放射专科护士核心能力评价指标体系理论-技能-人文素养模型的构建  

Construction of evaluation index system and theory-skill-humanity model for core competence of radiation specialist nurses

作　　者：宋圆圆 杨巧芳 丁体英[3] 蒿若楠 白姗 康亚娟 Song Yuanyuan;Yang Qiaofang;Ding Tiying;Hao Ruonan;Bai Shan;Kang Yajuan(Department of Radiology,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China;Department of Nursing,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China;Department of Radiology,Henan Provincial People′s Hospital,Zhengzhou 450000,China;Heart Failure Ward,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450000,China)

机构地区：[1]阜外华中心血管病医院放射科,郑州450000 [2]阜外华中心血管病医院护理部,郑州450000 [3]河南省人民医院放射科,郑州450000 [4]阜外华中心血管病医院心力衰竭病区,郑州450000

出　　处：《中国实用护理杂志》2024年第11期839-845,共7页Chinese Journal of Practical Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20220146)。

摘　　要：目的基于理论-技能-人文素养(TSH)模型构建我国放射专科护士核心能力评价指标体系,为放射专科护士的培养与能力测评提供科学依据。方法2023年1月,利用文献研究法、半结构式访谈法拟订放射专科护士核心能力评价指标体系初稿;2023年2-3月,采用Delphi法对20名专家进行2轮函询,根据专家对各指标重要性赋值确定指标权重。结果20名专家中女17名,男3名,年龄35~65(46.48±8.19)岁。第1轮专家函询问卷回收率为100.0%(20/20),第2轮专家函询问卷回收率为95.0%(19/20)。第2轮函询专家的权威系数为0.937,一、二、三级指标的Kendall协调系数分别为0.448、0.407、0.464,差异均有统计学意义(χ2=53.60、148.81、58.18,均P<0.001)。最终构建的放射专科护士核心能力评价指标体系包括3个一级指标,11个二级指标,56个三级指标。结论本研究基于TSH模型构建的放射专科护士核心能力评价指标体系具有较高的可行性和实用性,可作为放射专科护士培养和评价的指标依据。Objective To construct of evaluation index system and theory-skill-humanity(TSH)model for core competence of radiation specialist nurses,to provide reference for clinical training of radiation specialist nurses.Methods In January 2023,the draft of the evaluation index system of core competence for radiation specialist nurses was development by literature reviews and semi-structured interviews;from February to March 2023,20 experts were consulted with 2 rounds of Delphi consultations to determine the index system and determine indicator weights based on the importance assigned by experts to each indicator.Results Among 20 experts,17 were female and 3 were male,aged 35-65(46.48±8.19)years old.The effective recovery rate of the questionnaires was 100.0%(20/20)and 95.0%(19/20)in the first and second round,respectively.The authority coefficient of the experts was 0.937 in the second round,the Kendall coefficients of concordance in the first-level indexes,second-level indexes and third-level indexes were 0.448,0.407,0.464,respectively,the difference was statistically significant(χ2=53.60,148.81,58.18,all P<0.001).The final evaluation index system of the core competence of radiation specialist nurses included 3 first-level indicators,11 second-level indicators and 56 third-level indicators.Conclusions The evaluation index system of the core competence of radiation specialist nurses constructed based on TSH model in the present study has certain feasibility and practicality,which can be used as the basis for the training and evaluation of radiation specialized nurses.

关 键 词：德尔菲技术 放射科 医院 专科护士 核心能力 TSH模型 

分 类 号：R473[医药卫生—护理学]