Construction of nursing quality evaluation indicator system for comprehensive stroke center based on the structure-process-outcome quality model
Zhou Yushi, Zhu Xiaoping, Yin Xiaobing, Dong Qiong, Qiu Rongmin, Chen Xujuan, Li Xiaohong, Ao Li
Published 2020-09-02
Cite as Chin J Hosp Admin, 2020, 36(9): 782-787. DOI: 10.3760/cma.j.cn111325-20200310-00633
Abstract
ObjectiveTo construct nursing quality evaluation indicator system for comprehensive stroke center, so as to provide reference for standardized nursing quality evaluation of comprehensive stroke center.
MethodsFrom September 2018 to December 2019, based on the theory of Donabedian′s structure-process-outcome quality model, literature review, semi-structured interview, Delphi method and analytic hierarchy process were used to determine nursing quality evaluation index system and index weight for comprehensive stroke center.
ResultsA total of 16 experts from comprehensive stroke center were consulted for two rounds. The clinical working time was 24.63±10.08 years, and the effective recovery rates of two rounds were 100%. The authority coefficient of experts was 0.888, and the coordination coefficients W of two rounds were 0.229 and 0.283 respectively.Finally, a nursing quality evaluation indicator system for comprehensive stroke center was constructed, including 3 first-level indicators, 13 second-level indicators and 46 third-level indicators.
ConclusionsThe established nursing quality evaluation indicator system for comprehensive stroke center covers the whole process of stroke emergency, stroke unit, and follow-up, which is scientific and reliable, and provides an evaluation tool for daily nursing quality monitoring and continuous quality improvement in comprehensive stroke centers.
Key words:
Stroke; Nursing quality; Evaluation indicator; Delphi method; Analytic hierarchy process
Contributor Information
Zhou Yushi
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Zhu Xiaoping
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Yin Xiaobing
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Dong Qiong
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Qiu Rongmin
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Chen Xujuan
Nursing Department, the Tenth People′s Hospital Affiliated to Tongji University, Shanghai 200072, China
Li Xiaohong
Nursing Department, School of Medicine, Tongji University, Shanghai 200092, China
Ao Li
Nursing Department, School of Medicine, Tongji University, Shanghai 200092, China
