGL S. Biology-and location-oriented precision treatment of rectal cancer: present and future[J]. Visc Med, 2020, 36(5): 381-387. doi: 10.1159/000510488
    [4]
    张义玲, 方梅. 标准护理流程在颅底区肿瘤患者围手术期中的效果观察[J]. 中国肿瘤临床与康复, 2022, 29(4): 472-475. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZK202204022.htm

    ZHANG Y L, FANG M. Efficacy of perioperative standardized nursing processes in patients with skull base tumors[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2022, 29(4): 472-475. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZK202204022.htm
    [5]
    LANCASTER E, WICK E. Standardized care pathways as a means to improve patient safety[J]. Surg Clin North Am, 2021, 101(1): 49-56. doi: 10.1016/j.suc.2020.08.011
    [6]
    朱春勤, 史文洁, 王晓庆, 等. 基于三维结构模型的胸外科标准化护理体系的构建[J]. 护理学杂志, 2021, 36(12): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202112013.htm

    ZHU C Q, SHI W J, WANG X Q, et al. Development of a standardized nursing system in thoracic surgery department based on the three-dimensional morphology of systems engineering[J]. Journal of Nursing Science, 2021, 36(12): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202112013.htm
    [7]
    王林波, 王璐. 基于霍尔三维结构的现代质量工程技术框架研究[J]. 中国质量, 2022, 43(3): 49-53. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZH202203008.htm

    WANG L B, WANG L. Research on modern quality engineering technology framework based on Hall 3D structure[J]. China Quality, 2022, 43(3): 49-53. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZH202203008.htm
    [8]
    陈大川, 余怡, 刘跃龙. 基于系统工程学的建设工程造价标准体系构建[J]. 土木工程与管理学报, 2021, 38(6): 25-30. https://www.cnki.com.cn/Article/CJFDTOTAL-WHCJ202106004.htm

    CHEN D C, YU Y, LIU Y L. Framework of construction project cost standard system based on systems engineering[J]. Journal of Civil Engineering and Management, 2021, 38(6): 25-30. https://www.cnki.com.cn/Article/CJFDTOTAL-WHCJ202106004.htm
    [9]
    陈明昊. 城市轨道交通工程建设标准体系研究综述与构建方法[J]. 标准科学, 2021(11): 38-49. https://www.cnki.com.cn/Article/CJFDTOTAL-SJBZ202111008.htm

    CHEN M H. Overview and establishing methods for the engineering construction standards system of urban metro transport[J]. Standard Science, 2021(11): 38-49. https://www.cnki.com.cn/Article/CJFDTOTAL-SJBZ202111008.htm
    [10]
    ESFAHANI K, ROUDAIA L, BUHLAIGA N, et al. A review of cancer immunotherapy: from the past, to the present, to the future[J]. Curr Oncol, 2020, 27(Suppl2): S87-S97.
    [11]
    COLONNA S, SWEETENHAM J, BURGON T B, et al. A better pathway? Building consensus and engaging providers with feedback to improve and standardize cancer care[J]. Clin Breast Cancer, 2019, 19(2): e376-e384. doi: 10.1016/j.clbc.2018.12.010
    [12]
    杨丽萍, 段培蓓, 杨玲, 等. 肿瘤患者疼痛-疲乏-睡眠障碍症状群的研究现状及热点可视化分析[J]. 中华全科医学, 2023, 21(1): 139-143. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202301035.htm

    YANG L P, DUAN P B, YANG L, et al. Research status and visualization analysis of pain-fatigue-sleep disturbance symptom clusters in tumour patients[J]. Chinese Journal of General Practice, 2023, 21(1): 139-143. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202301035.htm
    [13]
    郑粉善, 曹沛莹, 华兴龙, 等. 乳腺癌患者需求量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(4): 469-475. doi: 10.3761/j.issn.0254-1769.2022.04.013

    ZHENG F S, CAO P Y, HUA X L, et al. Development of a needs scale for breast cancer patients and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2022, 57(4): 469-475. doi: 10.3761/j.issn.0254-1769.2022.04.013
    [14]
    浦凤燕, 郑叶平, 王宋超. 胃肠道肿瘤化疗护理质量评价体系的构建研究[J]. 护理与康复, 2021, 20(12): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202112004.htm

    PU F Y, ZHENG Y P, WANG S C. Research on construction of evaluation system on nursing quality of chemotherapy for gastrointestina cancer[J]. Nursing and Rehabilitation, 2021, 20(12): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202112004.htm
    [15]
    李娟, 苏霞, 杨梦娟, 等. 全病程护理管理模式在肿瘤科的实践[J]. 护理学杂志, 2021, 36(8): 40-43. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202108014.htm

    LI J, SU X, YANG M J, et al. Practice of disease whole-course nursing management model in oncology department[J]. Journal of Nursing Science, 2021, 36(8): 40-43. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202108014.htm
    [16]
    曾伟明, 石建伟, 俞文雅, 等. 家庭医生签约服务模式效果评价指标体系构建研究[J]. 中华全科医学, 2023, 21(5): 721-725. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202305001.htm

    ZENG W M, SHI J W, YU W Y, et al. Research on the construction of effectiveness evaluation index system for family doctor contract service model[J]. Chinese Journal of General Practice, 2023, 21(5): 721-725. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202305001.htm
    [17]
    李敏, 董玉祺, 李娜, 等. 北京市乡村医生岗位胜任力模型的构建[J]. 中华全科医学, 2023, 21(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202301001.htm

    LI M, DONG Y Q, LI N, et al. Construction of the post competency model of rural doctors in Beijing[J]. Chinese Journal of General Practice, 2023, 21(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202301001.htm
    [18]
    黑赏艳. 基于帕金森病患者报告的临床结局评价量表的研制及性能初步考评[D]. 广州: 广州中医药大学, 2018.

    HEI S Y. Development and evaluation of the Patient-Reported Outcome assessment scale of Parkinson disease[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2018.
    [19]
    李海燕, 吴蓉蓉, 郑建秋, 等. 知信行护理模式在压力性尿失禁患者中的应用效果[J]. 中华全科医学, 2022, 20(10): 1805-1808. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202210043.htm

    LI H Y, WU R R, ZHENG J Q, et al. Study on the application effect of knowledge, belief and practice nursing model in patients with stress urinary incontinence[J]. Chinese Journal of General Practice, 2022, 20(10): 1805-1808. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202210043.htm
    [20]
    王清, 袁玲, 陈正香, 等. 临床科室亚专科护理建设的实践与效果评价[J]. 护理学杂志, 2021, 36(21): 47-50. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202121014.htm

    WANG Q, YUAN L, CHEN Z X, et al. Practice and effect evaluation of nursing subspecialty construction in clinical departments[J]. Journal of Nursing Science, 2021, 36(21): 47-50. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202121014.htm
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