营养支持专科护士岗位胜任力考核体系的构建  

Construction of competency assessment system for nutrition support specialist nurses

作　　者：王欣[1] 张鹤立 唐溶崧 郭笑妍[4] 耿荣梅[3] 李葆华[3] Wang Xin;Zhang Heli;Tang Rongsong;Guo Xiaoyan;Geng Rongmei;Li Baohua(Department of Sports Medicine,Peking University Third Hospital(Institute of Sports Medicine of Peking University),Beijing 100191,China;Department of Rehabilitation Medicine,Peking University Third Hospital,Beijing 100191,China;Nursing Department,Peking University Third Hospital,Beijing 100191,China;Department of Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院运动医学科(北京大学运动医学研究所),北京100191 [2]北京大学第三医院康复医学科,北京100191 [3]北京大学第三医院护理部,北京100191 [4]北京大学第三医院危重医学科,北京100191

出　　处：《中华现代护理杂志》2023年第15期1991-1996,共6页Chinese Journal of Modern Nursing

基　　金：北京大学第三医院教学研究护理专项课题(2020bysyjxkthl10)。

摘　　要：目的构建营养支持专科护士岗位胜任力考核体系,为营养支持专科护士培训改革、职能发挥和护理服务质量提升提供参考依据。方法依据美国肠外和肠内营养学会发布的营养支持专科护士实践标准,通过文献检索和小组讨论拟定营养支持专科护士岗位胜任力考核体系初稿。2021年11月—2022年2月采用德尔菲法对15名专家进行2轮专家函询,根据专家建议进行指标筛选与修改,形成最终的营养支持专科护士岗位胜任力考核体系。结果2轮专家函询问卷的有效回收率为93.3%(14/15)和100.0%(15/15),专家权威系数分别为0.922和0.917。第1轮专家函询中,50.0%(3/6)的一级指标同意百分比≥80.0%,64.9%(24/37)的二级指标的同意百分比≥80.0%。第2轮专家函询中,一、二级指标的同意百分比均≥80.0%。最终形成的营养支持专科护士岗位胜任力考核体系包括6个一级指标(专科实践能力、沟通协调能力、教育与咨询能力、法律伦理决策能力、科研能力、领导力)、29个二级指标。结论本研究构建的营养支持专科护士岗位胜任力考核体系科学合理、可靠性高,可用于规范营养支持专科护士的培养流程,促进个人发展。Objective To establish a competency assessment system for nutritional support specialist nurses,so as to provide reference basis for training reform,functional performance,and improvement of nursing service quality for nutritional support specialist nurses.Methods Based on the practice standards of nutrition support specialist nurses published by American Society for Parenteral and Enteral Nutrition,the draft of the competency assessment system for nutrition support specialist nurses was developed through literature search and group discussion.From November 2021 to February 2022,two rounds of expert letter consultation were conducted with 15 experts by Delphi method,indicators were screened and modified according to expert suggestions,and the final competency assessment system for nutrition support specialist nurses was formed.Results The effective response rates of the two rounds of expert inquiry questionnaires were 93.3%(14/15)and 100.0%(15/15),with expert authority coefficients of 0.922 and 0.917,respectively.In the first round of expert consultation,50.0%(3/6)of the first-level indicators agreed with a percentage≥80.0%,and 64.9%(24/37)of the second-level indicators agreed with a percentage≥80.0%.In the second round of expert letter consultation,the agreement percentage of the first and second indicators were≥80.0%.The final competency assessment system for nutrition support specialist nurses included 6 first-level indicators(practical ability,communication and coordination ability,education and consultation ability,legal and ethical decision-making ability,scientific research ability,leadership)and 29 second-level indicators.Conclusions The competency assessment system for nutritional support specialist nurses constructed in this study is scientific,reasonable,and highly reliable,which can be used to standardize the training process of nutritional support specialist nurses,promote personal development.

关 键 词：德尔菲技术 营养支持 专科护士 岗位胜任力 考核 

分 类 号：R47[医药卫生—护理学]