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作 者:吉基梅[1] 陆青[1] 陈辰 徐馨[1] 张倩[1] 晏芾 Ji Jimei;Lu Qing;Chen Chen;Xu Xin;Zhang Qian;Yan Fu(Department of Oncology,Jiangsu Cancer Hospital/Jiangsu Institute of Cancer Research/Nanjing Medical University Affiliated Cancer Hospital,Nanjing 210046,China)
机构地区:[1]江苏省肿瘤医院/江苏省肿瘤防治研究所/南京医科大学附属肿瘤医院肿瘤内科,南京210046
出 处:《中华医学教育探索杂志》2024年第10期1419-1424,共6页Chinese Journal of Medical Education Research
基 金:南京医科大学2023年度教育研究课题(2023YJS-LX018)。
摘 要:目的探讨肿瘤科护士核心能力评价指标体系的构建。方法成立研究小组并初步构建肿瘤科护士核心能力评价指标体系框架及专家咨询问卷。基于初步构建的核心能力框架,通过德尔菲专家函询的实施原则,以微信发送或电子邮件的形式发放函询资料,研究小组成员则收集专家意见并进行筛选、整合、统计并修改,在专家函询意见趋于一致时,函询停止,从而最终确立肿瘤科护士核心能力评价指标体系。数据采用SPSS 20.0进行分析,专家权威系数(Cr)通过判断系数(Ca)与熟悉程度(Cs)来计算,采用CV值与肯德尔和谐系数(Kendall W)统计专家意见协调程度。结果共纳入来自全国多个省市的三甲医院总共15名专家进行了2轮专家函询。两轮专家咨询问卷有效回收率为100.00%,两轮专家权威系数Cr分别为0.91和0.89。第1轮和第2轮专家咨询的一级指标、二级指标、三级指标的CV分别为0~0.348和0~0.226。两轮专家咨询结束后,各级指标的CV均<0.25。最终确立肿瘤科护士核心能力评价指标体系,包括一级指标3个、二级指标17个、三级指标45个。结论本研究构建的肿瘤科护士核心能力评价指标体系为我国肿瘤科护士核心能力的考核和评价提供了理论依据和实践指南。Objective To explore the establishment of an evaluation index system for the core competence of nurses in oncology department.Methods A research team was established.The framework of the core competence evaluation index system for oncology nurses and the expert consultation questionnaire were initially constructed.Based on the initially constructed core competence framework system and the implementation principle of Delphi expert correspondence,the letter inquiry materials were sent by WeChat or email.The members of the research team collected expert opinions and conducted screening,integration,statistical analysis,and modification.When the expert correspondence opinions reached a consensus,the letter inquiry was stopped.An evaluation index system for the core competence of oncology nurses was finally established.Data were analyzed using SPSS 20.0.The expert authority coefficient was calculated based on the judgment coefficient and the familiarity coefficient.The coordination of expert opinions was assessed using the coefficient of variation(CV)and Kendall's coefficient of concordance.Results A total of 15 experts from grade A tertiary hospitals in many provinces and cities in China were included in two rounds of expert correspondence.The effective recovery rate of the two rounds of expert consultation questionnaire was 100.00%,and the expert authority coefficients of the two rounds were 0.91 and 0.89,respectively.The CVs of the first,second,and third indices in the first and second rounds of expert consultation were 0-0.348 and 0-0.226,respectively.After the two rounds of expert consultation,the CVs of all indices were<0.25.Finally,the evaluation index system for the core competence of oncology nurses was established,including 3 first-level indicators,17 second-level indicators,and 45 third-level indicators.Conclusions The evaluation index system for the core competence of oncology nurses constructed in this study provides a theoretical basis and practical guide for the evaluation and training of oncology nurse
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