关键词: 质量管理；现场督查；问题反馈；护理管理；PSIG模式

Abstract: Objective: To construct the feedback model of on-site nursing quality supervision and verify its effect, in order to provide guidance for clinical nursing quality supervision. Methods: Based on the SAID feedback communication model, literature analysis, semi-structured interview and questionnaire survey were used to clarify the attitudes, feelings and needs of supervisors and supervised on on-site supervision of nursing quality, and thematic group discussion was used to form the item pool of feedback mode on on-site supervision of nursing quality. Twenty-one experts were selected nationwide and two rounds of correspondence consultation were conducted by Delphi method. The feedback model was formed and applied in the two hospitals, and the evaluation of supervisors and supervised on on-site supervision of nursing quality before and after the application of this model was compared. Results: The feedback model of on-site supervision of nursing quality was formed, including 4 links and 16 requirements, and the 4 links were: identifying the problem, stating the situation, illustrating the impact, and direct improvement. The effective questionnaire recovery rates were 91.7% and 95.5%, respectively. The degree of expert authority was 0.90 and 0.92, respectively. Kendall harmony coefficients of experts were 0.17 and 0.24 (P<0.05), respectively. After the application of the model, the score of on-site nursing quality supervision of the supervisors and the supervised were higher than those before (P<0.01). Conclusion: The formation process of the feedback model of on-site nursing quality supervision is scientific and standardized, and it can be used as a reference for nursing managers to feedback problems in on-site supervision of nursing quality.

Key words: quality management; on-site inspection; problem feedback; nursing management; PSIG model