关键词: 护理会诊；质量评价；指标体系；德尔菲法

Abstract: Objective: To establish a scientific evaluation system for in-hospital nursing consultation, thus providing a reference for medical institutions to conduct quality management of nursing consultations. Methods: Based on the Donabedian three-dimensional quality model, we preliminarily formulated the framework of the evaluation system using literature analysis and panel discussion. The Delphi expert consultation method and analytic hierarchy process were then employed for indicator screening and weight determination. Results: The effective response rates of the two rounds of expert consultation questionnaires were 100.00% and 94.74%, respectively with the expert authority coefficients being 0.942 and 0.929, and Kendall's harmony coefficients being 0.148 and 0.223 (P<0.05). The final evaluation system consisted of 3 first-level indicators, 11 second-level indicators, and 39 third-level indicators. Conclusion: The evaluation system for in-hospital nursing consultation constructed in this study demonstrates good scientific validity and reliability to serve as an objective, quantitative evaluation tool to standardize nursing consultation practices and improve the consultation quality.

Key words: nursing consultation; quality evaluation; index system; Delphi method