基于RE-AIM的感染管理兼职护士项目实施评价研究
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R181.3+2

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中华预防医学会医院感染学科发展青年人才托举基金资助项目(2024-17);北京大学第一医院科研种子基金课题(2022SF86);美国中华医学基金会(China Medical Board)2023年公开竞标项目(Grant No.23-515)


Implementation evaluation of an infection control link nurse program based on the RE-AIM framework
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    摘要:

    目的 开发基于RE-AIM的感染管理兼职护士(ICLN)项目实施情况评价的指标与量表,并通过评价某三级甲等医院ICLN项目实施情况,探索提升实施水平的策略。方法 基于RE-AIM实施评价框架,开发评价指标及用于ICLN项目的实施策略评价量表,并使用评价量表对已经实施ICLN项目10年的某三级甲等医院的全部ICLN开展横断面调查。结果 评价指标和评价量表涉及覆盖率、有效性、采纳率、实施程度、效果维持5个维度的10个指标。调查结果显示,覆盖率方面,护理单元ICLN设置率为100%,ICLN规范设置率为44.14%;有效性方面,ICLN项目的核心工作内容中,除修订制度及流程外,其他3项评分均高于4分;采纳率方面,各类人员对ICLN培训工作采纳评分中医生采纳评分最低,为(4.32±0.73)分;实施程度方面,自查及反馈实施率最高(均100%),开展制度流程梳理实施率最低(37.24%);效果维持方面,ICLN工作意愿评分均值为(4.40±0.82)分。结论 应用基于RE-AIM框架的ICLN评价指标和量表可对ICLN项目实施全面评价,为开展ICLN实施策略的进一步研究提供了基础。

    Abstract:

    Objective To develop evaluation indicators and a scale for assessing the implementation of the infection control link nurse (ICLN) program based on the RE-AIM framework, and to explore strategies for improving implementation by evaluating the implementation of the ICLN program in a tertiary grade A hospital. Methods Based on the RE-AIM framework, evaluation indicators and a scale for evaluating implementation strategies of the ICLN program were developed. The evaluation scale was used to conduct a cross-sectional survey of all ICLNs in a tertiary grade A hospital where the ICLN program had been implemented for 10 years. Results The evaluation indicators and scale covered 10 items across five dimensions: Reach, Effectiveness, Adoption, Implementation, and Maintenance. The survey results showed that: in terms of Reach, the proportion of nursing units with an ICLN was 100%, while the standardized ICLN establishment rate was 44.14%. Regarding Effectiveness, among the core work contents of the ICLN program, except for revising policies and procedures, the scores for the other three items were above 4 points. Regarding Adoption, among the adoption scores of different personnel groups for ICLN training, physicians had the lowest score, at 4.32±0.73 points. Regarding Implementation, self-audit and feedback had the highest implementation rates (both 100%), while the implementation rate for reviewing policies and procedures was the lowest (37.24%). Regarding Maintenance, the mean score for willingness to serve as an ICLN was 4.40±0.82 points. Conclusion The RE-AIM-based ICLN evaluation indicators and scale can be used to comprehensively evaluate the implementation of the ICLN program and provide a basis for further research on ICLN implementation strategies.

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胡美华,蒙景雯,曹立云,等.基于RE-AIM的感染管理兼职护士项目实施评价研究[J]. 中国感染控制杂志,2026,25(9):1411-1416. DOI:10.12138/j. issn.1671-9638.20263400.
HU Meihua, MENG Jingwen, CAO Liyun, et al. Implementation evaluation of an infection control link nurse program based on the RE-AIM framework[J]. Chin J Infect Control, 2026,25(9):1411-1416. DOI:10.12138/j. issn.1671-9638.20263400.

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  • 收稿日期:2026-04-01
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  • 在线发布日期: 2026-09-28
  • 出版日期: 2026-09-28