摘要目的 构建延续护理质量评价指标体系,为客观评价延续护理服务质量提供参考依据.方法 以三维质量评价模式为理论框架,通过查阅文献,构建延续护理质量评价体系雏形,采用德尔菲法对22名专家进行2轮咨询,并评价专家的权威性、积极性及意见的协调性.结果 本研究专家权威系数、判断系数、熟悉系数分别为0.846、0.891、0.80,两轮咨询的专家积极性系数分别为0.958、0.957.形成的延续护理质量评价体系包含一级指标3个、二级指标12个、三级指标64个,一、二、三级指标的协调系数分别为0.519、0.525、0.432,均有统计学意义(P<0.05).结论 本研究所构建的延续护理质量评价指标体系具有较高的可靠性,为该项工作的质量管理及护理质量改进等提供标准化的参考依据.

abstractsObjective To explore a reasonable transitional care quality management model, in order to standardize the management system of transitional care. Methods Using "three-dimensionalquality structure" mode as the theoretical framework, after reviewed relevant literatures, we established the rudiment of quality evaluation index system.Twenty-two experts were enrolled,and expert consultation was conducted using Delphimethod. The experts were evaluated by authority, positivity and degree of opinion coordination. Results The experts′authority coefficient was 0.846;the coefficient of determination was 0.891;the degree of familiarity was 0.80.The positive coefficients of the two rounds of consultation were 0.958,0.957. The evaluation system for transitional care consisted of 3 level- 1 indicators,12 level-2 indicators,and 64 level-3 indicators.The Kendall coefficients of concordance of the three level Indicators were 0.519, 0.525, and 0.432(P<0.05 for all). Conclusion The quality evaluation index system with With high reliability, providing standard reference for the work of quality management and nursing quality improvement.