責(zé)任制整體護(hù)理關(guān)鍵環(huán)節(jié)質(zhì)量評(píng)價(jià)復(fù)合指標(biāo)構(gòu)建與實(shí)證研究
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中圖分類號(hào)：R47 文獻(xiàn)標(biāo)識(shí)碼：A
ConstructionandEmpiricalStudyof QualityEvaluation Composite IndicatorsforKeyLinks inResponsibilitySystemHolisticNusing/ LU Yao，JIANG Huiping，WANG Zihao， et al.//Chinese Health Quality Management，2025，32（4） ：10-14
Abstract Objective From the perspective of smart management，this study aims to construct composite indicatorsforquality evaluationofkey links in theresponsibilitysystem holistic nursing，providingareferenceforthe further implementationof this system.MethodsLiterature analysis wasinitiallusedto draft the indicators.Field observation was employed to investigate the implementation status of the responsibility system holistic nursing and quality control neds within the hospital.Two expert discussons were organized toprovideopinionsand suggestions onthe initially formed indicators.The indicators were then verified through field researchand aplied in clinical practice.ResultsA totalof sixcomposite indicatorsforqualityevaluationofkeylinksintheresponsibilitysystem holisticnursing weredeveloped，including the average binding rate of responsible nurses，the average number of responsible nurses per patient per day，the matching rate betwee day一shift responsible nurses and type A nursing tasks，the matching rate between day -shift responsible nurses and type B nursing tasks，the matching degree between day一shift responsible nurses and patient rounds in their charge，and the numberof hours perunit timethat responsible nurses spend caring for patients at different levels.Aftertheapplicationof theseindicators，thequalityofeach keylinkintheresponsibilitysystem holistic nursingimproved.ConclusionThe composite indicators for quality evaluation of key links are scientific and innovative，and can be used to evaluate the implementation of the responsibility system holistic nursing.
Key words Responsibility System Holistic Nursing; Key Links; Nursing Quality; Composite Indicators;Smart Nursing First-authorsaddress Drum Tower Hospital Affiliated to Medical School of Nanjing University，Nanjing，Jiangsu， 210008，China
責(zé)任制整體護(hù)理是指每名責(zé)任護(hù)士負(fù)責(zé)一定數(shù)量的患者，每名患者均由相對(duì)固定的責(zé)任護(hù)士負(fù)責(zé)，便于護(hù)士根據(jù)患者的疾病特點(diǎn)及生理、心理和社會(huì)需求等，為患者提供醫(yī)學(xué)照護(hù)、病情觀察、協(xié)助治療、健康指導(dǎo)、人文關(guān)懷等身心整體護(hù)理服務(wù)[]。（剩余6745字）