Liu Jiao, Qiu Huifang, Zhang Xiaohong, Zhang Cuiling, He Fang, Yan Pan
General Surgery Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China.
General Surgery Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
BMC Nurs. 2023 Apr 25;22(1):136. doi: 10.1186/s12912-023-01301-0.
This study developed a set of competency evaluation indicators for billing nurses in China.
In clinical practice, nurses often take up billing responsibilities that are accompanied by certain risks. However, the competency evaluation index system for billing nurses has not been established in China.
This study consisted of two main phases of research design: the first phase included a literature review and semi-structured interviews. Individual semi-structured interviews were conducted with 12 nurses in billing departments and 15 nurse managers in related departments. Concepts distilled from the literature review were linked to the results of the semi-structured interviews; this phase produced the first draft of indicators for assessing the professional competence of nurses in billing departments. In the second phase, two rounds of correspondence were conducted with 20 Chinese nursing experts using the Delphi method to test and evaluate the content of the index. The consensus was defined in advance as a mean score of 4.0 or above, with at least 75% agreement among participants. In this way, the final indicator framework was determined.
Using the iceberg model as a theoretical foundation, the literature review identified four main dimensions and associated themes. The semi-structured interviews confirmed all of the themes from the literature review while generating new themes, both of which were incorporated into the first draft of the index. Then two rounds of the Delphi survey were conducted. The positive coefficients of experts in the two rounds were 100% and 95%, respectively, while the authority coefficients were 0.963 and 0.961, respectively. The coefficients of variation were 0.00-0.33 and 0.05-0.24, respectively. The competency evaluation index system for billing nurses consisted of 4 first-level indicators, 16 s-level indicators, and 53 third-level indicators.
The competency evaluation index system for billing nurses, which was developed on the basis of the iceberg model, was scientific and applicable.
The competency assessment index system for billing nurses may provide an effective practical framework for nursing administration to evaluate, train, and assess the competency of billing nurses.
本研究构建了一套适用于中国计费护士的能力评估指标。
在临床实践中，护士常承担计费职责，且伴随一定风险。然而，我国尚未建立计费护士能力评估指标体系。
本研究包括两个主要研究设计阶段：第一阶段包括文献回顾和半结构化访谈。对12名计费部门护士和15名相关部门护士长进行了个体半结构化访谈。将文献回顾中提炼的概念与半结构化访谈结果相联系；此阶段得出了评估计费部门护士专业能力指标的初稿。在第二阶段，运用德尔菲法与20名中国护理专家进行两轮函询，以测试和评估指标内容。预先将共识定义为平均得分4.0及以上，且参与者之间至少75%达成一致。以此确定了最终的指标框架。
以冰山模型为理论基础，文献回顾确定了四个主要维度及相关主题。半结构化访谈证实了文献回顾中的所有主题，同时产生了新主题，二者均被纳入指标初稿。随后进行了两轮德尔菲调查。两轮专家积极系数分别为100%和95%，权威系数分别为0.963和0.961。变异系数分别为0.00 - 0.33和0.05 - 0.24。计费护士能力评估指标体系由4个一级指标、16个二级指标和53个三级指标组成。
基于冰山模型构建的计费护士能力评估指标体系科学且适用。
计费护士能力评估指标体系可为护理管理评估、培训和考核计费护士的能力提供有效的实践框架。
