责任制整体护理关键环节质量评价复合指标构建与实证研究
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中图分类号：R47 文献标识码：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
责任制整体护理是指每名责任护士负责一定数量的患者，每名患者均由相对固定的责任护士负责，便于护士根据患者的疾病特点及生理、心理和社会需求等，为患者提供医学照护、病情观察、协助治疗、健康指导、人文关怀等身心整体护理服务[]。（剩余6745字）