Construction of nursing quality evaluation indexes system of gastrointestinal surgery in general hospitals

doi:10.3969/j.issn.1009-6493.2015.27.012

Abstract：Objective:To construct the nursing quality evaluation index of gastrointestinal surgery with specialist specificity in general hospitals,and to determine the weight of all levels of indexes,so as to provide the evidences for establishing the specialist care quality evaluation systems and carrying out the specialist care quality evalua-tion.Methods:After accessing to literatures and expert interviews,learning from the theoretical framework of“structure process outcome”raised by Donabedian and initially establishing the nursing quality evaluation in-dexes of gastrointestinal surgery in general hospitals.The Delphi method was applied for letter consult on the established all levels of evaluation indexes,combined with the importance of assignment and using analytic hier-archy process(AHP)to determine the weights of all levels of indexes.Results:Nursing quality evaluation inde-xes of gastrointestinal surgery in general hospitals included 3 primary indicators,8 secondary indicators and 34 third indicators.Experts had good coordination and higher consistency on the indicators.In weight of all levels of indexes,in the first level indicators in the process quality was outstanding in primary indicators;the top 3 in secondary indicators were in turn the system process,human resources and adverse events;the top 5 in third in-dicators were respectively emergency plan awareness rate of upper digestive tract bleeding,execution rate of nursing system and process of specialist common complications,pass rate of specialist skills training assess-ment,incidence of catheter related bloodstream infection and incidence of indwelling catheter related urinary tract infection.Conclusion:The established nursing quality evaluation indexes based on qualitative and quantita-tive methods had the better credibility,and can be used in clinical practice to probe into the applicability,to pro-vide a reference basis for further building the special feature of nursing quality evaluation indexes.In the process of evaluation,it can promote the continuous improvement of clinical nursing quality to focus on process quality and take into account the structure and results quality.