连续性肾脏替代治疗专科护士核心能力评价指标体系的构建  

Construction of a core competence evaluation index system for nurses specializing in continuous renal replacement therapy

作　　者：许贤荣 朱亚梅 王咪 许静 叶雅君 曹世琦 邬步云 毛慧娟 XU Xian-rong;ZHU Ya-mei;WANG Mi;XU Jing;YE Ya-jun;CAO Shi-qi;WU Buyun;MAO Hui-juan(Intensive Care Unit,Department of Nephrology,Jiangsu Provincial People's Hospital(The First Affiliated Hospital of Nanjing Medical University),Nanjing 210029,China;Blood Purification Center,Jiangsu Provincial People's Hospital(The First Affiliated Hospital of Nanjing Medical University),Nanjing 210029,China)

机构地区：[1]江苏省人民医院(南京医科大学第一附属医院)肾内科ICU,南京210029 [2]江苏省人民医院(南京医科大学第一附属医院)血液净化中心,南京210029

出　　处：《中国血液净化》2024年第8期630-635,共6页Chinese Journal of Blood Purification

基　　金：江苏省人民医院“临床能力提升工程”护理项目(JSPH-NB-2022-13)。

摘　　要：目的构建连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)专科护士核心能力评价指标体系。方法参考国内外文献及研究小组讨论拟订CRRT护士核心能力评价指标初稿,2023年6月─8月采用德尔菲法对16名专家进行2轮咨询,完成指标筛选与修改、确定指标权重。结果CRRT护士核心能力评价指标包括一级指标7项(专业理论知识、专业实践能力、评判性思维能力、沟通协调能力、管理能力、专业发展能力、职业人文素养能力),二级指标27项,三级指标112项,2轮专家咨询有效应答率均为100%,专家权威系数均为0.912;第二轮函询一、二、三级指标肯德尔和谐系数分别为0.399、0.278、0.208,函询结果均P<0.001。结论构建的CRRT专科护士核心能力评价指标科学合理、内容全面、专业性强,可为CRRT专科护士的培养与评价提供参考依据。Objective To construct a core competency evaluation index system for nurses specializing in continuous renal replacement therapy(CRRT).Methods The first draft of core competence evaluation indexes for CRRT nurses was formulated by referring to domestic and international literature and after discussion in the research group.The second round of consultation with 16 experts was conducted from June to August 2023 by using the Delphi method,to complete the screening and modification of the indexes and to determine the weights of the indexes.Results The finalized core competency evaluation indicators for CRRT nurses included 7 first-level indicators(professional theoretical knowledge,professional practical ability,critical thinking ability,communication and coordination ability,management ability,professional development ability,and professional humanistic literacy ability),27 second-level indicators,and 112 third-level indicators.The effective response rate of the two rounds of expert consultation was 100%,and the expert authority coefficient was 0.912.The Kendall harmony coefficients of the first-,second-,and third-level indicators of the second round of correspondence were 0.399,0.278,and 0.208,respectively,and the results of the correspondence were all P<0.001.Conclusion The constructed core competency evaluation indexes for CRRT specialized nurses are scientific,rational,comprehensive,and professional.This evaluation index system can be used for the training and evaluation of CRRT specialized nurses.

关 键 词：连续性肾脏替代治疗 专科护士 指标 核心能力 

分 类 号：R473[医药卫生—护理学]