PICC专科护士置信职业行为评价指标体系的构建  

Establishment of an indicator system for evaluation of entrustable professional activity of PICC specialist nurses

作　　者：周晓倩 王芬[1] 李素云[2] 刘芳丽 曲莲莲[2] 熊啸[3] Zhou Xiaoqian;Wang Fen;Li Suyun;Liu Fangli;Qu Lianlian;Xiong Xiao(Respiratory Intensive Care Unit,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,Hubei Province,China;Department of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,Hubei Province,China;Department of Haematology of Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,Hubei Province,China;School of Nursing and Healthcare,Henan University,Kaifeng 475000,Henan Province,China)

机构地区：[1]华中科技大学同济医学院附属协和医院呼吸与危重症医学科,湖北武汉430000 [2]华中科技大学同济医学院附属协和医院护理部,湖北武汉430000 [3]华中科技大学同济医学院附属协和医院血液科,湖北武汉430000 [4]河南大学护理与健康学院,河南开封475000

出　　处：《现代临床护理》2024年第12期41-48,共8页Modern Clinical Nursing

基　　金：华中科技大学同济医学院附属协和医院科研处拨2020年度药技护专项基金,项目编号为F016.02004.20001.094。

摘　　要：目的构建经外周静脉穿刺中心静脉置管(peripherally inserted central catheter,PICC)专科护士置信职业行为指标,为评价PICC专科护士岗位胜任力提供参考。方法通过文献研究专家函询法对18名静脉治疗领域专家进行2轮专家咨询,确定PICC专科护士置信职业行为评价指标。结果对18名专家进行2轮咨询,问卷有效回收率均为100.00%;第2轮专家权威系数为0.94,一级、二级和三级指标的Kendall协调系数W分别为0.388、0.257和0.159(均P<0.001),构建的PICC专科护士置信职业行为评价指标包括4项一级指标(健康评估、专业技能操作、临床护理和教学科研),共11项二级指标(病史采集、穿刺部位及导管的选择、职业防护、专科护理操作技术、PICC静脉安全评估与管理、急救护理技能、健康指导、教育咨询、沟通协作、教学指导、护理科研应用与专业发展),和47项三级指标。第2轮指标重要性4.56~5.00分、可观察性4.50~4.94分和反映对应的核心胜任力4.61~5.00分。结论该研究形成的PICC专科护士置信职业行为评价指标具有科学性、可靠性、全面性,可为评价PICC专科护士岗位胜任力提供客观的量化依据。Objective To establish an indicator system for evaluation of entrustable professional activity(EPA)of PICC specialist nurses hence to provide a reference in evaluation of the post competency.Methods Through literature review and expert correspondence,two rounds of expert consultations were conducted with 18 PICC specialist nurses to determine the indicators for EPA evaluation.Results The effective recovery rate of the consultation questionnaires was 100.00%from the 2 rounds of expert consultations with the 18 PICC specialist nurses.In the second round of consultation,the expert authority coefficient was 0.94.The Kendall harmony coefficients for first-level secord-level and tertiary indicator were 0.388,0.257 and 0.159,respectively(all P<0.001).Four primary evaluative indicators were extracted,covering health assessment,professional skills operation,clinical nursing and teaching and research.In addition,4 first-level indicators(health assessment,professional skill operation,clinical nursing and teaching and scientific research),a total of 11 second-level indicators(mortal history collection,puncture site and catheter selection,occupational protection,specialist nursing operation technology,PICC venous safety assessment and management,first aid nursing skills,health guidance,educational consultation,communication and collaboration,teaching guidance,nursing scientific research application and professional development)and 47 tertiary indicators were included.All indicators scored between 4.56~5.00 for importance in the second round of consultation,between 4.50~4.94 for observability,and between 4.61~5.00 for reflecting the corresponding core competencies.Conclusion The EPA indicator system for evaluation of PICC specialist nurses is scientifically reliable and comprehensive.It can serve as an objective quantitative tool in evaluation of the post competency of PICC specialist nurses.

关 键 词：经外周静脉穿刺中心静脉置管 专科护士 置信职业行为 胜任力 德尔菲法 

分 类 号：R47[医药卫生—护理学]