基于柯氏评估模型的ECMO专科护士规范化培训效果评价指标体系的构建  

Developing an evaluation system for the effectiveness of standardized training for extracorporeal membrane oxygenation specialist nurses based on the Kirkpatrick Model

作　　者：张丽[1] 李付华[2] 吕会力[2] 刘慧[2] 王丹丹[2] Zhang Li;Li Fuhua;Lyu Huili;Liu Hui;Wang Dandan(Nursing Development Center,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Critical Care Medicine,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属护理学科发展中心,郑州450014 [2]郑州大学第二附属医院重症医学科,郑州450014

出　　处：《中华现代护理杂志》2024年第34期4722-4727,共6页Chinese Journal of Modern Nursing

基　　金：2022年河南省医学科技攻关联合共建项目(LHGJ20220507)。

摘　　要：目的构建体外膜肺氧合(ECMO)专科护士规范化培训效果评价指标体系,为评价ECMO专科护士规范化培训效果提供依据。方法以柯氏评估模型为理论框架,基于文献回顾、半结构化访谈,初步拟定ECMO专科护士培训效果评价指标初稿;采用德尔菲法对专家进行函询,确定ECMO专科护士规范化培训效果评价指标体系。结果2轮函询问卷的有效回收率分别为90.0%(18/20)、100.0%(18/18);专家权威系数分别为0.863、0.877。2轮函询各级指标的肯德尔和谐系数分别为0.196~0.385、0.233~0.431(P<0.01)。ECMO专科护士规范化培训效果评价指标体系包括4项一级指标、14项二级指标、56项三级指标。结论ECMO专科护士规范化培训效果评价指标体系的构建过程科学,结果可靠,可为ECMO专科护士培训效果的评价提供参考。ObjectiveTo develop an evaluation system for assessing the effectiveness of standardized training for extracorporeal membrane oxygenation(ECMO)specialist nurses and provide a reference for evaluating such training outcomes.MethodsUtilizing the Kirkpatrick Model as the theoretical framework,a preliminary draft of evaluation indicators for ECMO specialist nurse training was developed through a literature review and semi-structured interviews.A Delphi method was employed to conduct expert consultations and finalize the evaluation system for the effectiveness of standardized ECMO specialist nurse training.ResultsThe effective response rates for two rounds of Delphi questionnaires were 90.0%(18/20)and 100.0%(18/18),respectively.The expert authority coefficients were 0.863 and 0.877.The Kendall's coefficient of concordance for the indicators across two rounds ranged from 0.196 to 0.385 and 0.233 to 0.431(P<0.01).The final evaluation system for the effectiveness of standardized ECMO specialist nurse training included four primary indicators,14 secondary indicators,and 56 tertiary indicators.ConclusionsThe development of the evaluation system for the effectiveness of standardized ECMO specialist nurse training is scientifically sound and reliable,which provides a valuable reference for evaluating the effectiveness of ECMO nurse training.

关 键 词：体外膜肺氧合 护士 培训 德尔菲技术 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]