Unhasuta Krongdai, Robinson Marylou V, Magilvy Kathy
Surgical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Int Emerg Nurs. 2010 Jan;18(1):3-7. doi: 10.1016/j.ienj.2009.08.001. Epub 2009 Sep 18.
The aim of this research plan was identification and development of core competencies for emergency trauma nurses in Thailand. The research plan was undertaken in three phases. Phase I: a national survey of the critical dimensions of care; Phase II: development of a 64 item tool; and Phase III: efficiency study with emergency nurses representing Level-1, Regional, Community and Rural facilities. Six dimensions of competency were identified: cooperation, decision-making, leadership, problem-solving, teamwork, and technical knowledge with a content validity index (CVI) of 1.00 and internal consistency (Cronbach's alpha) of 0.98 (N=485 RNs in 29 hospitals). Analysis of the first year pilot study data using a 5 point likert scale (N=285 RNs in 16 hospitals), nurses rated themselves as 4.18 (SD=0.69) and their peers at 4.00 (SD=0.68). Head nurse evaluations averaged 3.98 (SD=0.55). ANOVA demonstrated no statistical significance (p=0.09) between groups. The results of the preliminary studies demonstrated appropriateness of the core competency items, but refinement is required prior to national distribution.
本研究计划的目的是确定并发展泰国急诊创伤护士的核心能力。该研究计划分三个阶段进行。第一阶段：对护理关键维度进行全国性调查；第二阶段：开发一个包含64个条目的工具；第三阶段：对来自一级、区域、社区和农村医疗机构的急诊护士进行效率研究。确定了六个能力维度：合作、决策、领导能力、问题解决、团队合作和技术知识，其内容效度指数（CVI）为1.00，内部一致性（克朗巴哈系数）为0.98（29家医院的485名注册护士）。使用5点李克特量表对第一年试点研究数据进行分析（16家医院的285名注册护士），护士对自己的评分是4.18（标准差=0.69），对同行的评分是4.00（标准差=0.68）。护士长的评价平均为3.98（标准差=0.55）。方差分析表明各组之间无统计学意义（p=0.09）。初步研究结果表明核心能力项目是合适的，但在全国推广之前需要进行完善。
