Emergency Department, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.
Emergency Department, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China
BMJ Open. 2023 May 2;13(5):e066540. doi: 10.1136/bmjopen-2022-066540.
To develop a core competency training curriculum system for emergency trauma nurses in China.
A modified Delphi study design.
The selection criteria for participants identified in practitioner roles were to be currently engaged in trauma care for over 5 years, to serve as the manager of emergency or trauma surgery department, and to have a bachelor's degree or higher. A total of 15 trauma experts from three grade A tertiary hospitals were invited to participate in this study by email or face to face in January 2022. The expert group comprised four trauma specialist doctors and 11 trauma specialist nurses. There were 11 women and 4 men. The age ranged from 32 to 50 (40.27±5.120) years. The number of years worked ranged from 6 to 32 (15.87±7.110).
Two rounds of questionnaires were issued to 15 experts in each round, and the effective recovery rate was 100.00%. In this study, expert judgement=0.947, expert familiarity with the content=0.807 and authority coefficient=0.877, and the results are highly reliable. The Kendall's W of the two rounds in this study ranged from 0.208 to 0.467, and the difference was statistically significant (p<0.05). In the two rounds of expert consultations, four items were deleted, five items were modified, two items were added and one item was merged. Ultimately, the curriculum system of core competency training for emergency trauma nurses includes training objectives (8 theoretical knowledge and 9 practical skills), training contents (6 first-level indicators, 13 second-level indicators and 70 third-level indicators), training methods (9), evaluation indicators (4) and evaluation methodologies (4).
This study proposed a core competency training curriculum system with systematic and standardised courses for emergency trauma nurses, which could be applied to assess trauma care performance, highlight areas for improvement for emergency trauma nurses and contribute to the accreditation of emergency trauma specialist nurses.
为中国急诊创伤护士制定核心能力培训课程体系。
改良 Delphi 研究设计。
根据从业角色确定的参与者选择标准为：从事创伤护理工作 5 年以上；担任急诊或创伤外科部门的经理；并具有学士学位或更高学历。2022 年 1 月，通过电子邮件或面对面的方式邀请了来自三家三甲医院的 15 名创伤专家参与这项研究。专家组由 4 名创伤专科医生和 11 名创伤专科护士组成。其中 11 名女性，4 名男性。年龄 32-50 岁，平均年龄（40.27±5.120）岁。工作年限 6-32 年，平均（15.87±7.110）年。
两轮问卷分别发放给每轮的 15 位专家，有效回收率均为 100.00%。在本研究中，专家判断系数=0.947，专家对内容的熟悉程度=0.807，权威系数=0.877，结果高度可靠。本研究两轮的 Kendall's W 值范围为 0.208-0.467，差异有统计学意义（p<0.05）。两轮专家咨询中，删除了 4 项，修改了 5 项，增加了 2 项，合并了 1 项。最终，急诊创伤护士核心能力培训课程体系包括培训目标（8 项理论知识和 9 项实践技能）、培训内容（6 个一级指标、13 个二级指标和 70 个三级指标）、培训方法（9 项）、评价指标（4 项）和评价方法（4 项）。
本研究提出了一套具有系统性和标准化课程的急诊创伤护士核心能力培训课程体系，可用于评估创伤护理绩效，突出急诊创伤护士的改进领域，并有助于急诊创伤专科护士的认证。
