发热门诊护理管理质量评价体系的建立：德尔菲法

Abstract

Aim

The aim of this study is to construct a quality evaluation system for fever clinic nursing management.

Background

Fever clinic is the first line of defence against the epidemic during COVID-19 in China.

Methods

Our study combines the Delphi method and the analytic hierarchy process. Delphi method was used to carry out two rounds of consultation for 18 experts, to select and revise indicators at all levels. Analytic hierarchy process was used to calculate the weight of indicators at all levels.

Results

A quality evaluation system of nursing management for fever clinics is built using Delphi method. It includes five first-level indexes, 14 second-level indexes and 82 third-level indexes. A two-round expert consultation is used to build the indicators. The recovery rates of expert questionnaires in the two rounds were, respectively, 100% and 94%, and expert authority coefficients were 0.925. The Kendall coefficients in the two rounds were, respectively, 0.205 and 0.162 (P < .001). The weight analysis shows that health management of nursing staff (0.2803) and disinfection isolation and treatment of medical waste (0.2803) are most important, followed by nursing post management and personnel training (0.1889), configuration and management of equipment (0.1427) and patient consultation management and nursing (0.1078).

Conclusion

The quality evaluation system of nursing management in the constructed fever clinic is used to put forward a specific, objective and quantifiable evaluation criteria of nursing quality for fever clinic management, which can better meet the needs of epidemic prevention and control, and has a certain application and promotion value.

Implications for Nursing Management

The establishment and improvement of a quality system for fever clinic care management will help to respond to outbreaks such as COVID-19.

摘要翻译（仅供参考）

目的

本研究旨在构建发热门诊护理管理质量评价体系。

背景

发热门诊是中国COVID-19期间抗击疫情的第一道防线。

方法

我们的研究结合了德尔菲法和层次分析法。采用德尔菲法对18位专家进行了两轮咨询，对各级指标进行筛选和修订。采用层次分析法计算各级指标的权重。

结果

采用德尔菲法建立发热门诊护理管理质量评价体系。其中一级指标5个，二级指标14个，三级指标82个。两轮专家咨询用于构建指标。两轮专家问卷回收率分别为100%和94%，专家权威系数为0.925。两轮 Kendall 系数分别为 0.205 和 0.162（P < .001）。权重分析显示，护理人员健康管理（0.2803）和医疗废物消毒隔离处理（0.2803）最重要，其次是护理岗位管理和人员培训（0.1889）、设备配置和管理（0.1427）和患者咨询管理和护理（0.1078）。

结论

构建发热门诊护理管理质量评价体系，为发热门诊管理提出具体、客观、可量化的护理质量评价标准，能更好地满足疫情防控需要，具有一定的应用价值。和推广价值。

对护理管理的影响

建立和完善发热门诊护理管理质量体系将有助于应对 COVID-19 等疫情。

原文链接：

https://doi.org/10.1111/jonm.13408

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