Chen Fengjiao, Li Li, Li Jiping, Guo Hongxia, Cao Xiaoyi, Gong Shu
Department of Hematology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, #37 Guo Xue Xiang Street, Chengdu 610041, Sichuan, China.
Intelligence Library Center, West China Hospital, Sichuan University, #37 Guo Xue Xiang Street, Chengdu 610041, Sichuan, China.
J Nurs Manag. 2023 May 16;2023:9952280. doi: 10.1155/2023/9952280. eCollection 2023.
To develop a set of infectious disease emergency response competencies specific to frontline nurses in China.
Nurses play an important role in the infectious disease emergency response. Competency-based training is the cornerstone of the professionalization of disaster rescue, including the infectious disease emergency response. Accordingly, reaching a consensus on a set of core competencies is essential. However, information regarding the competencies needed for nurses in the infectious disease emergency response is limited.
A literature review and in-depth expert interviews were conducted to establish a draft of competencies, which consisted of 53 items, including 3 first-level index items, 12 second-level index items, and 38 third-level index items. Eighteen experts with the knowledge of infectious disease management and experience with infectious disease emergency rescue from different regions in China were recruited for Delphi consultation. A two-round Delphi survey was conducted via email. Consensus was defined as a mean importance value >4.5 and the coefficient of variation <0.25 among the experts. Finally, the analytic hierarchy process was used to determine the weight of each index on which consensus had been reached.
An index system of infectious disease emergency response competencies for nurses was constructed, including 3 first-level indices (knowledge, attitudes, and skills), 10 second-level indices, and 32 third-level indices. The response rates of the two rounds of the Delphi survey were both 100%, and the authority coefficient of the 18 experts was 0.903. The weighted value of each index was established with a consistency ratio <0.1, demonstrating that skill (0.5396) ranked first among the three first-level indices, followed by knowledge (0.2970) and attitudes (0.1634).
The study developed a consensus on infectious disease emergency response competencies required for nurses in China, which provides guidance for the assessment and training of nurses on infectious disease emergency response. . According to the competency index system, nursing managers could develop effective training programs of infectious disease emergency response competency for nurses and select competent nurses for emergency response to infectious diseases.
制定一套针对中国一线护士的传染病应急响应能力标准。
护士在传染病应急响应中发挥着重要作用。基于能力的培训是灾害救援专业化的基石，包括传染病应急响应。因此，就一套核心能力达成共识至关重要。然而，关于护士在传染病应急响应中所需能力的信息有限。
进行文献综述和深入的专家访谈以建立能力草案，该草案由53项组成，包括3个一级指标项、12个二级指标项和38个三级指标项。招募了18名来自中国不同地区、具有传染病管理知识和传染病应急救援经验的专家进行德尔菲咨询。通过电子邮件进行了两轮德尔菲调查。共识定义为专家之间的平均重要性值>4.5且变异系数<0.25。最后，采用层次分析法确定已达成共识的每个指标的权重。
构建了护士传染病应急响应能力指标体系，包括3个一级指标（知识、态度和技能）、10个二级指标和32个三级指标。两轮德尔菲调查的回复率均为100%，18位专家的权威系数为0.903。每个指标的加权值以一致性比率<0.1确定，表明技能（0.5396）在三个一级指标中排名第一，其次是知识（0.2970）和态度（0.1634）。
该研究就中国护士所需的传染病应急响应能力达成了共识，为护士传染病应急响应的评估和培训提供了指导。根据能力指标体系，护理管理者可以为护士制定有效的传染病应急响应能力培训计划，并挑选有能力的护士应对传染病应急情况。
