BACKGROUND Clinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services. METHODS The present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire. RESULTS In the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance. CONCLUSION Mismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.

中文翻译：

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改善临床护理服务的重要影响因素和实际解决方案：Delphi研究。

背景技术具有特定指标的临床服务评估对确定可改进的观点非常有帮助。本研究旨在分析影响临床护理服务质量的因素，并为临床护理服务认证提供实用的解决方案。方法采用德尔菲法进行了两轮研究。在研究开始时，使用另一个项目的结果（临床护理服务审核）准备了一份问卷。该问卷已发送给47名护理和鉴定专业人员。在第一轮之后，对原因和解决方案进行了分类。然后，要求参与者对每种策略在准备的问卷中的重要性发表评论。结果在第一轮德尔福会议中，针对有关护理临床服务质量低下的主要原因和解决方案的问题，参与者提到了394个原因和212个解决方案。在第二轮中，考虑到道德管理者和专业的护理经理人的选择，最重要的是根据工作量和毕业后进入临床领域前的综合考试的人员配备。结论人力资源与工作量不匹配，职责不明确与不良的护理质量有最大的关联。组织结构和沟通计划类别分别获得最高和最低的重视。