Construction of nursing quality evaluation index system for nurse-led traditional Chinese medicine clinic / 中国实用护理杂志

ABSTRACT

Objective:To construct the evaluation index system of nursing quality in nurse-led Traditional Chinese Medicine (TCM) clinic, and to provide a tool for evaluation of nursing quality in nurse-led TCM clinic.Methods:Based on Donabedian three-dimensional quality model of "struction-process-outcome" the inital index system of nurse-led TCM clinic was formed through literature review, evidence level and quality evaluation were conducted based on Johns Hopkins evidence-based nursing method. Through 2 rounds of experts′ consultation, the index system was finally determined. The index weight was calculated by analytic hierarchy process.Results:Two rounds of experts consultations resulted in the effective response rate of 95.65%(22/23) and 86.36%(19/22), the expert authority coefficient was 0.80 and 0.81, coefficients of variation ranged from 0.043 to 0.326 and 0.000 to 0.215, and the Kendall coordination coefficient was 0.261 and 0.214, respectively, showing statistically significant difference ( P<0.05 for both); the final indicator system consisted of 3 first-level indicators, 9 second-level indicators and 53 third-level indicators. Conclusions:The evaluation index system of nurse-led TCM clinic has good reliability, and can provide reference for the evaluation of nursing qualityin nurse-led TCM clinic.