Construction of quality standards for joint surgery specialist nursing based on three-dimensional quality evaluation model_West China Medical Journal

Authors：

CHEN Jiali , WANG Liqun ,  NING Ning , ZHOU Zongke , LI Peifang , ZHANG Lin , LI Lingli , ZHU Hongyan , QU Junhong , PU Xingcui , JIANG Menglin

Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University / Nursing Key Laboratory of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Joint surgery; nursing care quality; evaluation criterion; nursing management

DOI：

10.7507/1002-0179.202309208

Video：

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Objective To explore the nursing quality standards of joint surgery based on “structure-process-outcome” three-dimensional quality evaluation model, and provide a reference for improving the quality of joint surgery nursing. Methods From March to July 2023, based on the “structure-process-outcome” three-dimensional quality structure model as the theoretical framework, combined with systematic literature review and semi-structured interviews, the quality standards of joint surgery specialist nursing were preliminarily formulated. The Delphi method was used for screening, demonstration, and correction, then the analytic hierarchy process was used to determine the weights. Results The recovery rates of the two rounds of expert letter consultation were 93.75% and 100.00%, respectively. The expert authority coefficients of both rounds were 0.95. The positive coefficients of experts in the two rounds were 0.93 and 1.00, respectively. The coefficients of variation after the second round of correspondence were 0-0.20. In the second round of correspondence inquiry, the Kendall harmony coefficients of primary standards, secondary standards and tertiary standards were 0.156, 0.115 and 0.285, respectively, with statistical significance (P<0.05). Finally, the quality standards of joint specialty nursing included 3 primary standards, 23 secondary standards and 99 tertiary standards. Conclusion The construction process of nursing quality standards of joint surgery specialty based on “structure-process-outcome” three-dimensional quality structure model is scientific and reliable, the index evaluation results are less volatile, and the opinions are concentrated, which can provide a basis for comprehensively, accurately and pertinently improving the quality of joint surgery specialty nursing.

Citation： CHEN Jiali, WANG Liqun, NING Ning, ZHOU Zongke, LI Peifang, ZHANG Lin, LI Lingli, ZHU Hongyan, QU Junhong, PU Xingcui, JIANG Menglin. Construction of quality standards for joint surgery specialist nursing based on three-dimensional quality evaluation model. West China Medical Journal, 2023, 38(10): 1495-1502. doi: 10.7507/1002-0179.202309208 Copy

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14.	桂玉芳, 張維霞, 吳晶晶. 基于結構-過程-結果的白血病患兒護理質量評價標準的構建. 護理實踐與研究, 2021, 18(16): 2485-2488.
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17.	楊梅, 黃強, 裴福興. 骨科加速康復圍手術期康復治療的認識與探討. 中華骨與關節外科雜志, 2023, 16(4): 289-295.
18.	向宇瓊, 甄翠香, 周望梅. 三維質量結構理論在構建急診科護理質量評價標準中的應用. 當代護士(上旬刊), 2021, 28(5): 176-178.
19.	譚秋紅, 石澤亞, 李鑫, 等. 基于質量三維理論構建“互聯網+護理服務”質量評價指標體系. 中華現代護理雜志, 2021, 27(33): 4536-4540.
20.	凌燏, 周涵. 功能鍛煉表在全膝關節置換術患者中的應用. 齊魯護理雜志, 2017, 23(14): 87-89.

1. 邱貴興. 推出系列臨床指南/專家共識推動中國骨科加速康復外科發展. 中華骨與關節外科雜志, 2021, 14(4): 241-244.
2. 李夢婷, 李國宏. 護理質量評價體系的研究進展. 中國護理管理, 2015, 15(2): 212-214.
3. 李寧, 黃伶智, 趙丹, 等. 專科護理質量評價體系的研究進展. 護理研究, 2017, 31(13): 1537-1540.
4. 汪歡, 喻姣花, 馮閏, 等. 臨床護理質量評價研究進展. 護理研究, 2014, 28(4): 390-392.
5. 劉麗. 三維質量結構理論構建急診科護理質量評價標準. 太原: 山西醫科大學, 2011.
6. 林麗娜, 錢丹萍, 王芳, 等. 基于指標導向的糖尿病專科護理質量控制效果評價. 護理學雜志, 2019, 34(16): 41-44.
7. 王麗娜, 馮紅燕, 趙佳, 等. 基于三維質量結構模式理論為框架的院外延續性護理干預對過敏性紫癜患兒遵醫行為及護理滿意度的影響. 新鄉醫學院學報, 2017, 34(10): 949-951.
8. 李冰清. 基于基礎-過程-終末三維質量結構理論的急救管理對急性心肌梗死搶救效率的影響. 心血管病防治知識, 2022, 12(30): 86-89.
9. Dalaker K, Albrechtsen S, Jerve F, et al. Norwegian Society of Gynecology and Obstetrics--guidelines in obstetrics. Structure, process, results and evaluation. Tidsskr Nor Laegeforen, 1997, 117(9): 1311-1313.
10. Nagel B, Pfingsten M, Brinkschmidt T, et al. Structure and process quality of multimodal pain therapy. Results of a survey of pain therapy clinics. Schmerz, 2012, 26(6): 661-669.
11. Colaizzi P. Psychological research as the phenomenologist views it. Oxford: Oxford University Press, 1978: 5-7.
12. 劉明. Colaizzi 七個步驟在現象學研究資料分析中的應用. 護理學雜志, 2019, 34(11): 90-92.
13. 黃天雯, 張偉玲, 劉圓圓, 等. 基于敏感指標的骨科專科護理質量標準的構建. 護理研究, 2022, 36(4): 580-586.
14. 桂玉芳, 張維霞, 吳晶晶. 基于結構-過程-結果的白血病患兒護理質量評價標準的構建. 護理實踐與研究, 2021, 18(16): 2485-2488.
15. 王玉姣. 基于三維質量結構模式的持續質量改進對提高普外科護理管理質量的影響. 中國醫藥科學, 2020, 10(15): 200-204.
16. 馮夢龍. 基于三維質量結構理論的護理質量評價、關鍵影響因素及改進策略研究. 唐山: 華北理工大學, 2015.
17. 楊梅, 黃強, 裴福興. 骨科加速康復圍手術期康復治療的認識與探討. 中華骨與關節外科雜志, 2023, 16(4): 289-295.
18. 向宇瓊, 甄翠香, 周望梅. 三維質量結構理論在構建急診科護理質量評價標準中的應用. 當代護士(上旬刊), 2021, 28(5): 176-178.
19. 譚秋紅, 石澤亞, 李鑫, 等. 基于質量三維理論構建“互聯網+護理服務”質量評價指標體系. 中華現代護理雜志, 2021, 27(33): 4536-4540.
20. 凌燏, 周涵. 功能鍛煉表在全膝關節置換術患者中的應用. 齊魯護理雜志, 2017, 23(14): 87-89.

West China Medical Journal

Construction of quality standards for joint surgery specialist nursing based on three-dimensional quality evaluation model

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