本文選題：卓越績效 + 護理質量指標��； 參考：《山東大學》2017年碩士論文

【摘要】：研究目的以卓越績效模式作為概念框架,構建一套切合實際、具有較高信度和效度的重癥監(jiān)護病房護理質量評價指標體系,增強對ICU護理品質管理方面的標準化水平,推動重癥監(jiān)護室護理服務品質的不斷增強。研究方法經過查找中國知網、萬方數(shù)據庫、pubmed等醫(yī)學數(shù)據庫后,收集ICU護理質量相關指標,借鑒卓越績效管理模式在其他行業(yè)中運行成功的方式,與《卓越績效模式評價準則運行說明》相對照,經過專家小組的研究與探討,首先制定有關ICU護理質量評價指標框架。運用德爾菲專家咨詢法開展德爾菲專家咨詢。經過兩次德爾菲法,最后確定ICU護理質量指標體系。在進行完第二次的專家咨詢后,運用變異系數(shù)法計算出每個指標權重。研究結果運用總體分析概括,探討有關我國以及其他國家醫(yī)院內使用績效管理和評價、護理質量評價指標體系建立的有關方式以及理論知識,將國際著名的卓越績效模式評判管理標準中的重要價值觀與理論結構進行參考,在經過專家多次分析討論與咨詢后,得出以下研究成果:1.通過對國內醫(yī)院ICU護理質量評價指標體系的研究進展和現(xiàn)狀的分析,針對醫(yī)院ICU護理管理出現(xiàn)的諸多問題,將系統(tǒng)理論思想引入ICU護理質量管理中,提出借鑒國外優(yōu)秀醫(yī)院以及企業(yè)應用卓越績效模式后的經驗,學習將卓越績效模式導入護理質量評價中。2.創(chuàng)建ICU護理質量指標體系理論框架:組織的領導、組織的戰(zhàn)略與患者需求、資源配置、過程管理與結果。3.遵循卓越績效框架模式中的原則,分析評價標準,初步形成了 ICU護理質量評價指標體系:一級指標6個、二級指標30個、三級指標91個,并確定了各指標的權重系數(shù)。研究結論1.把卓越績效這一模式運用到國內ICU護理質量評價中,豐富了 ICU護理質量評價的內容,并使其內涵大大提升;2.強調以患者為中心在ICU護理質量評價指標體系中的核心定位,對ICU的功能定位和管理發(fā)展起到有益的導向作用;3.在成熟、先進的理論框架基礎上建立ICU護理質量評價指標體系,使指標體系的內容更加豐富、覆蓋面更廣,彌補了以往研究的不足;4.指標的篩選和確定權重方法科學、合理,專家積極系數(shù)、權威系數(shù)可靠程度高。
[Abstract]:Objective to construct a set of practical, reliable and effective evaluation index system of nursing quality in intensive care unit (ICU) with excellent performance model as the conceptual framework, and to enhance the standardization level of nursing quality management in ICU. To promote the quality of nursing service in ICU. Methods after looking up the medical databases such as China Zhiwang, Wanfang database and pubmed, the authors collected the relevant indexes of ICU nursing quality, and used the excellent performance management model for reference to run successfully in other industries. Compared with the operating instructions of the excellent performance model evaluation criterion, the framework of the ICU nursing quality evaluation index was established through the research and discussion of the expert group. Use Delphi expert consultation method to carry out Delphi expert consultation. After two Delphi methods, the ICU nursing quality index system was determined. After the second expert consultation, the coefficient of variation method was used to calculate the weight of each index. The results of the study were summarized by general analysis, and the methods and theoretical knowledge of performance management and evaluation in hospitals in China and other countries, and the establishment of evaluation index system of nursing quality were discussed. This paper refers to the important values and theoretical structure in the management standard of the internationally famous outstanding performance model. After many experts' analysis and consultation, the following research results: 1: 1 are obtained. Based on the analysis of the research progress and present situation of the evaluation index system of ICU nursing quality in domestic hospitals, and aiming at the problems in the nursing management of ICU, the systematic theory thought was introduced into the nursing quality management of ICU. The experience of applying excellent performance model to foreign hospitals and enterprises was put forward, and the excellent performance model was introduced into nursing quality evaluation. Establish the theoretical framework of ICU nursing quality index system: organizational leadership, organizational strategy and patient needs, resource allocation, process management and results. 3. According to the principle of excellent performance framework, the evaluation criteria were analyzed and the evaluation index system of ICU nursing quality was preliminarily formed: 6 first-grade indexes, 30 second-level indicators and 91 third-level indicators. The weight coefficients of each index were determined. Conclusion 1. Applying the model of excellent performance to the evaluation of ICU nursing quality in China enriches the content of ICU nursing quality evaluation and greatly promotes the connotation of ICU nursing quality evaluation. It is emphasized that the core orientation of patient centered in the evaluation index system of ICU nursing quality plays a beneficial guiding role in the function orientation and management development of ICU. The evaluation index system of ICU nursing quality was established on the basis of mature and advanced theoretical framework, which made the content of the index system more abundant and the coverage wider, which made up for the deficiency of previous research. The methods of index selection and weight determination are scientific, reasonable, expert positive coefficient and authority coefficient reliability.
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473

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