Objective To investigate the current application status of nursing quality indicators in military hospitals, and provide references for the formulation of nursing quality indicators in military hospitals. Methods By using the judgment sampling method, 28 military hospitals from different regions and with various functional tasks were selected. The “Questionnaire on the Application Status of Nursing Quality Indicators in Military Hospitals” was distributed to collect data on nursing quality indicators. The form included general information about the hospital, the names, types, collection methods, and collection standards of the indicators. Results A total of 28 questionnaires were returned, and 509 indicators were collected. The correct reporting rate of structural indicators was 92.86%, for process indicators it was 99.62%, and for outcome indicators it was 89.57%. There were 146 nursing quality indicators, including 11 structural indicators (7.53%), 92 process indicators (63.02%), and 43 outcome indicators (29.45%). There were 3 indicators reflecting the characteristics of military nursing. The names, quantity and collection standards of the indicators applied by each military hospital varied greatly, lacking unified norms, military characteristics and information-based methods for collecting indicator data. Conclusions A standardized and unified nursing quality indicator system for military hospitals should be established, the connotation construction of the indictors should be deepened, and their military characteristics and the informatization construction of the indicator data collection should be strengthened.
Key words
military hospital /
nursing quality /
nursing quality indicators /
nursing management /
current status survey
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 梁卫根, 周学君, 文其武, 等. 新形势下军队医院转型发展[J]. 解放军医院管理杂志, 2021,28(4):343-345.
[2] 梁元元, 高兴莲, 王曾妍, 等. 基于三维质量结构模型构建手术室护理质量评价指标体系[J]. 护理管理杂志, 2024,24(8):699-704.
[3] 潘世琴, 罗明琴, 赵生秀, 等. 基于层次分析法构建青海省三级医院护理质量评价指标体系[J]. 护理管理杂志, 2023,23(12):951-955.
[4] Donabedian A. The quality of care. How can it be assessed?[J]. JAMA, 1988,260(12):1743-1748.
[5] 王亚亚, 么 莉, 尚少梅, 等. 我国70所三级综合医院护理质量指标使用现况调查[J]. 中国护理管理, 2015,15(8):943-946.
[6] 沈 燕, 徐振清, 廖显春. 军队中心医院卫勤训练中心建设[J]. 解放军医院管理杂志, 2021,28(9):846-847.
[7] 冉真榕, 魏佳佳, 蒲 杨, 等. 重庆市44所二级及以上公立中医医院护理质量管理现状调查[J]. 检验医学与临床, 2024,21(16):2459-2464.
[8] 宋慧娟, 崔 虹, 朱小冬, 等. 广东省三级综合医院优质护理服务评价指标的构建[J]. 现代临床护理, 2024,23(4):73-84.
[9] 陈晓华, 程 乔, 任 宁, 等. 最小数据集在护理关键环节质量控制中的信息化构建与应用[J]. 中国护理管理, 2022,22(11):1713-1718.
[10] 么 莉. 护理质量指标监测基本数据集实施指南(2022版)[M]. 北京: 科学文献技术出版社, 2022.
[11] 王 爽, 赵雨欣, 陈 炜, 等. 三级公立医院高质量发展背景下急危重症医学中心建设及其对护理的启发[J]. 中华急危重症护理杂志, 2024,5(6):499-505.
[12] Koch D, Kutz A, Conca A, et al. The relevance, feasibility and benchmarking of nursing quality indicators: a delphi study[J]. J Adv Nurs, 2020,76(12):3483-3494.
[13] Patrician P A, Loan L, McCarthy M, et al. Towards evidence-based management: creating an informative database of nursing-sensitive indicators[J]. J Nurs Scholarsh, 2010,42(4): 358-366.
[14] Pazargadi M, Tafreshi M Z, Abedsaeedi Z, et al. Proposing indicators for the development of nursing care quality in Iran[J]. Int Nurs Rev, 2008,55(4):399-406.
[15] Kunaviktikul W, Anders R L, Chontawan R, et al. Development of indicators to assess the quality of nursing care in Thailand[J]. Nurs Health Sci, 2005,7(4):273-280.
[16] 钟志航,冯志英,王建荣,等.44所军队医院护理人员卫勤训练与考核现状调查与分析[J].解放军护理杂志,2022,39(4):93-96.
[17] 邓 静,马会娟,牛爱芳,等.军队医院抽组护理人员执行卫勤保障任务的现状与建议[J].护理管理杂志,2024,24(1):40-43,49.
[18] 胡素琴, 王桂玲, 陈春霞, 等. 军队医院门诊同质化管理标准体系的构建与实施[J]. 海军医学杂志, 2022,43(9):943-946.
[19] 马燕兰, 钟志航, 冯志英, 等. 军事护理敏感质量指标体系的构建[J]. 解放军护理杂志, 2022,39(8):58-60, 96.
[20] 戴冬梅, 贾 婷, 李 静, 等. 军队中心医院护理质量评价指标体系构建[J]. 解放军医院管理杂志, 2017,24(4):329-332.
[21] 任清风, 袁 磊, 贾兆宝, 等. 新形势下军队智慧医院发展[J]. 解放军医院管理杂志, 2021,28(9):807-809.
[22] Patrician P A, Loan L A, McCarthy M S, et al. Twenty years of staffing, practice environment, and outcomes research in military nursing[J]. Nursing outlook, 2017,65(5S):S120-S129.
PDF(993 KB)
