护士长应对突发公共卫生事件应急能力评价指标体系的构建  

Construction of evaluation index system of head nurses'capacity to respond to public health emergencies

作　　者：葛果 李岚[1] 王宝祥 刘翠青[1] 陈伟菊[2] 杜赟[1] GE Guo;LI Lan;WANG Baoxiang;LIU Cuiqing;CHEN Weiju;DU Yun(Nursing Department,The First Affiliated Hospital of Jinan University,Guangzhou,510630,China)

机构地区：[1]暨南大学附属第一医院护理部,广州市510630 [2]暨南大学护理学院

出　　处：《中国护理管理》2024年第7期1034-1040,共7页Chinese Nursing Management

基　　金：2022年度广东省医学科研基金立项项目(A2022407)。

摘　　要：目的:构建护士长应对突发公共卫生事件应急能力评价指标体系,为相应能力的评价和培训提供参考。方法:在PPRR风险管理模型基础上,以国际护士会灾害护理核心能力框架(2.0版)为指导,通过文献分析、半结构访谈和研究小组讨论等方法形成护士长应对突发公共卫生事件应急能力评价指标体系初稿,应用Delphi法对全国28名专家进行2轮函询,运用层次分析法和平均分配法确定各级指标权重。结果:形成包含4项一级指标、18项二级指标、62项三级指标的护士长应对突发公共卫生事件应急能力评价指标体系,2轮专家函询的问卷有效回收率分别为93.9%和90.3%,专家权威系数分别为0.867和0.855,三个等级指标肯德尔和谐系数分别为0.104~0.165和0.112~0.229(P<0.05)。结论:本研究构建的护士长应对突发公共卫生事件应急能力评价指标体系,为临床护士长的应急能力评价提供了工具,也为相应培训模式的优化提供了参考。Objective:To develop the evaluation index system of the head nurse's capacity to respond to public health emergencies,and to provide insights for the evaluation and training of corresponding ability.Methods:According to the theory of PPRR(Prevention,Preparation,Response,Recovery)risk management model and guided by the International Council of Nurses disaster nursing ability framework(version 2.0)the first draft of the evaluation index system,for the emergency response capacity of head nurses to cope with public health emergencies was formed through literature analysis,semi-structure interview and discussion in the research group;the Delphi method was applied to conduct 2 round consultation with 28 experts and the hierarchical analysis and average distribution method was used to determine the weights of each indicator for each level.Results:Formation of a system of indicators for evaluating the emergency response capacity of nurse leaders in the event of public health emergencies,comprising 4 first-level indicators,18 second-level indicators,and 62 third-level indicators.The valid return rate of two rounds of expert consultation was 93.9%and 90.3%,the expert authority coefficient was 0.867 and 0.855 respectively,and Kendall's w of the index was 0.104-0.165 and 0.112-0.229,respectively(P<0.05).Conclusion:The evaluation index system of the head nurse's capacity to cope with public health emergencies developed in this study provides a tool for the evaluation of the emergency response ability of clinical head nurses and a insight for the optimization of corresponding training mode.

关 键 词：突发公共卫生事件 应急能力 护士长 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]