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构建中国睡眠医学专科护士核心能力评价指标体系:一项德尔菲研究

Construction of an index system of core competence assessment for sleep medicine nurse specialists in China: a Delphi study.

作者信息

Jiang Nan, Liu Wei Bin, Zong YanHong, Yu Li, Cheng ShuHua

机构信息

Affiliated Rehabilitation Hospital of Nanchang University, Nanchang, China.

School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang, China.

出版信息

BMC Nurs. 2024 Sep 27;23(1):689. doi: 10.1186/s12912-024-02349-2.

Abstract

AIM

To construct an evaluation index system for the core competence of nurses in sleep medicine specialties.

BACKGROUND

Specialized nurses in sleep medicine must handle treatment, nursing, and management well, which requires nurses to have excellent competence in knowledge, skills, and ability. However, a competency evaluation system for sleep medicine nurses has not been established in China.

METHODS

We used a literature review and an expert meeting to establish a draft indicator system. Subsequently, two rounds of correspondence were conducted with 27 experts from 5 provinces using the Delphi method to solicit their opinions on the core competency evaluation indicators for sleep medicine nurse specialists and to qualitatively evaluate the experts' scores. The consensus was defined in advance as a mean score of 4.0 or above, with at least 75% agreement among participants. In this way, the final indicator framework was determined.

RESULTS

The final evaluation indexes of the core competencies for sleep medicine Nurse Specialists included 6 first-level indexes (Practical ability, Theoretical Knowledge, Critical thinking, Communication and coordination, Nursing Management, and Professional Development), 16 s-level indexes, and 64 third-level indexes. The effective response rates of the two expert consultation rounds were 100%. The expert authority coefficients were 0.878 and 0.865 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 0.373, 0.351, and 0.286, respectively (P < 0.05).

CONCLUSION

The core competence evaluation index system for sleep medicine nurses established in this study is scientific and reliable and can provide a theoretical reference for the training, assessment, and evaluation of sleep medicine nurses in the future.

IMPLICATIONS FOR NURSING MANAGEMENT

The evaluation index system of sleep medicine nurses' core competence will provide an effective practical framework for nursing management to evaluate, train, and examine the core competence of sleep medicine nurses.

摘要

目的

构建睡眠医学专科护士核心能力评价指标体系。

背景

睡眠医学专科护士需妥善处理治疗、护理及管理工作,这要求护士在知识、技能和能力方面具备卓越水平。然而,我国尚未建立睡眠医学护士能力评价体系。

方法

采用文献回顾和专家会议法建立指标体系草案。随后,运用德尔菲法与来自5个省份的27名专家进行两轮函询,征求他们对睡眠医学专科护士核心能力评价指标的意见,并对专家评分进行定性评估。事先将共识定义为平均得分4.0及以上,且参与者之间至少75%达成一致。以此确定最终的指标框架。

结果

睡眠医学专科护士核心能力的最终评价指标包括6个一级指标(实践能力、理论知识、批判性思维、沟通与协调、护理管理、专业发展)、16个二级指标和64个三级指标。两轮专家咨询的有效回复率均为100%。第一轮和第二轮咨询的专家权威系数分别为0.878和0.865。在第二轮咨询中,肯德尔和谐系数的一、二、三级指标分别为0.373、0.351和0.286(P < 0.05)。

结论

本研究建立的睡眠医学护士核心能力评价指标体系科学可靠,可为今后睡眠医学护士的培训、考核与评价提供理论参考。

对护理管理的启示

睡眠医学护士核心能力评价指标体系将为护理管理提供一个有效的实践框架,以评估、培训和考核睡眠医学护士的核心能力。

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