摘要
目的探讨应用德尔菲法研制适用于中国围产医疗系统新生儿科不良事件的筛查工具。方法2011年11月—2012年10月,我们采用德尔菲法,以美国健康促进研究院推荐的新生儿重症监护室不良事件筛查工具为框架,在5名新生儿领域医疗护理专家进行预调查的基础上形成专家咨询问卷。选取上海市15名专家进行2轮专家咨询,对筛查工具的条目进行筛选,并对识别工具的信度和效度进行初步测试。结果问卷有效回收率100%;专家权威系数均值为(0.90±0.09);2轮咨询后专家意见的协调系数(W)值分别为0.135和0.177;形成了共20个条目的新生儿科不良事件筛查工具。识别工具的Cronbach’s为0.815,CVI为0.956。结论借鉴德尔菲法研制的新生儿科不良事件筛查工具,具有较高的预测性和可靠性,对于新生儿科不良事件的识别具有现实意义。
Objective To develop a neonatal department focused trigger tool （NDTY） using Delphi method for adverse event detection. Methods From November 2011 to October 2012 Delphi method was adopted to design an expert consultation questionnaire based on the neonatal intensive care unit （NICU） trigger tool recommended by the Institute for Healthcare Improvement （IHI）, literature review and interviews with five experts. Fifteen experts from Shanghai, Zhejiang Province and Sichuan Province were chosen to do a two-round Delphi consultation. The items were modified and the reliability and validity of NDTr were tested. Results The recovery rate of two-round questionnaire were 100%. The average authority coefficient （Cr） was （0.90 ± 0.09）. The Kendall W in the first and second consultation was 0. 135 and 0.117, respectively （P 〈 0.001 ）. The NDTT including 20 trigger items was formulated. The overall Cronbach＇s a was 0. 815, and content validity index （CVI） was 0.956. Conclusion The reliability of NDTr developed using Delphi method is relatively high. It remains to be further verified and improved in practice.
出处
《上海护理》
2013年第3期11-14,共4页
Shanghai Nursing
基金
上海市医院协会医院管理研究基金(编号:2011037)
关键词
新生儿科
不良事件
筛查工具
德尔菲法
Neonatal department
Adverse event
Trigger tool
Delphi method
