ICU专科护士培训大纲的构建和应用  

Creation and application of a training outline for ICU specialized nurses

作　　者：张小玉[1] 郭伟[2] 吴秀丽[1] 汪蕊 汪莹[3] Zhang Xiaoyu;Guo wei;Wu Xiuli;Wang Rui;Wang Ying(Department of Neurosurgery,Tianshui Hospital of Integrated Traditional Chinese and Western Medicine,Tianshui 741020,China;Department of Intensive Care Unit,Tianshui Hospital of Integrated Traditional Chinese and Western Medicine,Tianshui 741020,China;Department of Nursing,Tianshui Hospital of Integrated Traditional Chinese and Western Medicine,Tianshui 741020,China)

机构地区：[1]天水市中西医结合医院神经外科,甘肃天水741020 [2]天水市中西医结合医院重症监护室,甘肃天水741020 [3]天水市中西医结合医院护理部,甘肃天水741020

出　　处：《中华临床医师杂志（电子版）》2023年第3期330-334,共5页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的研究重症监护(ICU)专科护士培训大纲的构建及其临床应用价值。方法采用文献分析法和半结构式访谈法形成ICU专科护士的培训大纲,再以德尔菲法进行专家咨询认证,制定ICU专科培训大纲和细则。最后以层次分析法和专家评分法记录各培训项目的权重。以本院ICU专科12名护士作为研究对象,采用六维度(6-D)量表比较培训前后ICU护士的工作能力水平。结果权重分析结果显示,ICU培训大纲中岗位知识、职业精神及人际关系一级指标权重分别为0.517、0.262及0.221,培训内容等二级指标权重范围0.036~0.201,三级指标权重范围0.0039~0.016。2轮咨询有效回收率分别为92.00%和98.00%,提出建议的专家比例分别为76.00%和70.00%。专家权威系数0.72~1.00,平均0.89。培训后ICU护士领导能力、教学与合作、危重患者监护、计划评估、沟通交流及专业维度各项6-D量表评分显著高于培训前,差异均有统计学意义(P<0.05)。结论采用半结构式访谈和专家咨询构建的ICU专科护士培训大纲内容完整,有助于提高ICU护士岗位胜任力。Objective To create a training outline for intensive care unit(ICU)specialist nurses and assess its clinical application value.Methods The literature analysis and semi-structured interview methods were used to form the ICU specialist nurse training outline,the Delphi method was used for expert consultation and certification,and the ICU specialist training outline and rules were made.Finally,the weight of each training item was recorded by the analytic hierarchy process and expert scoring method.Twelve nurses in the ICU specialist department in our hospital were chosen as the research subjects,and the six-dimensional(6-D)scale was used to compare the work ability of these ICU nurses before and after training.Results The results of weight analysis showed that the weights of the first-level indicators of job knowledge,professionalism,and interpersonal relationship in the ICU training outline were 0.517,0.262,and 0.221 respectively.The weight range of second-level indicators such as training content was 0.036~0.201,and the weight range of third-level indexes was 0.0039~0.016.The effective recovery rate of the two rounds of consultation were 92.00%and 98.00%,and the proportion of experts who proposed the consultation were 76.00%and 70.00%,respectively.The expert authority coefficient was 0.72~1.00,with an average value of 0.89.The scores of ICU nurses'leadership,teaching and cooperation,critical patient monitoring,plan evaluation,communication,and professional dimensions of the 6-D scale after training were significantly higher than those before training(P<0.05).Conclusion The training outline for ICU specialist nurses developed by semi-structured interviews and expert consultation is complete,which can help to improve the competence of ICU nurses.

关 键 词：重症监护专科 岗位胜任力 模型构建 权重 

分 类 号：R47[医药卫生—护理学]