急救创伤专科护士核心能力评价指标体系的构建  

Construction of core competency evaluation index system for emergency trauma specialist nurses

作　　者：杨凤巧 李小勤[1] 吴茵[2] Yang Fengqiao;Li Xiaoqin;Wu Yin(Department of Emergency,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Nursing,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院急诊科,苏州215006 [2]苏州大学附属第一医院护理部,苏州215006

出　　处：《中华现代护理杂志》2023年第31期4303-4309,共7页Chinese Journal of Modern Nursing

摘　　要：目的构建急救创伤专科护士核心能力评价指标体系。方法于2022年2月成立研究小组,通过文献回顾和小组讨论初步拟定急救创伤专科护士核心能力评价指标条目池;于2022年4—7月遴选18名函询专家,并进行2轮德尔菲专家函询,确定指标内容与权重。采用问卷有效回收率反映专家积极程度;采用专家权威系数体现专家权威性;以变异系数和肯德尔协调系数反映专家意见协调程度。采用层次分析法计算指标权重。结果 2轮专家函询问卷的有效回收率分别为88.89%和100.00%;专家权威系数分别为0.947和0.960。第2轮专家函询后,一级指标、二级指标、三级指标的变异系数分别为0~0.134、0~0.141、0~0.184;一级指标、二级指标、三级指标的肯德尔和谐系数分别为0.204、0.209和0.167(P均<0.01)。最终构建的急救创伤专科护士核心能力评价指标体系包括6项一级指标、23项二级指标、80项三级指标。结论构建的急救创伤专科护士核心能力评价指标体系具有较好的科学性、可靠性,可为优化急救创伤专科护士的培养、发展和考核提供参考。Objective To construct a core competency evaluation index system for emergency trauma specialist nurses.Methods A research team was established in February 2022 to preliminarily draw up a pool of core competence evaluation indexes for emergency trauma specialist nurses through literature review and group discussion.From April to July 2022,18 experts were selected and 2 rounds of Delphi expert letters were conducted to determine the content and weight of indexes.The effective recovery rate of questionnaires was used to reflect the positive degree of experts.Expert authority coefficient was adopted to reflect expert authority.Coefficient of variation and Kendall's harmony coefficient were used to reflect the degree of expert opinion coordination.The analytic hierarchy process was used to calculate the index weight.Results The effective recovery rates were 88.89%and 100.00%,respectively.The expert authority coefficients were 0.947 and 0.960 respectively.After the second round of expert consultation,the variation coefficients of primary,secondary and tertiary indexes were 0-0.134,0-0.141 and 0-0.184,respectively.The Kendall's harmony coefficients of primary,secondary and tertiary indexes were 0.204,0.209 and 0.167,respectively(all P<0.01).Finally,the core competency evaluation index system for emergency trauma specialist nurses consisted of 6 first-level indexes,23 second-level indexes and 80 third-level indexes.Conclusions The core competency evaluation index system for emergency trauma specialist nurses is scientific and reliable,which can provide references for optimizing the training,development and assessment of emergency trauma specialist nurses.

关 键 词：创伤 急救创伤 创伤专科护士 核心能力 德尔菲法 

分 类 号：R47[医药卫生—护理学]