四川精神卫生2025，Vol.38Issue(2)：138-144,7.DOI:10.11886/scjsws20240916001
四川省精神科封闭式病房护理质量评价指标体系的构建
Construction of nursing quality evaluation index system of psychiatric closed wards in Sichuan Province
摘要
Abstract
Background In Sichuan Province,most healthcare institutions providing mental health services have adopted self-developed evaluation indicators for the quality of nursing care in psychiatric closed wards,lacking unified standards.This results in insufficient authority and homogeneity,which is unfavorable for the standardized assessment and continuous improvement of nursing quality.Objective To construct a standardized evaluation indicator system for nursing quality of psychiatric closed wards in Sichuan Province,so as to provide references for nursing quality management and assessment.Methods Based on bio-psycho-social medical model and guided by"Structure-Process-Outcome"quality evaluation framework,preliminary evaluation indicators for nursing quality in psychiatric closed wards were developed through literature analysis,research team discussions and clinical experience.Through two rounds of Delphi expert consultation,the indicators were revised and finalized.Results The response rates for two rounds of Delphi expert consultation questionnaire were 100%.The expert authority coefficients were 0.845 and 0.864,respectively,and the Kendall's coordination coefficients ranged from 0.119 to 0.210(P<0.01).Ultimately,a nursing quality evaluation index system for psychiatric closed wards was established,comprising 3 first-level indicators,9 second-level indicators and 46 third-level indicators.Conclusion The nursing quality evaluation indicators for psychiatric closed wards constructed based on the Delphi method can provide references for nursing quality management and evaluation in such wards.[Funded by Research Project Fund of Sichuan Nursing Society(number,H20004);Sichuan Hospital Association Hospital Management Research Special Fund(number,YG2323)]关键词
精神科/封闭式病房/护理质量/评价指标Key words
Psychiatry department/Closed wards/Nursing quality/Evaluating indicators分类
临床医学引用本文复制引用
白春兰,李作为,廖巧玲,王欢,王娅丽..四川省精神科封闭式病房护理质量评价指标体系的构建[J].四川精神卫生,2025,38(2):138-144,7.基金项目
四川省护理学会科研项目基金(项目名称:四川省精神科封闭式病房护理质量评价标准的构建,项目编号:H20004) （项目名称:四川省精神科封闭式病房护理质量评价标准的构建,项目编号:H20004）
四川省医院协会医院管理科研专项资金项目(项目名称:降低老年精神病住院患者跌倒率多学科管理模式研究,项目编号:YG2323) （项目名称:降低老年精神病住院患者跌倒率多学科管理模式研究,项目编号:YG2323）
