手术室感染预防与控制管理护士岗位胜任力评价指标体系的构建  

Construction of a competency evaluation indicator system for infection prevention and control nurses in Operating Rooms

作　　者：孙立群[1] 张增梅[1] 赵海运[1] 张莹[1] 金子 聂云飞[2] 魏薇[1] 王宇[1] 李胜云[2] 花瑞芳[3] Sun Liqun;Zhang Zengmei;Zhao Haiyun;Zhang Ying;Jin Zi;Nie Yunfei;Wei Wei;Wang Yu;Li Shengyun;Hua Ruifang(Department of Operation,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Clinical Skills Training Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Central Sterile Supply Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,郑州450052 [2]郑州大学第一附属医院临床技能培训中心,郑州450052 [3]郑州大学第一附属医院消毒供应中心,郑州450052

出　　处：《中华现代护理杂志》2024年第13期1698-1705,共8页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(RKX202202025);河南省医学教育研究项目(Wjlx2022060);2021年度河南省虚拟仿真教学项目。

摘　　要：目的构建手术室感染预防与控制管理(简称"感控")护士岗位胜任力评价指标体系,为手术室感控护士管理提供客观依据。方法2022年6—11月通过文献回顾、半结构式访谈制订初版的手术室感控护士岗位胜任力评价指标体系;采用德尔菲法对全国11个省、直辖市的20名专家进行问卷咨询;应用层次分析法和平均分配法量化分析指标体系的各级指标,确定各级指标权重。结果最终纳入19名函询专家,2轮函询问卷回收率分别为95.00%(19/20)、100.00%(19/19),专家权威系数分别为0.858、0.861,专家熟悉程度系数分别为0.850、0.853,判断依据系数分别为0.865、0.868。2轮函询的肯德尔和谐系数分别为0.139、0.202(P<0.05)。最终构建的手术室感控护士岗位胜任力评价指标体系包括6项一级指标、22项二级指标和66项三级指标。结论本研究构建的手术室感控护士岗位胜任力评价指标体系具有科学性、合理性、客观性、完整性,能够为手术室感控护士的能力培养、考核评价、准入标准、资质认证等提供参考依据,具有借鉴意义。Objective To construct a competency evaluation indicator system for infection prevention and control nurses in Operating Rooms(hereinafter referred to as"IPC")and provide an objective basis for the management of IPC nurses.Methods From June to November 2022,an initial competency evaluation indicator system for IPC nurses was developed through literature review and semi-structured interviews.The Delphi method was employed to consult 20 experts from 11 provinces and municipalities across the country.Analytical Hierarchy Process(AHP)and mean distribution method were applied to quantify and determine the weight of each level of indicators within the system.Results Nineteen experts were finally included,with two rounds of questionnaire recovery rates of 95.00%(19/20)and 100.00%(19/19),respectively.The authority coefficients of the experts were 0.858 and 0.861,familiarity coefficients were 0.850 and 0.853,and coefficients of judgment basis were 0.865 and 0.868,respectively.The Kendall's W coefficient of concordance for the two rounds of inquiries were 0.139 and 0.202(P<0.05),respectively.The final IPC nurse competency evaluation indicator system included six primary indicators,22 secondary indicators,and 66 tertiary indicators.Conclusions The constructed IPC nurse competency evaluation indicator system is scientific,reasonable,objective,and comprehensive,providing a valuable reference for the capability training,assessment,entry standards,and qualification certification of IPC nurses.

关 键 词：医院感染 手术室 护士 岗位胜任力 层次分析法 德尔菲法 指标体系 

分 类 号：R47[医药卫生—护理学]