严重创伤救治护理质量评价指标体系的构建及适用性分析

doi:10.3761/j.issn.2096-7446.2025.04.007

Abstract

Abstract:

Objective To construct nursing quality evaluation index system for severe trauma care and provide an evaluation basis for the monitoring and control of nursing quality in the whole process of trauma care. Methods Based on the frame work of the three-dimensional “structure-process-outcome” quality model，this study used literature review，Delphi method and analytic hierarchy to determine the content and the weight of indicators. Results A total of 20 medical，nursing and management experts from 16 hospitals at national，provincial，city and county trauma care systems were included，and two rounds of consultations were conducted. The effective recovery rates were 100% and 95%，respectively. The expert authority coefficients were 0.897 and 0.911，respectively. The variation coefficients of each item ranged from 0.045~0.291 and 0.045~0.217. The Kendall harmony coefficients were 0.273 and 0.206（P<0.001）. In this study，a total of 54 nursing quality indicators for severe trauma care were formed，including 19 structural indicators，25 process indicators and 10 result indicators. Conclusion The evaluation indicators are scientific and practical，which can provide objective，scientific and effective evaluation basis for the quality control of trauma care，and provide data support for the construction of trauma database and data-oriented trauma treatment quality control system.

Key words: Severe Trauma, Trauma Center, Nursing Care, Quality Control, Indicators, Delphi Method

CHEN Huijuan, HUANG Wei, LIU Yue, ZHAO Feifan, CHENG Jing, SUN Libing. Construction and applicability analysis of nursing quality evaluation index system of severe trauma care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 428-433.

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Construction and applicability analysis of nursing quality evaluation index system of severe trauma care

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