基于德尔菲法的伤口、造口、失禁专科护士岗位职责指标体系的构建  

Construction of position responsibilities index system of wound,ostomy and continence nurses based on Delphi method

作　　者：司龙妹 刘飞 刘瑾[3] 张佩英 李会娟[3] 邓俊[4] 丁炎明[4] Si Longmei;Liu Fei;Liu Jin;Zhang Peiying;Li Huijuan;Deng Jun;Ding Yanming(Urology Department,Peking University First Hospital,Beijing 100034,China;Department of General Surgery,Peking University First Hospital,Beijing 100034,China;Department of Plastic and Burn Surgery,Peking University First Hospital,Beijing 100034,China;Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院泌尿外科,北京100034 [2]北京大学第一医院普通外科,北京100034 [3]北京大学第一医院整形烧伤外科,北京100034 [4]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2021年第6期767-772,共6页Chinese Journal of Modern Nursing

基　　金：中国卫生人才培养项目2018年度护理研究子项目(2018-HLYJ-014)。

摘　　要：目的构建伤口、造口、失禁专科护士(WOCN)岗位职责指标体系。方法通过文献回顾、半结构式访谈和对WOCN的工作现状进行调查研究,参考专家协调小组的意见,自行设计专家函询问卷。于2019年1—4月,邀请全国专业相关医生、WOCN代表、国际造口治疗师学校代表及各省级专业委员会主任委员共45名资深专家进行3轮德尔菲专家咨询,构建WOCN岗位职责指标体系。结果3轮专家咨询的积极系数分别为100.0%(45/45)、93.3%(42/45)和100.0%(42/42),专家的权威系数为(0.92±0.16)。最终构建的WOCN岗位职责指标体系包括临床实践、教育、研究、协调管理、专业促进5个一级指标,33个二级指标。结论本研究构建的指标体系明确WOCN的岗位职责,有助于为专科护士的工作、绩效及分级等提供一定的理论依据。Objective To construct a position responsibilities index system of wound,ostomy and continence nurses(WOCN)based on the Delphi method.Methods Through literature review,semi-structured interviews,and investigation and research on the current working situation of WOCN,the expert inquiry questionnaire was self-designed with reference to opinions of the expert coordination group.From January to April 2019,a total of 45 senior experts including professional doctors,WOCN representatives,representatives of international Enterostomal Therapist Training Program(ETNEP)and chairmen of various provincial professional committees in China were invited to conduct 3 rounds of Delphi expert consultation,and construct the position responsibilities index system of WOCN.Results The positive coefficients of the 3 rounds of expert consultation were respectively 100.0%(45/45),93.3%(42/45)and 100.0%(42/42),and the authority coefficient of the experts was(0.92±0.16).The final position responsibilities index system of WOCN included 5 first-level indexes such as clinical practice,education,research,coordinated management and professional promotion and 33 second-level indexes.Conclusions The index system constructed in the study clarifies the position responsibilities of WOCN,which helps to provide a certain theoretical basis for the work,performance and classification of specialist nurses.

关 键 词：伤口、造口、失禁专科护士 岗位职责 德尔菲法 专家咨询 

分 类 号：R47[医药卫生—护理学]