Jones Michaela
University College London Hospitals NHS Trust, Department of Intensive Care, Middlesex Hospital, Mortimer Street, London W1T 3AA.
Nurs Crit Care. 2002 May-Jun;7(3):111-20.
In the absence of nationally accepted critical care competencies, each educational institution providing critical care programmes is forced to define the essential competencies necessary for practice, leading to variations in expected practice and the emergence of 'postcode' competencies. This research report aims to build upon competency activity for all areas of nursing practice within critical care levels 1, 2 and 3. A functional analysis to elicit core critical care competency statements was conducted and a modified Delphi technique was used to generate consensus opinion from a pan-London purposive sample of nurses working in critical care. The functional analysis group identified four competency statements and elements of competencies. Consensus agreement of 80% was achieved with mean agreement scores that exceed 97%. A core critical care competency framework was refined and developed by expert nurses drawing on their own experience and knowledge of critical care nursing. The framework could be useful to: educationalists designing competency-based curricula; critical care managers as a tool for recruitment and retention and for education and training of staff; individual critical care nurses to facilitate continuous professional development.
由于缺乏全国公认的重症监护能力标准，每个提供重症监护课程的教育机构都不得不自行定义实践所需的基本能力，这导致了预期实践的差异以及“邮政编码”能力的出现。本研究报告旨在基于重症监护1级、2级和3级护理实践所有领域的能力活动展开。进行了功能分析以得出核心重症监护能力陈述，并使用改良的德尔菲技术从伦敦地区从事重症监护工作的护士目标样本中达成共识意见。功能分析小组确定了四项能力陈述和能力要素。达成了80%的共识，平均同意分数超过97%。专家护士借鉴自身在重症监护护理方面的经验和知识，完善并制定了一个核心重症监护能力框架。该框架可能对以下方面有用：设计基于能力的课程的教育工作者；重症监护管理人员，作为招聘、留用以及员工教育和培训的工具；个体重症监护护士，以促进持续专业发展。
