伤口造口失禁专科护士岗位素质标准指标体系的构建  

Construction of post quality standard index system for wound,ostomy and continence nurses

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(Department of Urology,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25期3404-3409,共6页Chinese Journal of Modern Nursing

摘　　要：目的构建伤口造口失禁专科护士(WOCN)的岗位素质标准指标体系。方法于2019年1月成立专家协调小组,通过文献检索、半结构式访谈和WOCN工作现状调查,参考专家协调小组的意见,初步构建WOCN岗位素质标准指标体系,于2019年1-4月采用德尔菲专家函询法对来自全国的45名资深专家进行3轮函询。结果3轮专家函询的专家积极系数分别为100.0%、93.3%和100.0%,专家权威系数为(0.92±0.16),肯德尔协调系数为0.241~0.383(P<0.01),变异系数均<0.25。最终构建的WOCN岗位素质标准指标体系包括临床实践能力、教育能力、研究能力、协调管理能力、专业促进能力5个一级指标和79个二级指标。结论明确WOCN的岗位素质标准,可促进制订专科护士再培训、晋升等多方面的人力资源决策,并有利于提高专科护士岗位管理的科学性和有效性。Objective To establish a post quality standard index system for wound,ostomy and continence nurses(WOCN).Methods An expert coordination group was established in January 2019.Through literature search,semi-structured interviews,WOCN work status surveys,and concerning the opinions of the expert coordination group,the WOCN post quality standard index system was initially constructed.The convenient sampling method was adopted to conduct three rounds of Delphi expert letter consultation among 45 senior experts from all over China from January to April 2019.Results The expert positive coefficients of three rounds of expert letter inquiries were respectively 100.0%,93.3%and 100.0%,the expert authority coefficient was(0.92±0.16),Kendall coordination coefficient was 0.241-0.383(P<0.01)and the coefficient of variation was all less than 0.25.The final WOCN post quality standard index system includes 5 first-level indicators(clinical practice ability,education ability,research ability,coordination management ability and professional promotion ability)and 79 second-level indicators.Conclusions Clarifying WOCN post quality standards can promote the formulation of human resources decisions in various aspects,such as retraining and promotion of specialist nurses,and improve the scientific and effective management of specialist nurses.

关 键 词：护士 专科护理 伤口造口失禁 素质标准 德尔菲法 

分 类 号：R47[医药卫生—护理学]