社区健康护士的能力评估：焦点小组专家小组讨论
Competency assessment for community health nurses: a focus group expert panel discussion.
作者信息
Kisut Ramlah, Haji Awang Sulaiman Hajah Dayang Jamilah, Abdul Rahman Hanif, Abdul-Mumin Khadizah H
机构信息
Department of Nursing Services, Ministry of Health, BB3910, Bandar Seri Begawan, Brunei Darussalam.
Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah, Institute of Health Sciences, Universiti Brunei Darussalam, BE1410, Gadong, Brunei Darussalam.
出版信息
BMC Nurs. 2022 May 30;21(1):134. doi: 10.1186/s12912-022-00898-y.
BACKGROUND
General Practice setting in the Primary Health Care Services are the utmost visited by the public. It is important that the nurses' competencies in this area be assessed to ensure provision of safe and quality services.
AIM/OBJECTIVE: To explore perceptions and experiences of competencies assessment tool for community health nurses working at the General Practice setting in the Primary Health Care Services.
METHODS
An exploratory qualitative study utilizing focus group discussions were conducted on purposive sample of 12 officers with expertise in competency assessment and community health nursing from higher nursing education institutions, the Nursing Training and Development Centre, the Nursing Board and the Community Health Nursing Services in Brunei Darussalam. The existing competencies assessment tool was revised, the participants were divided into two groups of expert panel review team and two focus group discussions were held with each team. The focus group discussions encompassed components and methods of assessment; methods of grading; and overall organization and structure of the revised competency assessment tool.
FINDINGS
Four themes emerged: 1) International equivalent core competencies components; 2) Multi-methods approach to assessment; 3) Definitive guidelines as framework for assessment; and 4) Understanding and acceptability of the competency assessment tool.
CONCLUSIONS/IMPLICATIONS TO PRACTICE: The expert panel reviews provide practical input that were inculcated in the preliminary developed competencies assessment tool. Identification of eligible assessors were recommended based on standardized criteria, and socialization and training held to set direction and guidance for implementing the utilization of the competencies assessment tool. Further studies are deemed important to critically evaluate and validate the preliminary competencies assessment tool for development of a more robust assessment instrument.
背景
初级卫生保健服务中的全科医疗环境是公众就诊最多的地方。评估该领域护士的能力对于确保提供安全和高质量的服务至关重要。
目的
探讨在初级卫生保健服务的全科医疗环境中工作的社区卫生护士对能力评估工具的看法和经验。
方法
对来自文莱达鲁萨兰国高等护理教育机构、护理培训与发展中心、护理委员会和社区卫生护理服务部门的12名具有能力评估和社区卫生护理专业知识的人员进行了有目的抽样，采用焦点小组讨论进行探索性定性研究。对现有的能力评估工具进行了修订，将参与者分为两组专家小组评审团队，并与每个团队进行了两次焦点小组讨论。焦点小组讨论涵盖评估的组成部分和方法、评分方法以及修订后的能力评估工具的整体组织和结构。
结果
出现了四个主题：1）国际等效核心能力组成部分；2）多方法评估途径；3）作为评估框架的明确指南；4）能力评估工具的理解和可接受性。
结论/对实践的启示：专家小组评审提供了实用的意见，这些意见被纳入初步开发的能力评估工具中。建议根据标准化标准确定合格的评估人员，并进行社会化和培训，为实施能力评估工具的使用设定方向和指导。进一步的研究对于批判性评估和验证初步的能力评估工具以开发更强大的评估工具很重要。
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