基于Donabedian模式的创伤救治护理质量敏感指标体系构建

Construction of a Trauma Care Quality-Sensitive Indicator System Based on the Donabedian Model

摘要: 目的：构建创伤救治护理质量敏感指标体系，推动创伤救治护理工作的规范化、标准化发展。方法：基于循证和小组讨论初步拟定创伤救治护理质量敏感指标体系，采用德尔菲法对10名专家进行2轮函询，确立指标体系及权重。结果：最终构建包括3项一级指标、12项二级指标、29项三级指标的创伤救治护理质量敏感指标体系；2轮函询专家积极系数均为100%，权威系数为0.854，指标重要性协调系数分别为0.440、0.407 (均P < 0.05)。讨论：构建的创伤救治护理质量敏感指标体系具有科学性、可靠性，可为创伤救治护理工作的持续改进提供评估工具。

Abstract: Objective: To establish a quality-sensitive indicator system for trauma care nursing to promote the standardisation and standardisation of trauma care nursing practices. Methods: Based on evidence-based research and group discussions, a preliminary quality-sensitive indicator system for trauma care nursing was developed. The Delphi method was used to conduct two rounds of expert consultations with 10 experts to establish the indicator system and its weights. Results: A trauma care quality sensitive indicator system comprising 3 primary indicators, 12 secondary indicators, and 29 tertiary indicators was ultimately established. The positive response rate for both rounds of expert consultations was 100%, with an authority coefficient of 0.854. The importance coordination coefficients for the indicators were 0.440 and 0.407, respectively (both P < 0.05). Discussion: The established trauma care quality sensitive indicator system is scientifically sound and reliable, providing an evaluation tool for the continuous improvement of trauma care nursing work.