半结构访谈联合德尔菲法用于急诊护生的护理迷你临床演练评估量表的构建  

Construction of emergency care mini⁃clinical evaluation exercise using semi⁃structured interview and Delphi method

作　　者：王秋池[1] 屠艳梅[1] 张晶[2] 朱业[2] Wang Qiuchi;Tu Yanmei;Zhang Jing;Zhu Ye(Emergency Observation Room,Northern Jiangsu People’s Hospital,Yangzhou 225000,China)

机构地区：[1]江苏省苏北人民医院急诊留观室,江苏扬州225000 [2]江苏省苏北人民医院心内科,江苏扬州225000

出　　处：《海军医学杂志》2024年第3期270-275,共6页Journal of Navy Medicine

基　　金：国家自然科学基金(81800250)。

摘　　要：目的利用半结构访谈联合德尔菲法构建符合急诊护理的迷你临床演练评估量表(Mini⁃CEX)指标,为评估急诊护生临床护理能力提供有效工具。方法查阅国内外急诊护理相关文献,对符合纳入标准的文献进行归纳整理后,筛选出用于急诊临床护理能力的评价指标,对江苏省苏北人民医院急诊科的16名医生和护士长进行半结构访谈,将半结构访谈内容作为Mini⁃CEX量表的初步量表;然后利用德尔菲法对初步量表的各个指标条目进行专家咨询,形成最终的Mini⁃CEX量表。结果经2轮函询后形成4个一级指标(人文关怀、护理问诊、实践能力、整体表现)、10个二级指标(正确且合理称呼患者,注重患者隐私保护,能够建立良好的护患关系,有效引导和利用问题询问,采集病史完整,准确掌握护理措施流程与使用技巧,准确掌握各种急救药物位置与用法,准确掌握急救相关仪器的使用方法与注意事项,准确评估患者病情、护理指征及评估时间合理、整体效率高,护理过程简洁、流畅及护理措施实施顺序准确),共10个条目的急诊护理Mini⁃CEX量表评分项目指标体系。结论采取半结构访谈法联合德尔菲法所构建的急诊护理Mini⁃CEX量表评价指标对急诊护理带教具有良好的指导作用,能够作为急诊护生临床护理技能的有效评估工具。Objective To use the semi⁃structural interview and the Delphi method to construct the nursing⁃mini⁃clinical evaluation exercise(Mini⁃CEX)index,to provide an effective assessment tool for the clinical care ability of emergency care.Methods Review the emergency nursing literatures,summarize and organize the inclusion criteria,select the evaluation indexes for emergency clinical nursing ability,interview 16 doctors and head nurses in the emergency department of Northern Jiangsu People’s Hospital as the preliminary scale of Mini⁃CEX scale,and use Delphi method to form the final Mini⁃CEX scale.Results After two rounds of letter inquiry,Mini⁃CEX scale was constructed,including 4 first⁃level indicators(humanistic care,nursing consultation,practical ability and overall performance)and 10 second⁃level indicators(correctly and reasonably address patients,privacy protection,build a good nurse⁃patient relationship,effectively guide and use questions to ask,collection of complete medical history,effectively emergency drugs and usage,accurately grasp the use of emergency related instruments and precautions,accurate assessment of patients,nursing indications,evaluation time is reasonable,high overall efficiency,nursing process concise and smooth,accurate nursing measures implementation sequence).Conclusion The Mini⁃CEX scale constructed by semi⁃structured interview and Delphi method has a good guidance for emergence nursing teaching and can serve as an effective evaluation tool for the clinical nursing skills of emergency nurses.

关 键 词：半结构访谈 急诊 护理迷你临床演练评估量表 护理 管理 

分 类 号：R47[医药卫生—护理学]