关键词: 耳鼻咽喉头颈外科, 敏感指标, 德尔菲法, 护理质量

Abstract: Objective: To construct a sensitive, scientific, and targeted evaluation system for the quality of nursing care in otolaryngology head and neck surgery, in order to provide a standardized and quantitative basis for evaluating and monitoring the quality of otolaryngology head and neck surgery specialized nursing care. Methods: Based on Donabedian′s "structure process results" theoretical framework, literature analysis, expert groups discussion were performed to access the preliminary screening of indicators, prepared a consultation questionnaire and two rounds of Delphi expert consultation, and then sensitive indicators of nursing quality in otolaryngology head and neck surgery were revised and determined. The weight of each indicators was calculated using analytic hierarchy process. Results: The positivity coefficients of the two rounds of consultation experts were both 100%, the authority coefficients were 0.919 and 0.934 respectively. The Kendall harmony coefficients of the first round of expert consultation were 0.218~0.294, and the second round were 0.269~0.335 (both P<0.05). The constructed otolaryngology head and neck surgery nursing quality sensitive indicator system included 3 first level indicators, 10 second level indicators and 31 third level indicators. The weight results of the first level indicators were 0.112, 0.444, and 0.444 respectively, the weight results of the second level indicators were 0.028~0.207, and the weight results of the third level indicators were 0.005~0.111. Conclusion: The constructed sensitive indicators for the nursing quality of otolaryngology head and neck surgery highlight the characteristics of specialized departments, and are scientific and practical, and can provide reference for the evaluation of nursing quality in otolaryngology head and neck surgery.

Key words: Otolaryngology head and neck surgery, Sensitive indicators, Delphi method, Nursing quality