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中国重症护理血液净化护士核心能力评价指标体系的构建:一项德尔菲研究

Construction of an evaluation index system of core competencies for critical care blood purification nurses in China: A Delphi study.

作者信息

Wu Zhishan, Huang Wei, Ding Yuefeng, Jiang Liping, Zhao Yuan, Zhu Xiaoye, Huang Jiayi

机构信息

Department of Blood Purification, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Nursing, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Nurse Educ Pract. 2023 Oct;72:103751. doi: 10.1016/j.nepr.2023.103751. Epub 2023 Aug 20.

Abstract

AIM

The purpose of this study was to construct a core competencies evaluation index system for critical care blood purification nurses in China.

BACKGROUND

While nursing is an integral part of critical care blood purification treatment, there are no established indicators to evaluate the core competencies of critical care blood purification nurses.

DESIGN

A Delphi study.

METHODS

An initial draft of the competencies evaluation index system for critical care blood purification nurses was developed through a literature review and semi-structured interviews. From February 2023 to March 2023, a two-round Delphi survey was conducted to consult with 18 experts in the field of critical care blood purification from eight provinces in China to rate the importance of each item and propose modifications to the evaluation index system.

RESULTS

The effective questionnaire recovery rates in two rounds of expert consultation were 94.4 % and 94.1 % and the average expert authority coefficients were 0.88 in both rounds. The core competencies evaluation index system of critical care blood purification nurses consisted of 39 items in five domains, namely theoretical knowledge, practical skills, professional development capability, critical thinking ability and personal qualities and attributes. The Kendall's W coefficients for the first- and second-level indicators were.21 and.20 in the first round and.23 and.25, respectively, in the second round of consultations (p < .01).

CONCLUSION

The core competencies evaluation index system of critical care blood purification nurses is scientific and reliable and can provide references for the recruitment, training and management of critical care blood purification nurses.

摘要

目的

本研究旨在构建我国重症血液净化护士核心能力评价指标体系。

背景

护理是重症血液净化治疗的重要组成部分,但目前尚无评估重症血液净化护士核心能力的既定指标。

设计

德尔菲研究。

方法

通过文献回顾和半结构化访谈制定了重症血液净化护士能力评价指标体系初稿。2023年2月至2023年3月,开展两轮德尔菲调查,向我国八个省份的18名重症血液净化领域专家咨询,对各项指标的重要性进行评分,并对评价指标体系提出修改意见。

结果

两轮专家咨询的有效问卷回收率分别为94.4%和94.1%,两轮专家平均权威系数均为0.88。重症血液净化护士核心能力评价指标体系由理论知识、实践技能、专业发展能力、批判性思维能力和个人素质与特质五个维度的39项指标组成。第一轮和第二轮咨询中一级和二级指标的肯德尔W系数分别为0.21和0.20,以及0.23和0.25(p<0.01)。

结论

重症血液净化护士核心能力评价指标体系科学可靠,可为重症血液净化护士的招聘、培训和管理提供参考。

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