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, 张维霞, 吴晶晶. 基于结构-过程-结果的白血病患儿护理质量评价标准的构建. 护理实践与研究, 2021, 18(16): 2485-2488.
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16.	冯梦龙. 基于三维质量结构理论的护理质量评价、关键影响因素及改进策略研究. 唐山: 华北理工大学, 2015.
17.	杨梅, 黄强, 裴福兴. 骨科加速康复围手术期康复治疗的认识与探讨. 中华骨与关节外科杂志, 2023, 16(4): 289-295.
18.	向宇琼, 甄翠香, 周望梅. 三维质量结构理论在构建急诊科护理质量评价标准中的应用. 当代护士(上旬刊), 2021, 28(5): 176-178.
19.	谭秋红, 石泽亚, 李鑫, 等. 基于质量三维理论构建“互联网+护理服务”质量评价指标体系. 中华现代护理杂志, 2021, 27(33): 4536-4540.
20.	凌燏, 周涵. 功能锻炼表在全膝关节置换术患者中的应用. 齐鲁护理杂志, 2017, 23(14): 87-89.

1. 邱贵兴. 推出系列临床指南/专家共识推动中国骨科加速康复外科发展. 中华骨与关节外科杂志, 2021, 14(4): 241-244.
2. 李梦婷, 李国宏. 护理质量评价体系的研究进展. 中国护理管理, 2015, 15(2): 212-214.
3. 李宁, 黄伶智, 赵丹, 等. 专科护理质量评价体系的研究进展. 护理研究, 2017, 31(13): 1537-1540.
4. 汪欢, 喻姣花, 冯闰, 等. 临床护理质量评价研究进展. 护理研究, 2014, 28(4): 390-392.
5. 刘丽. 三维质量结构理论构建急诊科护理质量评价标准. 太原: 山西医科大学, 2011.
6. 林丽娜, 钱丹萍, 王芳, 等. 基于指标导向的糖尿病专科护理质量控制效果评价. 护理学杂志, 2019, 34(16): 41-44.
7. 王丽娜, 冯红燕, 赵佳, 等. 基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜患儿遵医行为及护理满意度的影响. 新乡医学院学报, 2017, 34(10): 949-951.
8. 李冰清. 基于基础-过程-终末三维质量结构理论的急救管理对急性心肌梗死抢救效率的影响. 心血管病防治知识, 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. 刘明. Colaizzi 七个步骤在现象学研究资料分析中的应用. 护理学杂志, 2019, 34(11): 90-92.
13. 黄天雯, 张伟玲, 刘圆圆, 等. 基于敏感指标的骨科专科护理质量标准的构建. 护理研究, 2022, 36(4): 580-586.
14. 桂玉芳, 张维霞, 吴晶晶. 基于结构-过程-结果的白血病患儿护理质量评价标准的构建. 护理实践与研究, 2021, 18(16): 2485-2488.
15. 王玉姣. 基于三维质量结构模式的持续质量改进对提高普外科护理管理质量的影响. 中国医药科学, 2020, 10(15): 200-204.
16. 冯梦龙. 基于三维质量结构理论的护理质量评价、关键影响因素及改进策略研究. 唐山: 华北理工大学, 2015.
17. 杨梅, 黄强, 裴福兴. 骨科加速康复围手术期康复治疗的认识与探讨. 中华骨与关节外科杂志, 2023, 16(4): 289-295.
18. 向宇琼, 甄翠香, 周望梅. 三维质量结构理论在构建急诊科护理质量评价标准中的应用. 当代护士(上旬刊), 2021, 28(5): 176-178.
19. 谭秋红, 石泽亚, 李鑫, 等. 基于质量三维理论构建“互联网+护理服务”质量评价指标体系. 中华现代护理杂志, 2021, 27(33): 4536-4540.
20. 凌燏, 周涵. 功能锻炼表在全膝关节置换术患者中的应用. 齐鲁护理杂志, 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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