基于洋葱模型的人体器官捐献协调员岗位胜任力模型构建研究  

Construction of post competency model of human organ donation coordinators based on onion model

作　　者：午建全 商曼曼 郑桂芳 魏琴[2] 谢贤宇 李跃平 Wu Jianquan;Shang Manman;Zheng Guifang;Wei Qin;Xie Xianyu;Li Yueping(School of Public Health,Fujian Medical University,Fuzhou 350122,China;不详)

机构地区：[1]福建医科大学公共卫生学院,福州350122 [2]福建医科大学附属协和医院医务部 [3]福建医科大学图书馆

出　　处：《器官移植》2023年第5期714-722,共9页Organ Transplantation

基　　金：福建省财政厅专项基金项目(2020CZ001);福建医科大学启航基金项目(2021QH1053)。

摘　　要：目的构建科学合理的人体器官捐献协调员岗位胜任力模型。方法基于洋葱模型,采用文献研究法和行为事件访谈法初步构建指标池;采用德尔菲法对指标体系进行筛选、修改和完善;利用层次分析法,确定各级指标权重。结果两轮德尔菲专家函询的有效应答率均为100%,专家意见可靠性较高;专家的判断系数(Ca)、熟悉程度(Cs)及权威系数(Cr)均>0.7,提示专家意见可信度高;专家协调系数(W)值分别为0.294、0.342,均为P<0.001,表明专家意见协调,对指标的重要性认识差异性较小。最终根据“洋葱模型”理论及专家意见确定构建了一套包含6个一级指标和55个二级指标的协调员岗位胜任力模型。包括指标表层、中间层和核心层3层。其中,核心层为“核心职业价值观”,中间层为“个人品质”“职业道德和素养”,表层为“人际沟通能力”“组织协作能力”和“专业知识与终身学习能力”。结论本研究构建的器官捐献协调员岗位胜任力模型包括6个一级指标和55个二级指标,具有较高的有效性和可靠性。Objective To construct a scientific and rational post competency model of human organ donation coordinators.Methods Based on the onion model,the index pool was initially constructed by literature research and behavioral event interview.The index system was screened,modified and improved using Delphi method.The weight of indexes at all levels was determined by analytic hierarchy process.Results The effective response rates of two rounds of Delphi expert inquiries were both 100%,indicating that the expert opinions were highly dependable.The experts'judgment coefficient(Ca),familiarity(Cs)and authoritative coefficient(Cr)were all above 0.7,indicating that the experts'opinions were highly reliable.The expert coordination coefficients(W)were 0.294 and 0.342(both P<0.001),indicating that experts delivered coordinated opinions and yielded slight difference in understanding the importance of indexes.Finally,according to the"onion model"theory and experts'opinions,a set of coordinator's post competency model including 6 first-level and 55 second-level indexes was established,which comprised an index surface layer,a middle layer and a core layer.Among them,the core layer represented core professional values,the middle layer was personal quality and professional ethics and quality,and the surface layer was interpersonal communication capability,organizational cooperation capability and professional knowledge and lifelong learning capability.Conclusions The post competency model of organ donation coordinators established in this study consists of 6 first-level and 55 second-level indexes,which is highly effective and reliable.

关 键 词：器官捐献 协调员 器官移植 岗位胜任力 洋葱模型 德尔菲法 层次分析法 行为事件访谈法 

分 类 号：R617[医药卫生—外科学] R19[医药卫生—临床医学]