构建肝移植专科护士胜任力评价指标体系的德尔菲研究。

School of Nursing, Tongji University School of Medicine, Shanghai, China.

Department of Liver Transplantation, Ruijin Hospital-Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Br J Hosp Med (Lond). 2024 Oct 30;85(10):1-17. doi: 10.12968/hmed.2024.0374. Epub 2024 Oct 14.

AIMS/BACKGROUND: Liver transplantation specialist nurses provide comprehensive and safe care for liver transplant patients, which requires them to have a wide range of competencies. However, at present, there is no comprehensive understanding of the competency of liver transplantation specialist nurses in China, and there is a lack of comprehensive evaluation indicators. The purpose of this study was to construct a competency evaluation indicator system for specialist nurses in liver transplantation.

METHODS

Utilizing the "Iceberg model" of competency, the indicator system for evaluating the competency of liver transplant specialist nurses was developed through literature review, semi-structured interviews, and two rounds of Delphi expert consultation.

RESULTS

Twenty nursing and medical experts in liver transplantation were consulted over two rounds. The effective response rates for the expert consultation questionnaires were 90.91% and 100.00% for the first and second rounds, respectively. The coefficient of expert judgment was 0.920, the coefficient of familiarity was 0.880, and the authority coefficient was 0.900. The value range of the coefficient of variation in the second round was 0.00-0.16, both <0.25, indicating that the degree of coordination of expert opinions was high. The final competency evaluation index system for liver transplant specialist nurses encompassed 6 primary indicators, 17 secondary indicators, and 59 tertiary indicators, including professional knowledge, professional skills, social role, self-concept, personality quality, and motivation.

CONCLUSION

The developed competency evaluation indicator system for liver transplant specialist nurses possesses scientific validity and reliability, offering a reference for the training and assessment of liver transplant specialist nurses.

目的/背景：肝移植专科护士为肝移植患者提供全面、安全的护理，这需要他们具备广泛的能力。然而，目前国内对肝移植专科护士的能力还缺乏全面的了解，也缺乏全面的评价指标。本研究旨在构建肝移植专科护士的能力评价指标体系。

方法

利用能力的“冰山模型”，通过文献回顾、半结构式访谈和两轮德尔菲专家咨询，构建肝移植专科护士能力评价指标体系。

结果

两轮咨询共纳入 20 名肝移植护理和医学专家。专家咨询问卷的有效回收率分别为第 1 轮 90.91%和第 2 轮 100.00%。专家判断系数为 0.920，熟悉系数为 0.880，权威系数为 0.900。第 2 轮变异系数值范围为 0.00-0.16，均<0.25，表明专家意见协调性高。最终肝移植专科护士能力评价指标体系包括 6 个一级指标、17 个二级指标和 59 个三级指标，涵盖专业知识、专业技能、社会角色、自我概念、人格特质和动机。