基于德尔菲法构建不同级别助产士核心胜任力评价指标体系  

Construction of a core competency evaluation index system for midwives of different levels based on the Delphi method

作　　者：姜梅[1] 齐芮宁 Jiang Mei;Qi Ruining(Nursing Department,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China;Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]首都医科大学附属北京妇产医院护理部,100026 [2]北京大学第一医院妇产科,北京100034

出　　处：《中华现代护理杂志》2021年第13期1701-1705,共5页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京妇产医院北京妇幼保健院2017年护理专项课题(FCYYHL201701)。

摘　　要：目的:构建适合我国目前助产环境的不同级别助产士核心胜任力评价指标体系。方法:于2019年12月—2020年6月,在前期质性研究的基础上,通过文献回顾、半结构式访谈、小组讨论和德尔菲专家函询的方法确定不同级别助产士核心胜任力评价指标体系。结果:第2轮专家函询中一、二、三级指标的协调系数分别为0.175、0.357、0.213(P<0.01),各项指标的重要性赋值为4.28~5.00分,变异系数为0~0.158。2轮专家函询中,专家积极系数均为100%,专家权威系数为0.924。最终构建的指标体系包括4个一级指标、10个二级指标、37个三级指标。结论:本研究函询专家的积极性、权威程度、意见协调性较高,基于德尔菲法构建的不同级别助产士核心胜任力评价指标体系可为助产士的分级管理与培养提供科学有效的参考依据。Objective To construct a core competency evaluation index system for midwives of different levels suitable for the current midwifery environment in China.Methods From December 2019 to June 2020,based on preliminary qualitative research,the core competency evaluation index system of midwives of different levels were determined through the methods of literature review,semi-structured interviews,group discussions and Delphi expert consultations.Results The harmony coefficients of the first,second,and third-level indicators in the second round of expert consultation were 0.175,0.357,and 0.213 with statistical differences(P<0.01).The importance of each indicator was from 4.28 to 5.00,and the coefficient of variation was from 0 to 0.158.In the 2 rounds of expert consultations,the expert positive coefficient was 100%,and the expert authority coefficient was 0.924.The final index system included 4 first-level indicators,10 second-level indicators,and 37 third-level indicators.Conclusions This research has a high degree of enthusiasm,authority,and coordination of opinions from experts.The core competency evaluation index system of midwives of different levels based on the Delphi method can provide a scientific and effective reference for the hierarchical management and training of midwives.

关 键 词：助产士 核心胜任力 分级 评价指标 德尔菲法 

分 类 号：R192.7[医药卫生—卫生事业管理]