肿瘤高级实践护士核心能力指标体系的构建  

Construction of a core competency indicator system for oncology advanced practice nurses

作　　者：于文华 赵艺媛[2] 张晓菊 周志欢[4] 李金花[5] 张柳柳[6] 殷利[7] 强万敏 骆惠玉[9] 姜桂春[10] 于媛[11] 陆宇晗[1] Yu Wenhua;Zhao Yiyuan;Zhang Xiaoju;Zhou Zhihuan;Li Jinhua;Zhang Liuliu;Yin Li;Qiang Wanmin;Luo Huiyu;Jiang Guichun;Yu Yuan;Lu Yuhan(Nursing Department,Beijing Cancer Hospital&Beijing Institute for Cancer Research,Beijing 100142,China;Department of Head and Neck Surgery,Beijing Cancer Hospital&Beijing Institute for Cancer Research,Beijing 100142,China;Nursing Department,Fudan University Shanghai Cancer Center,Shanghai 200032,China;Neurosurgery Department,Sun Yat-sen University Cancer Center,Guangzhou 510060,China;Nursing Department,Hunan Cancer Hospital,Changsha 430013,China;Nursing Department,Jiangsu Cancer Hospital,Nanjing 210009,China;Department of Radiotherapy,Sichuan Cancer Hospital,Chengdu 614001,China;Nursing Department,Tianjin Medical University Cancer Hospital,Tianjin 300060,China;Nursing Department,Clinical School of Cancer,Fujian Medical University/Fujian Cancer Hospital,Fuzhou 350014,China;Clinical Skills Training Center,Liaoning Cancer Hospital,Shenyang 110042,China;Thoracic Surgery,Cancer Hospital,Chinese Academy of Medical Sciences,Beijing 100021,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部,北京100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所头颈外科,北京100142 [3]复旦大学附属肿瘤医院护理部,上海2200032 [4]中山大学肿瘤防治中心神经外科,广州510060 [5]湖南省肿瘤医院护理部,长沙430013 [6]江苏省肿瘤医院护理部,南京210009 [7]四川省肿瘤医院放疗科,成都614001 [8]天津医科大学肿瘤医院护理部,天津300060 [9]福建医科大学肿瘤临床医学院/福建省肿瘤医院护理部,福州350014 [10]辽宁省肿瘤医院临床技能培训中心,沈阳110042 [11]中国医学科学院肿瘤医院胸外科,北京100021

出　　处：《中华现代护理杂志》2024年第10期1268-1275,共8页Chinese Journal of Modern Nursing

摘　　要：目的构建肿瘤高级实践护士核心能力指标体系。方法本研究为横断面研究。于2022年6-11月通过文献回顾和专家小组协调制订肿瘤高级实践护士核心能力指标体系初稿,采用德尔菲法进行专家函询,并通过层次分析法,确立肿瘤高级实践护士核心能力指标体系。结果共纳入来自10个省、直辖市的11家医院和4家医学院校的54名专家,进行2轮专家函询,问卷有效回收率均为100%,专家权威系数为0.90,肯德尔协调系数为0.089~0.179和0.101~0.176(P<0.01),最终确立的肿瘤高级实践护士核心能力指标体系包括7条一级指标和69条二级指标。结论肿瘤高级实践护士核心能力指标体系内容全面,具有肿瘤专科护理特色,构建过程科学可靠,为未来开展肿瘤高级实践护士培训奠定了基础。Objective To construct a core competency indicator system for oncology advanced practice nurses.Methods This study is a cross-sectional study.A preliminary draft of the core competency indicator system for oncology advanced practice nurses was developed through literature review and expert group coordination from June to November 2022.The core competency indicator system for oncology advanced practice nurses was established using the Delphi method for expert consultation and the analytic hierarchy process.Results A total of 54 experts from 11 hospitals and four medical schools in 10 provinces and municipalities directly under the central government across the country were included in two rounds of expert consultation.The effective response rates of the questionnaire were all 100%,with an expert authority coefficient of 0.90,Kendall coordination coefficients of 0.089 to 0.179 and 0.101 to 0.176(P<0.01).The final established core competency indicator system for oncology advanced practice nurses included seven primary indicators and 69 secondary indicators.Conclusions The core competency indicator system for oncology advanced practice nurses is comprehensive and has the characteristics of specialized oncology nursing,and the construction process is scientific and reliable,laying the foundation for future training of oncology advanced practice nurses.

关 键 词：肿瘤 高级实践护士 核心能力 德尔菲法 层次分析法 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]