基于德尔菲法的社区护士岗位胜任力指标体系构建  

Research on the Construction of Community Nurse Post Competency Index System Based on Delphi Method

作　　者：张小伟 丁朝飞 吴雄辉[2] 欧阳淑园[2] 罗佳欣 王芳菲 宋祎 林利娟 Zhang Xiaowei;Ding Chaofei;Wu Xionghui;Ouyang Shuyuan;Luo Jiaxin;Wang Fangfei;Song Yi;Lin Lijuan(Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen,Guangdong,518000,China;不详)

机构地区：[1]华中科技大学协和深圳医院,广东深圳518000 [2]北京大学深圳医院,广东深圳518000 [3]深圳市第二人民医院,广东深圳518000 [4]深圳市南山区医疗集团总部,广东深圳518000 [5]深圳市大鹏新区医疗健康集团三溪高源社区健康服务中心,广东深圳518000

出　　处：《中国初级卫生保健》2024年第7期95-98,共4页Chinese Primary Health Care

基　　金：深圳市南山区科技计划项目(NS2022135);深圳市卫生健康委员会医防融合项目(深卫健基层-2023-4)。

摘　　要：目的:建立一套与现行社区护士岗位相匹配的胜任力指标体系。方法:基于麦克利兰胜任力理论和国际护士会通科护士核心能力,融入健康整体观、健康-疾病连续体模式和社区健康促进模式,采用文献分析法、专题小组讨论法、半结构式访谈法和德尔菲专家咨询法,将定性与定量研究相结合,构建社区护士岗位胜任力指标体系,并运用归一法和组合法确定各指标的权重。结果:经过两轮专家咨询,专家权威系数的平均值为0.873,专家协调系数分别为0.358 (χ2=479.279,P<0.01)和0.545 (χ2=654.253,P<0.01),最终确立的指标体系包含4个一级指标、9个二级指标和45个三级指标。结论:建立了社区护士岗位胜任力指标体系,能够实时评估社区护士的能力,为社区卫生服务机构在人力资源管理、医学继续教育和护士职业发展方面提供参考依据。OBJECTIVE To establish a set of competency index system matching with the current community nurses.METHODS The study was based on the competency theory and international association of nurses nurses core competence,holistic health,health-disease continuum and community health promotion model,using literature analysis,thematic group discussion method,semi-structured interview and delphi expert consultation,combining qualitative and quantitative research,build community nurse post competency index system,and used the return method and group to determine the weight of each index.RESULTS After two rounds of expert consultation,the average value of the expert authority coefficient was 0.873,and the expert coordination coefficient was 0.358(χ2=479.279,P<0.01)and 0.545(χ2=654.253,P<0.01),respectively.The final index system included 4 first-level in-dicators,9 second-level indicators and 45 third-level indicators.CONCLUSION The study has established a post competency index system,which can assess the ability of community nurses in real time and provide reference for community health service institutions in human resource management,medical continuing education and nurse career development.

关 键 词：社区护士 岗位胜任力 德尔菲专家咨询法 社区健康促进 

分 类 号：R47[医药卫生—护理学]