Tan Xiangmin, Ning Ni, Hua Nan, Wiley James, Sun Mei
Xiangya School of Nursing, Central South University, Changsha, China.
School of Nursing, University of California, San Francisco, CA 94118, USA.
Nurse Educ Pract. 2023 Jul;70:103654. doi: 10.1016/j.nepr.2023.103654. Epub 2023 Apr 29.
To determine the core competencies of clinical internships for international postgraduate nursing students undertaking a two-year professional program in China.
Clinical internship is an important part of nursing education and is the cornerstone for the future training of nursing professionals. However, in terms of providing a basis for the training and assessment of international postgraduate nursing students undertaking a two-year professional program in China, their core competencies of clinical internships have not yet been sufficiently determined.
Focus group interviews and a two-round Delphi method were conducted. The preliminary list of core competencies was determined based on a scoping review and focus group interviews. Subsequently, experts provided suggestions for modifications to the core competencies in two rounds of the Delphi survey. The response rate (RR), composite reliability (Cr), coefficient of variation and Kendall coefficient of indices were calculated.
Twenty experts completed two rounds of Delphi expert consultation and reached consensus on five first-level indices and 13 s-level indices with 27 connotations. The RR values for the two rounds of consultation were 100 %, the Cr values were 0.853 and 0.873 and the Kendall coordination coefficients were 0.134-0.250 (p < 0.05).
The core competencies identified in this research can provide a basis for further training international postgraduate nursing students undertaking a two-year professional program in China through internship programs. This research also provides a reference for effectively evaluating and improving clinical programs.
确定在中国攻读两年制专业课程的国际护理研究生临床实习的核心能力。
临床实习是护理教育的重要组成部分，是未来护理专业人员培训的基石。然而，就为在中国攻读两年制专业课程的国际护理研究生的培训和评估提供依据而言，他们临床实习的核心能力尚未得到充分确定。
进行焦点小组访谈和两轮德尔菲法。基于范围综述和焦点小组访谈确定核心能力的初步清单。随后，专家在两轮德尔菲调查中对核心能力提出修改建议。计算了回复率（RR）、组合信度（Cr）、变异系数和肯德尔指数系数。
20名专家完成了两轮德尔菲专家咨询，并就5个一级指标和13个二级指标（共27个内涵）达成共识。两轮咨询的RR值均为100%，Cr值分别为0.853和0.873，肯德尔协调系数为0.134 - 0.250（p < 0.05）。
本研究确定的核心能力可为通过实习计划进一步培训在中国攻读两年制专业课程的国际护理研究生提供依据。本研究还为有效评估和改进临床计划提供了参考。
