伤口造口专科护士居家护理胜任力评价指标体系的构建  

Construction of evaluation index system for home care competence of wound ostomy specialist nurses

作　　者：陈丽君 赵锐祎[1] 兰美娟[1] 孙红玲[1] 包营晓[1] 夏金萍[1] 湛扬 CHEN Lijun;ZHAO Ruiyi;LAN Meijuan;SUN Hongling;BAO Yingxiao;XIA Jinping;ZHAN Yang(Nursing Department,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou,310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中国护理管理》2023年第4期501-506,共6页Chinese Nursing Management

基　　金：浙江省医药卫生科技计划项目(2023KY107)。

摘　　要：目的 :构建伤口造口专科护士居家护理胜任力评价指标体系。方法 :以冰山理论为依据,通过文献研究、半结构式访谈拟定伤口造口专科护士居家护理胜任力评价指标体系初稿;在德尔菲法指导下,研究组于2021年12月至2022年1月对全国11个省份的20位专家进行函询;运用层次分析法确定各级指标的权重。结果 :2轮函询问卷的有效回收率均为100.0%,专家权威系数为0.95,形成的伤口造口专科护士居家护理胜任力评价指标体系包含一级指标3个(知识和技术、综合能力、个人特质)、二级指标12个、三级指标47个,第2轮函询中一级指标、二级指标和三级指标的肯德尔和谐系数分别为0.289、0.357、0.239(P<0.01)。结论 :伤口造口专科护士居家护理胜任力评价指标体系具有科学性、可靠性、实用性。该指标体系可为伤口造口专科护士居家护理胜任力的考核、评价提供可靠的测量工具。Objective:To construct the evaluation index system of home care competence of wound ostomy specialist nurses.Methods:Based on the iceberg theory,the first draft of the evaluation index system for home care competence of wound ostomy specialist nurses was developed through literature research and semi-structured interview.Under the guidance of the Delphi method,the research group conducted a letter consultation with 20 experts from 11 provinces in China from December 2021 to January 2022.The analytic hierarchy process was used to calculate the weight of the index system.Results:The effective recoveries of the two rounds of correspondence questionnaires were 100%.The expert authority coefficient was 0.95.After 2 rounds of consultation,the evaluation index system of home care competence of wound ostomy specialist nurses was formed,including 3 first-level indicators(knowledge and skills,comprehensive ability and personal traits),12 second-level indicators and 47 third-level indicators.In the second round of consultation,The Kendall harmony coefficients of the first-level index,the second-level index and the third-level index were 0.289,0.357 and 0.239,respectively(P<0.01).Conclusion:The evaluation index system of home care competence of wound ostomy specialist nurses is scientific,reliable and practical for the assessment and evaluation of home care competence of wound ostomy specialist nurses.

关 键 词：伤口 造口 专科护士 居家护理 胜任力 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]