Department of Nursing, The Second Hospital of Chongqing Medical University, Chongqing, China.
Department of Intensive Care Unit, The Second Hospital of Chongqing Medical University, Chongqing, China.
PLoS One. 2022 Jul 1;17(7):e0270902. doi: 10.1371/journal.pone.0270902. eCollection 2022.
As the frequency of infectious diseases rises, it's more important than ever to pay attention to the competency level of front-line nurses as the primary force in front-line rescue, which has an impact on the quality of anti-epidemic response. This paper aims to construct the competency evaluation index system for front-line nurses during the outbreak of major infectious diseases.
This study combined literature review, critical incident technique interviews, and semi-structured in-depth interviews, as well as two rounds of Delphi expert correspondence, to construct a competence evaluation index system for front-line nurses during the outbreak of major infectious diseases. The study used purposive sampling to select 26 experts from 11 provinces and cities across China to conduct two rounds of Delphi expert consultation, and the indicators were selected based on the mean importance score > 3.5 and the coefficient of variation < 0.25, and the weights of the indicators were calculated by the Analytic Hierarchy Process. The effective recovery rates of the two rounds of correspondence questionnaires were 93.1% and 96%.
The effective recovery rates of the two rounds of correspondence questionnaires were 93.1% and 96%, the authority coefficients of experts were 0.96 and 0.98, the Kendall's coordination coefficients of the first, second, and third level indexes were 0.281, 0.132, and 0.285 (P < 0.001), 0.259, 0.158, and 0.415 (P < 0.001). The final index system includes 4 primary indicators (Knowledge System of Infectious Diseases, Nursing Skills for Infectious Diseases, Related Professional Abilities for Infectious Diseases, and Comprehensive Quality), 10 secondary indicators, and 64 tertiary indicators.
The competency evaluation index system of front-line nurses during the outbreak of major infectious diseases is scientific, reasonable, and practical, which can provide a scientific basis for nursing managers to accurately understand, describe, analyze, and evaluate the competence level of nursing staff and scientifically implement the allocation of human resources in the future, as well as serve as a content framework for subsequent training programs.
随着传染病的频率增加，关注一线护士的能力水平作为一线救援的主要力量变得尤为重要，这对疫情防控的质量有影响。本文旨在构建重大传染病疫情一线护士的能力评价指标体系。
本研究结合文献回顾、关键事件技术访谈、半结构式深入访谈以及两轮德尔菲专家函询，构建重大传染病疫情一线护士的能力评价指标体系。研究采用目的抽样法，从全国 11 个省、市选择 26 名专家进行两轮德尔菲专家咨询，根据均数重要性评分>3.5 和变异系数<0.25 选择指标，并采用层次分析法计算指标权重。两轮函询问卷的有效回收率分别为 93.1%和 96%。
两轮函询问卷的有效回收率分别为 93.1%和 96%，专家权威系数分别为 0.96 和 0.98，一级、二级和三级指标的肯德尔协调系数分别为 0.281、0.132 和 0.285（P<0.001）、0.259、0.158 和 0.415（P<0.001）。最终的指标体系包括 4 个一级指标（传染病知识体系、传染病护理技能、传染病相关专业能力、综合素质）、10 个二级指标和 64 个三级指标。
重大传染病疫情一线护士的能力评价指标体系科学、合理、实用，可为护理管理者准确了解、描述、分析和评价护理人员的能力水平提供科学依据，为未来科学配置人力资源提供参考，也为后续培训方案提供内容框架。
