Wang Yu, Li Qiuyun, Feng Xingmiao, Zhai Ziyan, Liang Shuyu, Zhang LiLi, Meng Kai
School of Public Health, Capital Medical University, Fengtai District, Beijing, China.
Beijing Ditan Hospital, Capital Medical University, Chaoyang District, Beijing, China.
J Adv Nurs. 2025 May 2. doi: 10.1111/jan.17004.
This study aims to develop an indicator system for assessing the humanistic care competencies of nurses in infectious disease hospitals and provide a scientific measurement tool to understand the current humanistic care competencies level of infectious disease nurses.
A mixed-methods design integrating qualitative interviews and a modified Delphi study.
Initially, we derived a list of potential indicators of humanistic care for nurses in infectious disease hospitals from literature reviews and interviews with a nominal group technique (n=41). Following this, 26 experts from across China participated in two Delphi rounds from May to July 2023. Then the indicators were screened, revised and supplemented using the boundary value method and expert opinions. Next, the hierarchical analysis method was utilised to determine the weights of the indicators.
The average effective response rate across the two Delphi rounds was 94%. The authority coefficients for the first and second rounds were 0.85 and 0.90, respectively, suggesting the experts were highly authoritative. There was a consistent rating among experts with a coordination coefficient for each indicator (p < 0.001). Ultimately, this study identified 4 primary indicators, 8 secondary indicators, and 35 tertiary indicators. The four primary indicators and their weights are basic care competency (0.158), therapeutic care competency (0.544), spiritual care competency (0.158) and safety care competency (0.140).
This research provides a scientifically rigorous and comprehensive framework to evaluate the humanistic care competencies of nurses in infectious disease hospitals in China. This system will serve as an effective tool for evaluating the humanistic care competencies of nurses in specialized infectious disease hospitals in China and other overseas regions.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study provides a new tool to assess the humanistic care competencies of nurses in infectious disease hospitals. Form an effective humanistic care competencies index system that can be used to build and develop the need for nurses to possess different aspects of humanistic care competencies tailored to infectious disease patients in hospitals.
No patients or public contribution.
本研究旨在构建一套用于评估传染病医院护士人文关怀能力的指标体系，并提供一种科学的测量工具，以了解传染病护士当前的人文关怀能力水平。
采用定性访谈与改良德尔菲研究相结合的混合方法设计。
首先，通过文献回顾和名义小组技术访谈（n = 41），得出传染病医院护士人文关怀潜在指标清单。随后，来自中国各地的26名专家于2023年5月至7月参与了两轮德尔菲调查。然后使用边界值法和专家意见对指标进行筛选、修订和补充。接下来，运用层次分析法确定指标权重。
两轮德尔菲调查的平均有效回复率为94%。第一轮和第二轮的权威系数分别为0.85和0.90，表明专家具有较高权威性。专家之间的评分具有一致性，各指标的协调系数（p < 0.001）。最终，本研究确定了4个一级指标、8个二级指标和35个三级指标。四个一级指标及其权重分别为基础护理能力（0.158）、治疗护理能力（0.54）、精神护理能力（0.158）和安全护理能力（0.140）。
本研究为评估我国传染病医院护士的人文关怀能力提供了一个科学严谨且全面的框架。该体系将成为评估我国及其他海外地区传染病专科医院护士人文关怀能力的有效工具。
对专业和/或患者护理的意义：本研究提供了一种新的工具来评估传染病医院护士的人文关怀能力。形成一个有效的人文关怀能力指标体系，可用于构建和发展医院中护士具备针对传染病患者不同方面人文关怀能力的需求。
无患者或公众参与。
