Study on the construction of the indicator system of obstetric nursing safety management in Beijing based on Delphi method
TIAN Dan1，2 LI Rui2 MENG Kai1▲ ZHAO Lei1
1.School of Public Health, Capital Medical University, Beijing 100069, China;
2.Department of Obstetrics, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China
Abstract：Objective To explore and construct indicator system of Beijing′s obstetric nursing safety management, and provide content basis and quantitative standards for obstetric nursing safety management. Methods From December 2018 to June 2019, literature review and brainstorming were used by research team to draw up a quantitative table indicator pool. Then 20 nursing specialists were selected from the First Hospital of Beijing University, Peking University People′s Hospital, International Hospital of Beijing University, Beijing Obstetrics and Gynecology Hospital, Beijing Air Force General Hospital, Beijing Yanhua Hospital, Beijing Century Temple Hospital, Xuanwu Hospital, Capital Medical University, 304 Hospital of PLA and Beijing Luhe Hospital, Capital Medical University (10 hospitals). Delphi method was used by nursing specialists to score the scientificity and operability of the primary indicators in two rounds. The indicator system of obstetric nursing safety management in Beijing was constructed by screening evaluation indicator with boundary value method and calculating indicator weight with percentage weight method. Results The recovery rates of two rounds of inquiry papers were 100%, and the authoritative coefficients of experts were more than 0.70; experts had consistency of Kendall′s W coordination test (P < 0.01). Through the first round of expert consultation: delete 1 secondary indicator, 6 tertiary indicators and increase 1 tertiary indicator; the second round of expert consultation: delete 2 tertiary indicators. This study constructed the index system of obstetric nursing safety management in Beijing: 3 first-level indicators, 11 second-level indicators and 33 third-level indicators. Conclusion The indicator system of obstetric nursing safety management in Beijing is scientific and reliable, which can provide a basis for the evaluation of obstetric nursing safety in Beijing.
田丹1，2 李蕊2 孟开1▲ 赵磊1. 基于德尔菲法的北京市产科护理安全管理指标体系构建研究[J]. 中国医药导报, 2019, 16(25): 179-184.
TIAN Dan1，2 LI Rui2 MENG Kai1▲ ZHAO Lei1. Study on the construction of the indicator system of obstetric nursing safety management in Beijing based on Delphi method. 中国医药导报, 2019, 16(25): 179-184.
[1] 徐春丽，沈萍华.产房护理工作中安全隐患分析与管理对策探讨[J].中医药管理杂志，2017，25（2）：100-101.
[2] 王健.产科护理质量的影响因素及预防对策[J].上海护理，2017，17（7）：233-234.
[3] 何长英，魏丽君，钟杏，等.基于德尔菲构建住院老年患者跌倒风险评估量表的研究[J].护士进修杂志，2017，32（9）：771-774.
[4] 吴颖颖，岳爱学，何佳倩，等.基于德尔菲法慢性心力衰竭患者多元文化护理宣教方案构建[J].中国医药导报，2017，14（29）：115-120.
[5] 王立宁，王春华，孙黎明，等.糖尿病专科护士培训效果评价指标的初步构建[J].河北医学，2017，23（10）：1751-1757.
[6] McLagan P，McCullough R. Models for excellence：the conclusions and recommendations of the ASTD training and development competency study [M]. Alexandria，VA：American Society for Training and Development，1983.
[7] Smit M，Sindram SI，Woiski M，et al. The development of quality indicartors for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands [J]. BMC Pregnancy Childbirth，2013，194（13）：1-7.
[8] Donna MI，Aurence M. The use of Delphi as a research approach [J]. Nuts Res，2001，8（4）：4-23.
[9] Hasson F，Keeney S，Mckenna H. Research guidelines for the Delphi survey technique [J]. J Adv Nurs，2000，32（4）：1008-1015.
[10] 方雅青.医务社会工作者绩效评价指标体系研究[D].杭州：浙江大学，2012.
[11] 成守珍，汪牡丹，陈丽芬，等.护理安全质量评价指标体系的构建[J].中华护理杂志，2014，49（3）：270.
[12] 蔡惠永，宋锐.以服务团队为单位的家庭医生绩效考评指标体系研究[J].中华全科医学，2015，13（7）：1137-1139.
[13] 胡善联.管理流行病学[M].北京：中国环境科学出版社，1992：348-350.
[14] 艾尔·巴比.社会研究方法[M].北京：华夏出版社，2009.
[15] 何宇，杨小丽.基于德尔菲法的精神卫生服务可及性评价指标体系研究[J].中国全科医学，2018，21（3）：322-329.
[16] 刘琮，刘一志，王如德.Kendall协调系数w检验及其SPSS实现[J].泰山医学院报，2010，31（7）：487-489.
[17] 贾圆.产科护理安全管理及防范[J].临床医药文献杂志，2018，5（14）：94.
[18] 高凌云.实施高危孕产妇抢救工作的效果评价[J].中国妇幼保健，2012，27（14）：2094-2095.
[19] 周晓兰，刘秀玲.2011-2016年北京市朝阳区孕产妇死亡情况及干预措施[J].中国妇幼保健，2018，33（7）：1599-1602.
[20] 雷美娥.基层医院产科护理安全隐患的分析与防范[J].中医药管理杂志，2011，19（1）：95-96.
[21] 张新，高俊茹，李淑嫒，等.护理安全质量管理体系对护理安全质量的影响[J].齐鲁护理杂志，2015，21（8）：191-192.
[22] 张彩云，李惠娥.北京市某区产科机构护理安全管理问题及对策[J].实用临床护理学电子杂志，2017，2（33）：191-192.
2019, Vol. 16 
京公网安备 11010502046598号