高级实践护士核心能力框架构建  

Construction of core competence framework for Advanced Practice Nurse

作　　者：龚仁蓉[1] 刘雨薇[1] 何凌霄[2] 陈佳丽[3] 周旭华 蒋艳[4] GONG Renrong;LIU Yuwei;HE Lingxiao;CHEN Jiali;ZHOU Xuhua;JIANG Yan(Department of Surgery,West China Hospital of Sichuan University,West China School of Nursing,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院普通外科,成都市610041 [2]四川大学华西医院创伤医学中心,成都市610041 [3]四川大学华西医院骨科,成都市610041 [4]四川大学华西医院护理部,成都市610041 [5]四川大学华西护理学院

出　　处：《中国护理管理》2023年第5期654-659,共6页Chinese Nursing Management

基　　金：四川省卫健委医学科技项目(21PJ016);四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(21HXFH038);四川省哲学社会科学研究“十四五”规划2022年度课题(SC22B109)。

摘　　要：目的:构建适合我国国情的高级实践护士核心能力框架,为高级实践护士的培养与评价提供参考依据。方法:基于岗位职责分析、文献整合及研究小组讨论,形成高级实践护士核心能力要素条目池;采用德尔菲法对高级实践护士核心能力要素进行定量评估、筛选及整合。结果:开展了2轮德尔菲法专家咨询,形成高级实践护士核心能力框架包含6项一级指标(照护能力、咨询能力、协调能力、领导能力、教学能力、研究能力)及15项二级指标。2轮专家咨询的权威系数为0.89,一级指标的重要性得分为4.58~4.95,变异系数为0.04~0.13;二级指标的重要性得分为4.52~5.00,变异系数为0~0.23。结论:本研究构建的高级实践护士核心能力框架具有科学性、可靠性与实用性,可为我国高级实践护士相关研究和实践提供借鉴和参考。Objective:To construct the framework of core competence for Advanced Practice Nurse(APN)in China,and to provide a reference for APN training and evaluation.Methods:The element pool of core competence for APN was formed by job analysis and literature review.Delphi method was used for evaluation,screening and integration of the core competence elements.Results:After two rounds of Delphi consultations,the APN core competence framework was formed,including 6 dimensions(care,consultation,coordination,leadership,teaching and research)and 15 secondary indexes.The authority coefficient for both rounds of expert consultation was 0.89.The importance score of the dimensions ranged from 4.58 to 4.95,with a coefficient of variation score of 0.04 to 0.13.The importance score of the secondary indexes ranged from 4.52 to 5.00,with a coefficient of variation score of 0 to 0.23.Conclusion:The constructed framework of core competence for APN is scientific,reliable and practical,and it is expected to provide reference for the related research and practice of APN in China.

关 键 词：高级实践护士 核心能力 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]