摘要
Abstract
Objective The aim of this study was to develop a composite index indicators of Neonatal Intensive Care Unit ( NICU)quality and thus to promote the continuing improvement of NICU overall quality,improve the success rate of treatment and quality of life in the critical newborns. Methods Based on Donabedian′s model which provided the framework,the study was established premilinarily and defined as composite index indicator of NICU quality through combining with the relevant policies,laws of national hospital management,construction and management standards of NICU. Meanwhile,pediatric,adult and intensive care quality indicators were well referenced. Two rounds of questionnaires were delivered. The expert panel members exchanged their opinions anonymously through letters of inquiry and then provided recommendations for delete,add,split,revise and merge. After the two rounds,Analytic Hierarchy Process was adopted to calculate weights of nursing quality indicators through erecting the judgment matrix. Results Forty-eight NICU experts in 12 tertiary maternal and child health hospital or children′s hospital spread across 9 provinces in China participated in two rounds of Delphi panels and all panel members responded. Sixty-seven indicators including 19 structure indicators,18 process indicators and 30 outcome indicators were established based on the Donabedian′s model. In the first round,8 were deleted,1 was splited,4 were added,4 were revised and 2 were merged while only 5 were deleted without other changes in the second round. The Analytic Hierarchy Process was used to determine the weight of the ultimate composite indicator of NICU quality(16 structure indicators,18 process indicators and 24 outcome indicators). Statistical data showed that the mean importance scores of 3 first-level indicators,14 second-level indicators and 58 third-level indicators were 4. 6-4. 9、4. 1-4. 9,3. 7-5. 0,0. 310 8,0. 493 4,0. 195 8,and the full mark rate was 60. 4% -88. 6%、25. 6% -90. 7%, 6. 3% -97. 9% respectively,which had shown a wider tendency of the range. The three levels indicators were well consistency with the consistency ration( CR)less than 0. 1. Conclusion Based on the Donabedian′s model,58 NICU nursing quality indicators which reached a reliable consensus within the panel members were identified. The study offered the instructive probe for further researches.关键词
新生儿/危重症护理/质量指标/权重Key words
Neonate/Intensive care/Quality indicators/Weight
