用药护理中断事件风险评价指标体系的构建及应用研究

doi:10.3761/j.issn.2096-7446.2024.08.012

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (8): 731-736.doi: 10.3761/j.issn.2096-7446.2024.08.012

用药护理中断事件风险评价指标体系的构建及应用研究

董小倩, 丁四清, 曹欢, 王星星, 甘港, 刘敏, 谢建飞, 王莎, 郑树基

410013 长沙市中南大学湘雅三医院护理部（董小倩,丁四清,甘港,刘敏,谢建飞,王莎）; 中南大学湘雅护理学院（曹欢,王星星）; School of Health Sciences,Western Sydney University（郑树基）

收稿日期:2023-12-30 发布日期:2024-08-07
通讯作者: 谢建飞,E-mail：xiejianfei@csu.edu.cn
作者简介:董小倩：女,本科（硕士在读）,护士,E-mail：217812066@csu.edu.cn
基金资助:
湖南省自然科学基金青年项目（2022JJ40736）; 中南大学湘雅三医院汇智育才-拔尖人才支持计划（BJ202205）

Construction and application of risk evaluation index system of nursing interruptions in medication process

DONG Xiaoqian, DING Siqing, CAO Huan, WANG Xingxing, GAN Gang, LIU Min, XIE Jianfei, WANG Sha, ZHENG Shuji

Received:2023-12-30 Published:2024-08-07

摘要/Abstract

摘要： 目的构建护士用药护理中断事件风险评价指标体系并临床应用。方法 2023年1月—10月,以“基于安全信息流的事故致因概念模型”为理论基础,采用文献分析、质性访谈、德尔菲法及层次分析法,确定用药护理中断事件风险评价指标体系内容及各指标权重。应用该指标体系对湖南省某三级甲等医院440名护士进行评价。结果 2轮函询问卷有效回收率为100%,专家权威系数为0.922和0.894,变异系数为0~0.240和0~0.188,肯德尔和谐系数为0.151和0.171。最终确定一级指标6项、二级指标17项、三级指标56项。指标体系的Cronbach‘s α系数为0.746,平均内容效度指数为0.969。秩和检验结果显示,不同科室护士总分差异无统计学意义（P>0.05）,但在管理和环境因素方面,差异具有统计学意义（P<0.05）。结论用药护理中断事件风险评价指标体系信效度好,指标科学合理、内容全面、专业性强,可为用药安全管理策略提供依据。

关键词: 护理中断事件, 用药安全, 德尔菲技术, 护理管理研究

Abstract: Objective To construct and apply the risk evaluation index system of nursing interruptions in medication process. Methods From January to October 2023,with "safety information flow-based accident causative conceptual model" for the theoretical framework,literature analysis,qualitative research,Delphi method and analytic hierarchy process were used to determine the contents and each index weight of risk evaluation index system for nursing interruptions in medication nursing. It was used to evaluate 440 nurses from a tertiary Class A hospital in Hunan Province. Results Effective recovery rates of two rounds of consultation were 100%,expert authority coefficients were 0.922 and 0.894,coefficient of variation were 0~0.240 and 0~0.188,and Kendall concordant coefficients were 0.151 and 0.171. Finally,6 first-level indicators,17 second-level indicators and 56 third-level indicators were determined. The Cronbach‘s α coefficient of the system was 0.746,and the average content validity index was 0.969. The rank sum test showed that the total score of nurses in different departments had no statistical significance（P>0.05）,but there were differences in management and environmental factors（P<0.05). Conclusion Reliability and validity of the risk evaluation index system for medication nursing interruptions were good. Constructed indexes are scientific,reasonable,comprehensive and professional,which can provide basis for management strategy in medication nursing.

Key words: Nursing Interruptions, Medication Safety, Delphi Technique, Nursing Management Research

董小倩, 丁四清, 曹欢, 王星星, 甘港, 刘敏, 谢建飞, 王莎, 郑树基. 用药护理中断事件风险评价指标体系的构建及应用研究[J]. 中华急危重症护理杂志, 2024, 5(8): 731-736.

DONG Xiaoqian, DING Siqing, CAO Huan, WANG Xingxing, GAN Gang, LIU Min, XIE Jianfei, WANG Sha, ZHENG Shuji. Construction and application of risk evaluation index system of nursing interruptions in medication process[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(8): 731-736.

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用药护理中断事件风险评价指标体系的构建及应用研究

Construction and application of risk evaluation index system of nursing interruptions in medication process

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