“互联网 +各类留置管居家护理服务”质量评价指标的构建 [中文引用][英文引用]

目的 构建“互联网 + 各类留置管居家护理服务”质量评价指标，为规范开展“互联网 + 各类留置管居家护理服务”质量评价提供客观依据。方法 根据“结构 - 过程 - 结果”模型，在文献检索的基础上，结合半结构式访谈、实践经验、德尔菲专家函询选取 20 名从事临床护理、护理管理、人力资源、公共卫生管理和信息技术专家进行 2 轮函询，确定“互联网 + 各类留置管居家护理服务”质量评价指标。结果 2 轮函询问卷有效回收率均为 100.00%，专家的权威系数分别为 0.785，二级指标的 Kendall 协调系数 W 分别为 0.201、0.280，三级指标分别为 0.214、0.226，差异具有统计学意义（均 P<0.05）。第 2 轮专家咨询后各指标的重要性赋值均 > 4.0 分，变异系数均 <0.2，满分率 20% 及以上。最终构建的“互联网 + 各类留置管居家护理服务”质量指标包括一级指标 3 项（管路护理服务资源配置、管路护理服务执行与管路护理服务成效反馈）、二级指标 12 项、三级指标70 项。结论 构建的“互联网 + 各类留置管居家护理服务”质量评价指标体系具有科学性、可靠性、实用性，可有效评价“互联网 + 各类留置管居家护理服务”质量。

Objective To develop a quality evaluation indicator system for“Internet + indwelling tubes home nursing services” for a standardised evaluation process. Methods Based on the structure-process-outcome（SPO） model, a quality assessment indicator system for“Internet + indwelling tubes home nursing services”was developed. This system was refined via a comprehensive literature review, semi-structured interviews, clinical expertise, and a two-round Delphi consultation involving 20 experts from clinical nursing, nursing management, human resource management, public health and information technology. Results The effective recovery rate from both rounds of Delphi consultation was 100.00%. The authority coefficients for two-rounds of expert consultation were both at 0.785. Kendall’s W coefficients for secondary indicators were 0.201 and 0.280, and 0.214 and 0.226 for tertiary indicators, all were statistically significant（P<0.05）. After 2 rounds of expert consultation, the system demonstrated strong reliability：mean importance weights for all indicators exceeded 4.0, coefficients of variation were below 0.2, and full score rates included or surpassed 20%. The finalised quality evaluation indicator system for“Internet + indwelling tubes home nursing services”included 3 primary indicators（allocation of pipeline nursing service resources, implementation of pipeline nursing service resources, and feedback on the effectiveness of pipeline nursing service resources）, 12 secondary indicators, and 70 tertiary indicators. Conclusion The quality evaluation indicator system for“Internet + indwelling tubes home nursing services”developed in this study is scientifically reliable, practical and applicable for evaluation of the quality of“Internet+”pipeline home nursing services.