Nursing Department, The Second Affiliated Hospital of Zhejiang University, School of Medicine, No. 88 Jiefang Road, Hangzhou, China.
Department of cardiology, The Second Affiliated Hospital of Zhejiang University, School of Medicine, No. 88 Jiefang Road, Hangzhou, China.
Nurse Educ Today. 2025 Jan;144:106411. doi: 10.1016/j.nedt.2024.106411. Epub 2024 Sep 16.
The advancement of endoscopic techniques has resulted in an increasing need for comprehensive competency in endoscopy nursing. However, there is currently no unified competency evaluation index system for nurse endoscopists in China.
To develop and validate of a competency evaluation index system for nurse endoscopists with different stages performing endoscopy nursing in China.
A modified Delphi study.
Data were collected in a medical university affiliated hospital.
A total of 569 participants in different fields were included at various phases of this research.
The preliminary indicators were designed after conducting a literature review, semi-structured interviews and questionnaires. Two rounds of correspondence with 30 experts using the Delphi method were conducted to evaluate the content of the index followed by reliability and validity tests. The competency evaluation index system for nurse endoscopists at different stages was developed through expert meetings based on the Delphi consultation results according to the novice-to-expert model.
After two rounds of Delphi method consultation, we have established 4 first-level indicators ('Cognitive skill', 'Practice professional skills', 'Professional development skills' and 'Personal characteristics and inner qualities') and 21 s-level indicators, which are the detailed description of first-level indicators. According to the index weight analysis, the four first-level indicators are ranked from the largest to the smallest as practical professional skills, cognitive skills, professional development skills, personal characteristics and intrinsic qualities. Three different stages of nurse endoscopists competency evaluation forms and criteria were developed: primary stage (New skilled), intermediate stage (Capable) and advanced stage (Expert).
The establishment of a competency evaluation index system based on the novice-to-expert model can accurately assess competency levels and help to effectively train the nurse endoscopists at different stages. Future research should focus on imbedding these competencies in nurse education.
内镜技术的进步使得对内镜护理人员的综合能力有了更高的要求。然而，目前中国尚未建立统一的内镜护士岗位胜任力评价指标体系。
构建并验证适合我国不同内镜操作阶段护士的内镜护理岗位胜任力评价指标体系。
采用改良 Delphi 法。
资料收集于某医科大学附属医院。
本研究共纳入不同领域的 569 名参与者，分别处于研究的不同阶段。
通过文献回顾、半结构式访谈和问卷调查初步拟定指标，采用两轮德尔菲专家函询对指标内容进行评价，并进行信度和效度检验，根据专家函询结果，基于新手到专家的胜任力模型，召开专家会议构建不同内镜操作阶段护士的岗位胜任力评价指标体系。
两轮德尔菲法咨询后，确立了 4 个一级指标（认知技能、实践专业技能、专业发展技能和个人特质与内在品质）和 21 个二级指标，是对一级指标的详细描述。通过指标权重分析，4 个一级指标的重要性排序由大到小依次为实践专业技能、认知技能、专业发展技能、个人特质与内在品质。构建了初级阶段（新手）、中级阶段（能手）和高级阶段（专家） 3 个不同内镜操作阶段护士岗位胜任力评价表及评价标准。
基于新手到专家的胜任力模型构建的岗位胜任力评价指标体系能准确评价护士岗位胜任力水平，有助于对不同内镜操作阶段护士进行有针对性的培训。未来的研究应注重将这些能力嵌入护士教育中。
