中国儿童哮喘专科护士核心能力评价指标体系的构建与应用：一项混合方法研究

Development and application of a core competency evaluation index system for pediatric asthma specialist nurses in China: a mixed-method study.

作者信息

Qin Yi, Cai Xiaoyan, Ji Yelin, Lu Jianing, Zhang Caifeng, Gao Yan, Yan Shujing, Chen Rongshan, Huang Rulin, Ma Lan, Chun Xiao, Yan Fengxia

机构信息

Department of Respiratory, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province, China.

School of Nursing, Jinan University, No. 601,West Huangpu Avenue, Tianhe District, Guangzhou, Guangdong Province, 510632, China.

出版信息

BMC Nurs. 2025 May 19;24(1):560. doi: 10.1186/s12912-025-03185-8.

DOI:10.1186/s12912-025-03185-8

PMID:40389964

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12087084/

Abstract

BACKGROUND

Specialist nurses' core competencies are crucial for pediatric asthma management, yet no evaluation system exists for these competencies.

OBJECTIVE

To construct a core competency evaluation index system for pediatric asthma specialist nurses.

DESIGN

A mixed-method study using semi-structured interview, Delphi method and cross-sectional survey.

METHODS

Literature review and semi-structured interviews were performed to developed the initial competencies evaluation index system for pediatric asthma specialist nurses. A two-round Delphi survey was conducted from May 2022 to August 2022, with 21 experts from four provinces in China to rate the importance of each indicator and propose modifications to the evaluation index system. A questionnaire survey with the evaluation indicators was conducted to investigate the level of nurses' core competency after pediatric asthma specialist training.

RESULTS

The effective questionnaire recovery rates were 100% and 95% in two rounds of expert consultation, with expert authority coefficients of 0.892 and 0.910, respectively. The core competency evaluation index system for pediatric asthma specialist nurses included 2 definitions, 6 first-level indicators, 16 second-level indicators and 63 third-level indicators. The Kendall's W coefficients were 0.343 and 0.384 for the first- and second-level indicators in the second round of consultations. Of 80 questionnaires, 69 were valid, wtith Cronbach's α coefficients of the first-level indicators ranging from 0.896 to 0.968.

CONCLUSION

A core competency evaluation index system for pediatric asthma specialist nurses was developed, and demonstrated to be scientific, reliable, and applicable.

STATEMENT OF IMPLICATIONS

The core competency index system for pediatric asthma nurses standardizes the assessments, and supports professional development, ultimately enhancing patient outcomes.

摘要

背景

专科护士的核心能力对于儿童哮喘管理至关重要，但目前尚无针对这些能力的评估体系。

目的

构建儿童哮喘专科护士核心能力评估指标体系。

设计

采用半结构式访谈、德尔菲法和横断面调查的混合方法研究。

方法

进行文献回顾和半结构式访谈，以制定儿童哮喘专科护士初始能力评估指标体系。于2022年5月至8月进行两轮德尔菲调查，邀请中国四个省份的21名专家对各指标的重要性进行评分，并对评估指标体系提出修改建议。采用包含评估指标的问卷调查，以调查儿童哮喘专科培训后护士的核心能力水平。

结果

两轮专家咨询的有效问卷回收率分别为100%和95%，专家权威系数分别为0.892和0.910。儿童哮喘专科护士核心能力评估指标体系包括2个定义、6个一级指标、16个二级指标和63个三级指标。第二轮咨询中一级和二级指标的肯德尔W系数分别为0.343和0.384。80份问卷中，69份有效，一级指标的克朗巴哈α系数在(0.896)至(0.968)之间。