助产士门诊岗位胜任力标准指标体系的构建  

Construction of the standard index system for the outpatient job competency of midwife

作　　者：李立梅[1] 李淑兰[2] 齐芮宁 姜梅[1] 宋丽莉[1] 韩翠存[4] 施维妙 付玉惠 Li Limei;Li Shulan;Qi Ruining;Jiang Mei;Song Lili;Han Cuicun;Shi Weimiao;Fu Yuhui(Nursing Department,Beijing Obstetrics and Gynecology Hospital,Capital Medical University&Beijing Maternal and Child Health Care Hospital,Beijing 100026,China;School of Nursing,Capital Medical University,Beijing 100055,China;Department of Gynecology and Obstetrics,Beijing University First Hospital,Beijing 100034,China;Delivery Room,Beijing Obstetrics and Gynecology Hospital,Capital Medical University&Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院护理部,北京100026 [2]首都医科大学护理学院,北京100055 [3]北京大学第一医院妇产科,北京100034 [4]首都医科大学附属北京妇产医院/北京妇幼保健院分娩室,北京100026

出　　处：《中华现代护理杂志》2022年第29期4026-4031,共6页Chinese Journal of Modern Nursing

基　　金：2017局级首都医科大学中医护理专项基金项目(17HL16)。

摘　　要：目的:构建助产士门诊岗位胜任力标准指标体系,明确助产士在提供门诊服务时应具备的能力,以提高助产士核心胜任力和服务满意度。方法:于2018年12月成立课题研究小组,通过文献回顾、前期产妇对助产士门诊需求调查的基础上,参考专家意见,以工作胜任力理论为理论框架,初步构建助产士门诊胜任力标准指标。采用方便抽样法,于2018年12月—2019年3月选取北京不同三甲医院的24名专家,采用德尔菲法对专家进行2轮函询。结果:2轮专家函询问卷有效回收率均为100.0%(24/24),专家积极系数均为100.0%,专家权威系数为0.786。第1、2轮专家函询的肯德尔协调系数分别为0.030、0.400(P均<0.05)。最终构建的助产士门诊岗位胜任力标准指标体系包括知识技能、职业素养、健康教育能力、提升专业服务质量的能力4个一级指标、9个二级指标和24个三级指标。结论:本研究构建的助产士门诊岗位胜任力标准指标体系科学合理、内容全面、专科性强,可为助产士的培训和考核提供参考依据。Objective To construct a standard index system for the outpatient job competency of midwife,and to clarify the midwives'abilities when providing outpatient services,so as to improve the midwives'core competencies and service satisfaction.Methods A research group was established in December 2018.On the basis of literature review and survey of midwives'outpatient needs in the early stage,referring to expert opinions,and taking job competency theory as the theoretical framework,the standard index system for the outpatient job competency of midwife were initially constructed.From December 2018 to March 2019,convenience sampling was used to select 24 experts from different ClassⅢGrade A hospitals of Beijing,and the Delphi method was used to conduct 2 rounds of expert consultations.Results Among 2 rounds of expert consultations,the effective recovery rates of the questionnaires were all 100.0%(24/24),the positive coefficient of experts was 100.0%,and the coefficient of authority of experts was 0.786.The Kendall coordination coefficients of the 2 rounds of correspondence were 0.030 and 0.400,respectively(P<0.05).The final construction of standard index system for the outpatient job competency of midwife included 4 first-level indicators,9 second-level indicators and 24 third-level indicators of knowledge and skills,professional quality,health education ability,and ability to improve the quality of professional services.Conclusions The standard index system for the outpatient job competency of midwife is scientific and reasonable,comprehensive in content,and strong in specialty,which can provide a reference for the training and assessment of midwife.

关 键 词：助产士 专科护理 门诊岗位胜任力 德尔菲法 

分 类 号：R197.32[医药卫生—卫生事业管理]