摘要
目的构建儿内科护士核心能力评价指标体系。方法在研究小组查阅文献、理论分析及临床实践的基础上,研究小组讨论后初步拟定儿内科护士核心能力评价指标体系,通过德尔菲专家函询法对该体系进行两轮专家函询,共邀请18名专家参与,最终确立儿内科护士核心能力评价指标体系,并计算各级指标权重。结果第一轮和第二轮专家函询问卷表有效回收率均为100.00%;第一轮和第二轮专家权威程度值分别为0.896和0.890,其中判断系数值分别为0.901和0.889,熟悉程度值分别为0.847和0.891,Cr均大于0.70。两轮专家函询的变异系数分别为0.041~0.227、0.002~0.126,各级指标的变异系数均小于0.25。第一轮专家函询对一级指标、二级指标和三级指标的肯德尔协调系数分别为0.305、0.362、0.364,P值均小于0.001;第二轮专家函询对一级指标、二级指标和三级指标的肯德尔协调系数分别为0.371、0.352、0.380,P值均小于0.001。最终确立儿内科护士核心能力评价指标体系,包括一级指标3个、二级指标14个、三级指标57个。结论儿内科护士核心能力评价指标具有科学性、可靠性、专科特色和参考价值,可以为我国儿内科护士的培养和评价提供借鉴。
Objective To establish a core competence evaluation index system for pediatric internal medicine nurses.Methods On the basis of literature review,theoretical analysis,and clinical practice of the research group,the evaluation index system of the core competence of nurses in pediatric internal medicine was preliminarily formulated after the discussion of the research group.The Delphi method was employed for two rounds of expert consultation,involving a total of 18 experts.Finally,the evaluation index system of the core competence of nurses in pediatric internal medicine was established,and the weights of indicators at all levels were calculated.Results The effective recovery rates of the first and second rounds of expert consultation were 100.00%.In the first and second rounds of expert consultation,the authority coefficients were 0.896 and 0.890,the judgment coefficients were 0.901 and 0.889,and the familiarity coefficients were 0.847 and 0.891,with authority coefficients>0.70 in both rounds.The coefficients of variation of the two rounds of expert correspondence were 0.041-0.227 and 0.002-0.126,respectively,and the coefficients of variation of indicators at all levels were<0.25.In the first round of expert consultation,Kendall's coordination coefficients of primary,secondary,and tertiary indicators were 0.305,0.362,and 0.364,respectively,with P values<0.001.In the second round of expert consultation,Kendall's coordination coefficients of primary,secondary,and tertiary indicators were 0.371,0.352,and 0.380,respectively,with P values<0.001.Finally,the core competence evaluation index system of pediatric internal medicine nurses was established,including 3 first-level indicators,14 second-level indicators,and 57 third-level indicators.Conclusions The evaluation index system of the core competence of pediatric internal medicine nurses has scientificity,reliability,specialty-specific characteristics,and reference value,which can provide a reference for the training and evaluation of pediatric internal medicine nurses in China.
作者
李姣
潘瑞
杨阳
梁永欢
王二晓
相琼
Li Jiao;Pan Rui;Yang Yang;Liang Yonghuan;Wang Erxiao;Xiang Qiong(Department of Pediatrics,The First Affiliated Hospital of Air Force Medical University/Xijing Hospital,Xi'an 710032,China)
出处
《中华医学教育探索杂志》
2025年第7期1003-1008,共6页
Chinese Journal of Medical Education Research
基金
陕西省卫健委卫生健康科研项目(2022JQ-04)。
关键词
儿内科
护理
核心能力
评价指标体系
Pediatric internal medicine
Nursing
Core competence
Evaluation index system