Third Grade Class Comprehensive Military Hospital Care Quality Assessment Research And Application Of Correction Factor

ObjectiveThis study used statistical methods and techniques to the military hospital evaluation of the current quality of care standards and indicators,conducting a more comprehensive literature review and expert advice based on the extraction process in the nursing quality check of Neglected department quality of care factors,the development of a comprehensive three-tier Class A military hospital care quality assessment correction coefficient (hereinafter referred to as correction factor),quality of care test results of conventional calibrated so that the quality of care test results in various departments and between comparable.MethodThe issue with the consulting experts (Delphi,also known as the Delphi method) of 18 clinical nurse specialist for two expert consultation and questionnaire survey, expert advice and recommendations contained in the correction factor screening project,the initial construction of the correction factor indicators facts from the structure,constructed according to results of the consultation correction factor. Using self-designed questionnaire carried out in nursing care for the quality inspection and evaluation of the current investigation,clinical care specialists convened by some of the research topic of this discussion(brainstorming),initially developed the basic framework of the correction factor, and select 5 experts to conduct pre-survey calibration coefficient of the partial revision of the project,the formation of the first round of expert consultation questionnaire.After two rounds of expert consultation on the expert opinions and suggestions to sort, statistics and analysis,to finalize the formation of correction factor, and three classification in a comprehensive military hospital trial.SPSS13.0 with Excel2003 and statistical software for data statistically.The composition of the expert use of descriptive statistical analysis, the use of arithmetic mean, coefficient of variation, the concentration of expertise, coordination level, a positive coefficient and the authority of the coefficient index, on the expert advice to test the reliability and authority.ResultThe need to choose the degree evaluation using 5 Forecasting and Endowing law, that is very necessary, very necessary, it is necessary, general, not necessary, and given 5,4,3,2,1 points to the need to assign all arithmetic greater than 3.000, coefficient of variation is 0.200 as the standard, combined with expert advice, discussion group to discuss research, screening for indicators. The results show that the correction factor by consulting experts on the content contained in favor, approval rates were 100%, and expert advice in the first round of entries in the calculation of some recommendations of the task group in the discussion part of the careful study to use, and in the second round of expert consultation was unanimous recognition of the experts.Indicators with expert judgments based on familiarity and authority to evaluate the expert level, the authority of experts in this subject in the degree of 0.911, two experts in the questionnaire were 100% effective rate reflects the expert support and enthusiasm this study high. Two experts investigating the coordination of the overall index coefficient and chi-square values were 0.811, 0.818 and 58.416,58.896, P<0.05, the coordination of expert opinion shows good results of the consultation can be used. Third Grade Class in a military hospital for a comprehensive trial, the quality of care test results before and after correction were significantly different.ConclusionThe subject of 18 clinical care by consulting experts to develop a comprehensive three-tier Class A comprehensive evaluation of quality of care in military hospitals, correction factor, which includes:bed turnover times were few, save the number of average daily number of average daily number of nursing intensity, daily average number of operations the number of sections the number of nurses should be compiled five indicators reflect the department for a more equitable workload, take the first four indicators are the mean of the past three years of work, the first four indicators, and the department's daily capacity, the fifth purpose of index calculation of the first four set the work load per person per day the number of the correction factor.In this study, three classification results in a comprehensive application of the military hospitals, nursing quality test results significantly different before and after correction; correction factor of the establishment, the quality of care hospitals provide a comprehensive evaluation of new ideas, quality of care evaluation for the further study and development of valuable reference.