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Construction of a core competency index system for hospital consult pharmacists:A Delphi method and analytic hierarchy process 被引量:1
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作者 Xiaojing Lu Xiangfen Shi +1 位作者 Kefeng Liu Shuzhang Du 《Journal of Chinese Pharmaceutical Sciences》 CSCD 2024年第12期1153-1160,共8页
The aim of this study is to discipline construction in our hospital.The Delphi method was used to construct the constituent elements and specific connotations of the core competence of HCPs,and the analytic hierarchy ... The aim of this study is to discipline construction in our hospital.The Delphi method was used to construct the constituent elements and specific connotations of the core competence of HCPs,and the analytic hierarchy process(AHP)was used to determine the index weight.A total of 19 experts were included,all with intermediate or higher professional titles.The positive coefficients of experts in the two rounds of consultation were all 100%.The judgment basis of experts is 0.895,the degree of familiarity is 0.842,and the coefficient of authority is 0.868.The Kendall harmony coefficients of the first,second,and third-level indicators were 0.381,0.383,and 0.320,respectively.The expert coordination degree was tested by x^(2) test,the P values were all less than 0.05,indicating that the degree of expert coordination was well.After two rounds of letter inquiry,an evaluation index system of core competence of HCPs with professional accomplishment,theoretical knowledge,basic skills,professional skills,and professional development ability as the main framework was formed,including 5 first-level indicators,18 second-level indicators,and 62 third-level indicators.Based on the Delphi and AHP methods,the index system of HCPs'core competence established has high authority and scientificity,to provide the theoretical basis for the standardized training and comprehensive evaluation of HCPs. 展开更多
关键词 Hospital consult pharmacists Core competence Index system delphi method Analytic hierarchy process
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Outpatient Experience of Human Caring Scale (OEHC-Scale): Improvement by Delphi Method 被引量:16
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作者 Chun-yan GUAN Yi-lan LIU +8 位作者 Hui HUANG Xia YANG Juan-juan XU Xin-qiao FU De-ying HU Cai-hong LU Zhi-guo ZHANG Juan XU Peng HAN 《Current Medical Science》 SCIE CAS 2018年第2期360-371,共12页
Based on the outpatient interview and literature review, the initial framework of the outpatient experience of human caring scale was formed with 9 dimensions of outpatient process. The research aim was to improve the... Based on the outpatient interview and literature review, the initial framework of the outpatient experience of human caring scale was formed with 9 dimensions of outpatient process. The research aim was to improve the scale by Delphi method. Sixteen experts in medical management, human caring or medical education were invited to evaluate the importance of the dimensions and items of the scale and provided some expertise via filling out the DeLphi consultation questionnaires twice in the consulting round. In the first round, the recovery rate showing the experts' positivity was 80%; the coefficient of reliability (Cr) ascertaining the authority of the evaluation was 0.92; the mean and full mark ratios responding the concentration of the evaluation were 2.88-4.94 and 6.25%-93.75% respectively; the coefficients of variation (CV) and the Kendall's W determining the concordance of the evaluation were 5.06%-52.15% and 0.21-0.24 respectively. In the second round, the recovery rate was 93.75%; the Cr was 0.93; the mean was 3.93-4.93; the full mark ratios were 26.67%-93.33%; the Kendall's W was 0.14- 0.31, the CV was 5.25%-23.61%. Via the two-round Delphi study, the scale that included 10 dimensions and 61 items has been improved. Ten dimensions are pre-hospital medical service, guidance, registration, waiting, diagnosis & treatment, paying, inspection & assay, medicine receiving, therapy/injection/transfusion and global evaluation. It was concluded that Chinese scholars have paid high attention to human caring and outpatient experience. The experts have given high agreements about the dimensions which were established with Chinese outpatient process. The dimensions are different from the similar researches about outpatient experience study. In the future, it is necessary to survey the outpatients to test the construct validity, internal consistency reliability and others of the scale to improve the scale. 展开更多
关键词 outpatient experience human caring delphi method consensus methods quality measurement needs assessment
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高职教师绩效考核体系设计——基于AHP和Delphi Method的综合运用 被引量:6
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作者 张星 《职业技术教育》 2007年第31期57-59,共3页
高职教师绩效考核的核心是教师工作业绩细化指标的设计,它的设计与教学改革相关性最大,基于AHP和Delphi Method的综合运用,从一级指标的权重看,教师科研工作业绩明显大于教学工作业绩;从二级指标看,教学研究与改革的重要性正逐步被认识... 高职教师绩效考核的核心是教师工作业绩细化指标的设计,它的设计与教学改革相关性最大,基于AHP和Delphi Method的综合运用,从一级指标的权重看,教师科研工作业绩明显大于教学工作业绩;从二级指标看,教学研究与改革的重要性正逐步被认识;教学工作虽是衡量工作业绩的第一要素,但其内容已经丰富化,不再局限于课堂教学;教学政策的评定也更加多样化。 展开更多
关键词 AHP delphi method 高职院校 教师 绩效考核 设计
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Construction of nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19 (mild and common) in Beijing based on Delphi method 被引量:2
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作者 Jing ZHANG Xue‑Ling MA +3 位作者 Jian‑Hua DENG Jing LI Zhi‑Yun ZHANG Ling TANG 《Journal of Integrative Nursing》 2020年第4期172-178,共7页
Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical n... Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical nursing of patients with COVID‑19(mild and common).Methods:Through online communication meeting with nurses who are in the frontline of anti‑epidemic,clinical investigation,literature research,and expert demonstration meeting are carried out to prepare the draft of the standard,and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID‑19(mild and common)in Beijing.Results:The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)was established,which included 5 first‑level indicators,14 second-level indicators and 60 third‑level indicators.After two rounds of Delphi method,the positive coefficients of experts were 96%and 83%,the authoritative coefficients of experts were 0.89 and 0.91,and the Kendall’s coefficient of concordance(W)of experts were 0.12,0.09,0.10,0.13(P<0.05)and 0.44,0.43,0.37,0.39(P<0.05).Conclusion:The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID‑19(mild and common)in Beijing constructed by the Delphi method is scientific and practical,which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID‑19 infection. 展开更多
关键词 COMMON COVID‑19 delphi method integrated traditional Chinese and Western medicine nursing MILD nursing standard
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Re-discussing the content of the prescription rights of midwives under certain circumstances using the Delphi method 被引量:1
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作者 Shi-Fan Han Rui-Fang Zhu +1 位作者 Jin-Lian Cheng Xiao-Ding Yue 《Chinese Nursing Research》 CAS 2017年第3期146-150,共5页
Objective: This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China. Methods: The Delphi method was used to consult 18 nursi... Objective: This study sought to investigate the content of the prescription rights and the prescription types of midwives under certain circumstances in China. Methods: The Delphi method was used to consult 18 nursing experts and 14 medical experts, A total of 30 experts finished the consulting. The reliability of the expert opinions was analyzed to determine the specific situations in which midwives may write prescriptions, the content of the prescription rights and the prescription types. Results: In six specific circumstances (uterine contraction fatigue, uterine contractions that are too strong, postpartum hemorrhage, premature rupture of the membranes, normal delivery and neonatal asphyxia), midwives have the right to prescribe and administer medication, including 20 drugs and 13 auxiliary examinations. Of these drugs and examinations, 51.5% of the drugs and adjuvant examination prescriptions tend to be independent prescriptions, 30.3% tend to be protocol prescriptions, and 18.2% are similar to both types. Conclusions: The midwives should be granted some prescription rights to enhance their autonomy and the professionalism of midwifery. 展开更多
关键词 delphi method Midwife Specific circumstances Prescription content Prescription type
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Study on traditional Chinese medicine syndrome of esophageal cancer based on Delphi method 被引量:1
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作者 Yu-Ling Zheng Hong-Xin Sun +3 位作者 Ya-Ling Zhang Xue-Kun Song Jun-Tao Wang Ya-Qi Meng 《TMR Theory and Hypothesis》 2021年第2期469-477,共9页
Esophageal cancer is one of the common malignant tumors in humans.Traditional Chinese medicine(TCM)has unique advantages in the treatment of esophageal cancer.However,the TCM syndrome classification of esophageal canc... Esophageal cancer is one of the common malignant tumors in humans.Traditional Chinese medicine(TCM)has unique advantages in the treatment of esophageal cancer.However,the TCM syndrome classification of esophageal cancer is not standardized.This Delphi survey aimed to explore the TCM syndrome classification and symptom characteristics of esophageal cancer.Methods:Based on literature research,an expert consultation questionnaire was developed for the study of the TCM syndrome rules of esophageal cancer.Two rounds of questionnaire surveys were conducted among 62 experts across the country.Statistical description and statistical analysis of the mean,coefficient of variation,grade sum,and unimportant percentage of the retrieved data.TCM syndrome rules and diagnostic indicators for esophageal cancer after screening and sorting out the questionnaire items,convening experts to demonstrate.Results:62 valid questionnaires were collected,and the expert positive coefficient was 100%.The Kendall's coefficient of concordance W of the first and second rounds are 0.232 and 0.2334 respectively.In addition,the Kendall's coefficient of concordance W of the second round has been improved compared with the first round,suggesting that experts have a better degree of coordination on the importance of indicators.The common TCM syndromes of esophageal cancer are obtained:"liver-stomach disharmony,phlegm and qi obstruction syndrome","liver and spleen disorders,phlegm accumulating with stagnation syndrome","deficiency of liver and kidney yin,stubborn blood syndrome","deficiency of spleen and kidney yang,stubborn blood syndrome".Conclusion:The TCM syndrome indicators of esophageal cancer has been established.It provides a basis for the standardized research of TCM syndrome diagnosis of esophageal cancer,which is of positive significance for improving the level of clinical diagnosis and treatment. 展开更多
关键词 Esophageal cancer SYNDROME delphi method expert questionnaire traditional Chinese medicine
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Establishing nursing adverse events’reporting content of hospital:using the Delphi method
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作者 Yue Liu Hua-Ping Liu 《Frontiers of Nursing》 CAS 2020年第4期337-344,共8页
Objective:To develop nursing adverse events’reporting content of hospital.Methods:The study included two phases.The first phase was to develop the category and definition of nursing adverse events that need to be rep... Objective:To develop nursing adverse events’reporting content of hospital.Methods:The study included two phases.The first phase was to develop the category and definition of nursing adverse events that need to be reported through an expert meeting.The second phase was to develop every nursing adverse event’s reporting content by using the Delphi method.In total,8 experts attended the meeting and 15 experts conducted two rounds of consultation letter.Results:Nursing adverse events that need to be reported of hospital include pressure sore,fall/falling from bed,unplanned extubation,medication error,and accident.Reporting content of these events in detail had also been obtained,which was helpful for cause analysis systematically.Conclusions:The reporting content of the nursing adverse event of hospital is established,and it is a basis for further study of the development of nursing adverse event reporting and feedback system. 展开更多
关键词 nursing adverse event reporting content expert meeting delphi method Swiss Cheese Model adverse event report
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Content Validity of a Self-Management Behavior Assessment Tool for Adult Post-Renal Transplant Recipients Using a Modified Delphi Method
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作者 Takahiro Ohashi Chiharu Akazawa 《Health》 2022年第1期70-95,共26页
<strong>Background:</strong> Self-management is important for post-renal transplant recipients to resolve renal dysfunction, heart failure, and post-transplant psychosocial issues, and to maintain transpla... <strong>Background:</strong> Self-management is important for post-renal transplant recipients to resolve renal dysfunction, heart failure, and post-transplant psychosocial issues, and to maintain transplant kidney function, etc. However, because recipients may be unable to adequately self-manage, healthcare providers need to provide self-management support for recipients to improve their skills and confidence in managing their disease. However, it is difficult to comprehensively assess the self-management behaviors in a busy outpatient support setting. Furthermore, since there are no uniform standards for assessment, it is based on the experience and abilities of medical personnel. Therefore, self-management behavior of post-renal transplant recipients is not sufficiently evaluated. <strong>Objective:</strong> This study aimed to evaluate content validity of a tool that can assess self-management behaviors of adult post-renal transplant recipients, consisting of consensus components from experts familiar with the follow-up of adult post-renal transplant recipients. <strong>Methods:</strong> A three-round modified Delphi method was used to assess the self-management behaviors of adult post-renal transplant recipients by a panel of experts consisting of certified transplant recipient coordinators, physicians, outpatient nurses, and researchers familiar with the follow-up of post-renal transplant recipients. Regarding management behaviors of adult post-renal transplant recipients, the experts rated the appropriateness and validity of each item using a Likert scale. Consensus ratings from the experts were made by calculating the median, interquartile range, and interquartile range percentage. In the third round, an item-level content validity index was calculated to assess content validity. <strong>Conclusions: </strong>The 41-item self-management behavior scale for kidney transplant recipients assessed self-management behaviors in five domains: medication, exercise, fluids and diet, disease and symptom prevention and management, and psychosocial adjustment. The content validity of this tool was confirmed, and it can be used to more easily assess the recipients’ self-management behaviors in the post-renal transplant follow-up. This tool can potentially contribute to the maintenance of transplant kidney function and high QOL in recipients. 展开更多
关键词 Post-Renal Transplant RECIPIENT SELF-MANAGEMENT Modified delphi method
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Construction of the First Certification Evaluation Index System for Diabetes Specialist Nurses by Delphi Method 被引量:6
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作者 Haihua Zou Xue Gong +1 位作者 Siyun Wang Weiju Chen 《International Journal of Clinical Medicine》 2020年第5期242-251,共10页
Objective: To establish an evaluation index system for the first-time certification of diabetes specialist nurses in line with the clinical nursing practice in China, and to provide a reference basis for government ad... Objective: To establish an evaluation index system for the first-time certification of diabetes specialist nurses in line with the clinical nursing practice in China, and to provide a reference basis for government administrations and hospitals to formulate unified standards. Methods: After the research team has determined the theme, it will consult the development of A) specialist nursing through the library, Internet and electronic literature database;B) the history of the development of specialist nurses in diabetes and other fields;C) the selection criteria of specialist nurses;D) the training of specialist nurses system, assessment method;E) Specialist nurse certification body, evaluation standards and certification standards and other related documents, literature, books and report materials. The author established the preliminary index system through literature review, specialist interview and group discussion and used Delphi method to organize three rounds of 30 experts’ consultations. Results: A first certification evaluation index system including 8 fundamental indicators, 5 first-level indicators, 19 second-level indicators and 99 third-level indicators was constructed for diabetes nurses. Conclusion: The results of three rounds of expert consultation and demonstration are reliable, and the constructed index system is suitable for comprehensive evaluation of diabetes specialist nurses, which provides a basis for the effective management of nursing resources. 展开更多
关键词 DIABETIC SPECIALIST Nurses First CERTIFICATION Evaluation INDEX delphi method
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Construction and demonstrative application of an evaluation indicator system for the distinction of ancient books of traditional Chinese medicine based on the Delphi method and analytic hierarchy process
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作者 Lin Tong Weina Zhang +10 位作者 Lei Zhang Meng Li Sihong Liu Guangkun Chen Chen Li Yu Zhang Junze Ye Zhaochen Su Bing Li Hongtao Li Huamin Zhang 《Guideline and Standard in Chinese Medicine》 2025年第2期138-144,共7页
Objective:To construct a scientific and standardized evaluation indicator system for the distinction of ancient books of traditional Chinese medicine(TCM),aiming to provide a scientific basis for their cascade protect... Objective:To construct a scientific and standardized evaluation indicator system for the distinction of ancient books of traditional Chinese medicine(TCM),aiming to provide a scientific basis for their cascade protection.Methods:The Delphi method was applied to establish the evaluation indicator system for the distinction of ancient books of TCM,and the analytic hierarchy process was used to determine the weight of each indicator.Results:An evaluation indicator system for the distinction of ancient books of TCM was developed,including 4 first-level indicators and 15 second-level indicators.The experts’enthusiasm,authority,and coordination of opinions were all satisfactory.Conclusion:An evaluation indicator system for the distinction of ancient books of TCM was preliminarily constructed.The system is targeted,well-structured,and exhibits strong scientific and practical significance. 展开更多
关键词 distinction of ancient books of TCM delphi method analytic hierarchy process indicator system
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Establishment of the benchmarking tool for evaluating the operation of biorepositories for pathogenic resource using a modified Delphi method 被引量:3
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作者 Geng Hong Dongxin Liu +5 位作者 Yuanyuan Zhao Yalin Zhai Fengzekuan Zhao Yanhai Wang Mengnan Jiang Qiang Wei 《Biosafety and Health》 CAS CSCD 2024年第4期199-205,共7页
In recent years,as the infectious diseases caused by pathogens such as novel coronavirus and mpox(formerly called monkeypox)spread globally,the significance of identification,preservation,and sharing of pathogenic res... In recent years,as the infectious diseases caused by pathogens such as novel coronavirus and mpox(formerly called monkeypox)spread globally,the significance of identification,preservation,and sharing of pathogenic resources become prominent.Along with the rapid development of biorepositories,it is imperative to evaluate their operation in a scientific manner.By using the literature review and modified Delphi method,this study develops a benchmarking tool for the comprehensive evaluation of the operation of biorepositories for pathogenic resources.The effective response rates of both rounds of expert surveys were 100%.The authority coefficients(Cr)were 0.82 and 0.85,respectively,manifesting the reliability of consultation results.In the second‐round survey,the Kendall’s coefficient of concordance(Kendall’s W)of all indicators ranged from 0.09 to 0.31(P<0.001),the comprehensive score ranged from 4.02 to 4.94,the standard deviation ranged from 0.21 to 0.77,and the coefficient of variation(CV)ranged from 0.04 to 0.22,indicating that the expert opinions reached consensus.The final benchmarking tool was composed of 4 primary indicators,12 secondary indicators,and 65 tertiary indicators.The weights of the four primary indicators allocated through the rank‐sum ratio method,namely organizational structure,management requirements,biobanking capacity,and sharing capacity,were 30.50%,30.08%,25.45%,and 13.97%,respectively.The benchmarking tool established in this study provides references for the comprehensive evaluation of the operation and puts forward advice for the sustainable development of biorepositories for pathogenic resources. 展开更多
关键词 BIOREPOSITORY Pathogenic resource Evaluation Benchmarking tool Modified delphi method
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A method for determining the layout of a yaw system based on the Delphi method and the analytic hierarchy process
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作者 ShuTing Lin Lanxing Lu +1 位作者 Peng Zhang Hua Li 《Clean Energy》 EI CSCD 2024年第4期49-60,共12页
Wind power technology has been widely used due to its characteristics of environmental protection,sustainability and low cost.The yaw system plays a vital role in improving the energy capture efficiency of a wind turb... Wind power technology has been widely used due to its characteristics of environmental protection,sustainability and low cost.The yaw system plays a vital role in improving the energy capture efficiency of a wind turbine.However,the method of layout determination is lacking in the yaw system.To solve this problem,a method that combines the Delphi method and the analytic hierarchy process was proposed in this study.Twelve evaluation indexes,including transmission efficiency,ratio range,operating temperature range and others,were identified by screening 18 technical indicators using the Delphi method.Subsequently,the evaluation system of the yaw system was established.Then,six configuration schemes were selected.Experts’scores of schemes were collected according to the evaluation system and the score matrix of evaluation indexes was obtained.The hierarchical model of the evaluation indexes of the yaw system was established and the comprehensive weight was obtained by using the analytic hierarchy process.After calculating the comprehensive evaluation score,the comprehensive evaluation result was obtained.The 2Z-X(A)negative mechanism,which achieved the highest score of 0.9227,is the optimal scheme.A new method and specific process are provided for designers.The research gap in the scheme selection method for yaw systems is filled. 展开更多
关键词 renewable energy generation wind power yaw system delphi method analytic hierarchy process
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《妊娠期糖尿病非药物管理患者指南》推荐意见--基于共识会议法及Delphi法 被引量:1
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作者 邢年路 周英凤 +3 位作者 李丽 陈姝宇 赵敏慧 顾艳荭 《护士进修杂志》 2025年第3期249-255,共7页
目的基于共识会议法及Delphi法对《妊娠期糖尿病非药物管理患者指南》推荐意见的内容、推荐方向和强度达成共识。方法2022年11月通过目的抽样法遴选15名临床专家和2名循证方法学专家,采用共识会议法就患者指南中推荐意见的内容进行讨论... 目的基于共识会议法及Delphi法对《妊娠期糖尿病非药物管理患者指南》推荐意见的内容、推荐方向和强度达成共识。方法2022年11月通过目的抽样法遴选15名临床专家和2名循证方法学专家,采用共识会议法就患者指南中推荐意见的内容进行讨论,采用Delphi法对推荐强度进行独立投票。结果根据专家讨论结果,对32条推荐意见增加实施要点,对18条推荐意见进行修改,对4条推荐意见进行整合,删除1条临床适用性差的推荐意见,最终形成33条推荐意见;通过2轮Delphi专家咨询,24条推荐意见为强推荐,10条推荐意见为弱推荐,1条未标注推荐强度。结论共识会议法及Delphi法为推荐意见的内容和强度达成共识提供了决策支持,最终形成的推荐意见具有良好的科学性和可操作性,可为妊娠期糖尿病非药物管理提供科学依据。 展开更多
关键词 妊娠期糖尿病 非药物管理 患者指南 推荐意见 共识会议法 delphi
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基于Delphi-AHP的单兵导航定位训练影响因素分析
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作者 刁晓峰 宋殿义 +2 位作者 黄昉 卫国华 刘卫东 《火力与指挥控制》 北大核心 2025年第8期154-163,共10页
针对现有单兵导航定位训练影响因素研究中存在的主观性过强、缺乏科学性和系统性的问题,采用Delphi与AHP相结合的方法,构建单兵导航定位训练影响因素5个一级指标以及24个二级指标。通过比较各影响因素间的权重大小,一级因素对单兵导航... 针对现有单兵导航定位训练影响因素研究中存在的主观性过强、缺乏科学性和系统性的问题,采用Delphi与AHP相结合的方法,构建单兵导航定位训练影响因素5个一级指标以及24个二级指标。通过比较各影响因素间的权重大小,一级因素对单兵导航定位训练影响大小排序为:训练内容>训练方法>组训者>训练环境>受训者,训练内容因素影响最大,为40.63%。二级因素中排名前5的影响因素为模拟训练(14.70%)、手段运用(13.48%)、现地实训(12.66%)、组训形式(8.00%)、组训者教学水平(6.90%)。指出3点改进建议:全面优化训练内容体系,系统创新训练方法手段,全面提升组训能力水平。 展开更多
关键词 单兵导航定位训练 德尔菲法 层次分析法 影响因素 指标体系
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基于Delphi法构建三级医院手术室护士分层培训大纲
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作者 王惠珍 张捷 +4 位作者 张琳娟 安晶晶 穆莉 赵琳 孙育红 《基础医学与临床》 2025年第8期1116-1120,共5页
目的构建一套针对三级医院手术室护士分层培训大纲,为相应培训课程的开发以及临床能力的评估提供指导。方法运用德尔菲法(Delphi)对初步拟定的培训指标进行两轮专家函询,构建完整的手术室护士分层培训大纲。结果通过两轮专家函询,最终... 目的构建一套针对三级医院手术室护士分层培训大纲,为相应培训课程的开发以及临床能力的评估提供指导。方法运用德尔菲法(Delphi)对初步拟定的培训指标进行两轮专家函询,构建完整的手术室护士分层培训大纲。结果通过两轮专家函询,最终构建了包含6个一级指标,19个二级指标和62个三级指标的三级医院手术室护士分层培训大纲。两轮专家函询有效问卷的回收率均>99%,专家权威系数均在0.87以上。结论函询专家具有较好的积极性和权威性,构建的手术室护士分层培训大纲指标内容较为全面,为后续手术室护士分层培训系统课程的设置和运行奠定了基础。 展开更多
关键词 手术室护士 分层培训 德尔菲法 培训大纲
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基于Delphi建立整体护理模式在AMI患者中的应用
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作者 汤一鸣 丰青 +3 位作者 陈瑜 余洁 陆一鸣 王丹 《昆明医科大学学报》 2025年第5期170-176,共7页
目的探讨基于德尔菲法(Delphi)建立整体护理模式在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用价值。方法以2019年1月—2020年1月在云南省迪庆香格里拉人民医院治疗的110例AMI患者为例,按照入院的先后次序将患者分为对... 目的探讨基于德尔菲法(Delphi)建立整体护理模式在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用价值。方法以2019年1月—2020年1月在云南省迪庆香格里拉人民医院治疗的110例AMI患者为例,按照入院的先后次序将患者分为对照组与观察组各55例。对照组采用常规护理方式,观察组在对照组护理的基础上,实施基于Delphi的整体护理模式干预。护理6个月后,对比分析两组患者的左心室舒张末期容积(Left ventricular end-diastolic volume,LVEDV)、左心室收缩末期容积(Left ventricular end—systolic volume,LVESV),并计算左心室射血分数(left ventricular ejection fraction,LVEF)、自我管理效能(GeneralSelfefficacyScale,GSES)、并发症、护理满意度的变化。结果(1)护理后两组的LVEF显著升高,LVEDV、LVESV显著降低;观察组LVEF升高更显著,LVEDV、LVESV降低更显著(P<0.05);(2)护理后两组患者的自我效能感量表(GSES)得分较护理前有所提升,观察组提升较明显(P<0.05);(3)观察组住院期间不良事件发生率低于对照组(P<0.05);(4)护理后观察组的满意度高于对照组(P<0.05)。结论AMI患者采用基于Delphi整体护理模式,可有效改善患者心功能、自我管理效能。 展开更多
关键词 德尔菲法 整体护理模式 急性心肌梗死
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基于Delphi-IAHP-SPA-GCM的城市轨道交通项目运维韧性评价 被引量:1
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作者 颜红艳 宁海 易欣 《铁道科学与工程学报》 北大核心 2025年第8期3680-3690,共11页
为提升城市轨道交通项目运维现场的抗干扰能力,增加运维现场冗余度,提高城市轨道交通项目运维现场安全,将安全韧性理论引入城市轨道交通项目运维现场的安全管理并结合城市轨道交通项目的特点,基于韧性理论的四特征运用Delphi法识别城市... 为提升城市轨道交通项目运维现场的抗干扰能力,增加运维现场冗余度,提高城市轨道交通项目运维现场安全,将安全韧性理论引入城市轨道交通项目运维现场的安全管理并结合城市轨道交通项目的特点,基于韧性理论的四特征运用Delphi法识别城市轨道交通项目运维安全韧性驱动因素,考虑系统分类和韧性特征要素的映射关系,构建城市轨道交通项目运维安全韧性评价体系;运用区间层次分析−集对分析(IAHP-SPA)法进行城市轨道交通项目运维安全韧性指标权重赋权,解决传统区间层次分析法计算权重存在的模糊性问题;采用集对分析−灰色聚类(SPA-GCM)综合评价法求解聚类系数评价城市轨道交通项目运维安全韧性;并将IAHP-SPA-GCM模型应用于长沙地铁2号线进行运维韧性评价。研究结果表明:长沙地铁2号线项目运维安全韧性1级评价指标权重整体排序为:稳定性>适应性>恢复性>冗余性,说明稳定性是城市轨道交通项目运维安全韧性的核心,是确保其安全、可靠运行的关键因素;长沙轨道2号线的运维安全韧性分析显示,通道拥挤度和高峰期人流量的评价结果为高韧性,而其他方面则为中等韧性,表明在运维管理策略上,城市轨道交通项目亟需进一步优化客流管理,以提高服务效率和质量,从而更好地满足乘客不断增长的需求。实例验证了评价模型的实用性,有助于城市轨道交通项目运维阶段缩短事故恢复时间、避免事故次生灾害的产生、降低运维现场的安全事故风险。 展开更多
关键词 城市轨道交通项目 运维安全 韧性评价 delphi IAHP-SPA-GCM评价模型
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基于Delphi法构建铺灸治疗亚健康患者的护理安全研究
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作者 卜彩芳 姚丽伟 +1 位作者 张晓霞 卢亚飞 《中国现代医生》 2025年第3期1-4,共4页
目的探讨基于Delphi法构建的铺灸护理安全方案在亚健康人群中的临床应用效果。方法选取2022年4月至2024年8月就诊于杭州市红十字会医院的160例亚健康患者,随机分为观察组(n=80)和对照组(n=80)。两组患者均接受铺灸康复理疗,对照组患者... 目的探讨基于Delphi法构建的铺灸护理安全方案在亚健康人群中的临床应用效果。方法选取2022年4月至2024年8月就诊于杭州市红十字会医院的160例亚健康患者,随机分为观察组(n=80)和对照组(n=80)。两组患者均接受铺灸康复理疗,对照组患者实施常规护理,观察组患者依据Delphi法构建的铺灸护理安全方针实施护理干预。结果15名专家的Delphi法问卷调查明确影响铺灸安全的3个主要因素和11个条目具体护理要点。观察组的不良事件发生率显著低于对照组(P<0.05),护理满意度显著高于对照组(P<0.05)。结论基于Delphi法构建的铺灸护理安全方案可有效提升铺灸治疗的临床安全性。 展开更多
关键词 铺灸 亚健康 delphi 护理安全
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基于Delphi法的三级医院手术室护理信息化建设发展的SWOT分析及对策研究
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作者 安辉云 王曾妍 方敏 《科学与信息化》 2025年第1期159-161,165,共4页
采用SWOT分析法探索医院手术室护理信息化建设持续发展策略,明确三级医院手术室当前信息化建设发展的优势和劣势因素,以及持续发展过程所带来的机会和威胁等,根据SWOT分析矩阵形成持续发展的具体策略。三级医院建设发展应以持续创新理... 采用SWOT分析法探索医院手术室护理信息化建设持续发展策略,明确三级医院手术室当前信息化建设发展的优势和劣势因素,以及持续发展过程所带来的机会和威胁等,根据SWOT分析矩阵形成持续发展的具体策略。三级医院建设发展应以持续创新理念为指导,提升手术室护理服务质量,注重多学科之间团队协作,通过有效数据资料提取分析,以提升手术运营效率和患者安全为重点,实现信息化建设高质量发展。 展开更多
关键词 delphi SWOT分析 矩阵分析 信息化建设 手术室 发展
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基于Delphi⁃AHP法构建经外周输注血管活性药物并发症预防的评估指标体系
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作者 司绣雯 秦毅 《循证护理》 2025年第15期3035-3041,共7页
目的:构建经外周静脉输注血管活性药物并发症预防的危险因素评估指标体系,为通过外周静脉留置针输注血管活性药物的临床护理提供参考。方法:以系统安全理论为基础,结合文献研究拟定危险因素条目初稿,通过德尔菲法和层次分析法确定各级... 目的:构建经外周静脉输注血管活性药物并发症预防的危险因素评估指标体系,为通过外周静脉留置针输注血管活性药物的临床护理提供参考。方法:以系统安全理论为基础,结合文献研究拟定危险因素条目初稿,通过德尔菲法和层次分析法确定各级指标权重并构建危险因素识别、评估、预警的评估指标体系。结果:构建的经外周静脉输注血管活性药物致并发症的危险因素评价指标体系包括6个一级指标和59个二级指标。两轮函询问卷有效回收率均为100%;专家权威系数分别为0.930,0.945;Kendall's W值分别为0.355和0.340。6个一级指标权重分别为0.10,0.14,0.10,0.23,0.19和0.24;一致性检验指标依次是0.067,0.043,0.025,0.047,0.045,0.052。结论:本研究构建的经外周静脉输注血管活性药物的并发症预防评估指标体系具有较强的科学性和可靠性,为临床静脉治疗护理风险识别、评估提供了一定的参考依据,后续应进行指标体系实证验证,以探讨风险预警的可行性。 展开更多
关键词 外周静脉 血管活性药物 并发症 指标体系 层次分析法 德尔菲法
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