构建中国耳鼻咽喉科护士专科核心能力评价指标体系的德尔菲研究。

Construction of an index system of core competence assessment for otolaryngology nurse specialists in China: A Delphi study.

机构信息

Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong, China.

出版信息

Nurse Educ Today. 2023 Dec;131:105956. doi: 10.1016/j.nedt.2023.105956. Epub 2023 Sep 5.

DOI:10.1016/j.nedt.2023.105956

PMID:37769600

Abstract

BACKGROUND

Clinical nurse specialists play a vital role in the work quality, patient safety and team development of nurses. However, there is currently no prior study constructing the index of core competence assessment for otolaryngology Nurse Specialists.

OBJECTIVES

To establish an index system for the evaluation of Chinese otolaryngology Nurse Specialists' core competence.

DESIGN

A Delphi study.

SETTINGS

The study was mainly conducted in a university-affiliated hospital in China.

PARTICIPANTS

Twenty-two experts with otolaryngology knowledge and practical experience from different regions and organizations in China.

METHODS

We used literature reviews and expert meetings to establish a draft index system . Subsequently, a two-round Delphi survey was utilized to consult opinions from 22 experts about the index for the evaluation of otolaryngology nurse specialists' core competence and provide qualitative comments on their ratings. Consensus was predefined as a mean important score of 4.0 or above and a coefficient of variation is not above 0.25 among the participants.

RESULTS

The final evaluation indexes of the core competencies for otolaryngology Nurse Specialists included 5 first-level indexes (clinical competence, critical thinking competence, leadership, professional development competence, professionalism), 19 second-level indexes, and 85 third-level indexes. The effective response rates of the two expert consultation rounds were 100 %. The expert authority coefficients were 0.864 and 0.859 in the first and second rounds of consultation, respectively. In the second round of consultation, the first, second and third indexes of Kendall's coefficient of concordance were 0.357, 0.330, and 0.232, respectively (P < 0.001).

CONCLUSIONS

The constructed evaluation indexes of the core competencies of otolaryngology Nurse Specialists are scientific, reasonable, comprehensive, and specific and may provide references for the training and evaluation of otolaryngology Nurse Specialists.

摘要

背景

临床护理专家在护士的工作质量、患者安全和团队发展方面发挥着至关重要的作用。然而，目前尚无研究构建耳鼻喉科护士专家核心能力评估指标。

目的

构建中国耳鼻喉科护士专家核心能力评价指标体系。

设计

德尔菲研究。

地点

主要在中国的一所大学附属医院进行。

参与者

22 名来自中国不同地区和组织的具有耳鼻喉科知识和实践经验的专家。

方法

采用文献回顾和专家会议相结合的方法，初步拟定评价指标体系。随后，采用两轮德尔菲专家咨询法，就耳鼻喉科护士专家核心能力评价指标咨询 22 名专家意见，并对评分进行定性评价。共识标准定义为专家重要性平均得分≥4.0 分，变异系数≤0.25。

结果

最终确定的耳鼻喉科护士专家核心能力评价指标包括 5 个一级指标（临床能力、评判性思维能力、领导力、专业发展能力、职业素养）、19 个二级指标和 85 个三级指标。两轮专家咨询的有效回收率均为 100%。两轮咨询专家权威系数分别为 0.864 和 0.859。第二轮咨询专家肯德尔和谐系数一级、二级、三级指标分别为 0.357、0.330、0.232（P<0.001）。