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| Establishment of evaluation for the quality of clinical pressure sore nursing based on Donabedian theory |
| YANG Yi1 YANG Xiaoying2 YU Mei2 |
1.Nursing Department, Civil Aviation General Hospital, Beijing 100123, China;
2.Department of Spine, the 309th Hospital of Chinese People's Liberation Army, Beijing 100123, China |
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Abstract Objective To explore the evaluation for the quality of clinical pressure sore nursing based on Donabedian theory. Methods Delphi method was adopted in this study. Through 2-round of consultation, the general evaluation for the quality of clinical pressure sore nursing was built up by 26 experts. Results The effective rates for the experts′ questionnaire consultation in 2 rounds were 92.30% and 100.00% respectively; the variation coefficient in first round was between 0.121-0.163 and in second round was between 0.073-0.184; the determination coefficient was 0.839, the familiar coefficient was 0.847 and the degree of authority coefficient was 0.843. The Kendall coefficients were 0.541 and 0.743, and it showed that the experts had an high agreement with the system. The structure-process-outcome system includes 3 primary indicators, 15 secondary indicators and 32 tertiary indicators. Conclusion High representativeness and dependability is proved by the results of experts' consultation such as active coefficient, variation coefficient and authority coefficient. The clinical pressure sore nursing evaluation system in this study is conductive to continuous improvement of clinical pressure sore nursing.
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