基于核心能力的乳腺癌手术决策辅助护士培训方案的构建  

Construction of training program for nurses in shared-decision making of breast cancer surgery based on core competence

作　　者：闫迪 王燕 张青月 尹健 强万敏 Yan Di;Wang Yan;Zhang Qingyue;Yin Jian;Qiang Wanmin(Department of Breast Oncoplastic Surgery,Tianjin Medical University Cancer Institute and Hospital,National Cancer Clinical Medical Research Center,Tianjin Cancer Clinical Medical Research Center,Tianjin Key Laboratory of Cancer Prevention,Key Laboratory of Breast Cancer Prevention,Ministry of Education,Tianjin 300060,China;Department of Nursing,Tianjin Medical University Cancer Institute and Hospital,National Cancer Clinical Medical Research Center,Tianjin Cancer Clinical Medical Research Center,Tianjin Key Laboratory of Cancer Prevention,Key Laboratory of Breast Cancer Prevention,Ministry of Education,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院乳房再造科、国家恶性肿瘤临床医学研究中心、天津市恶性肿瘤临床医学研究中心、天津肿瘤防治重点实验室、乳腺癌防治教育部重点实验室,天津300060 [2]天津医科大学肿瘤医院护理部、国家恶性肿瘤临床医学研究中心、天津市恶性肿瘤临床医学研究中心、天津肿瘤防治重点实验室、乳腺癌防治教育部重点实验室,天津300060

出　　处：《中国实用护理杂志》2025年第7期538-544,共7页Chinese Journal of Practical Nursing

基　　金：中华护理学会科研课题(ZHKYQ202205);天津市医学重点学科建设项目(TJYXZDXK-011A)。

摘　　要：目的基于核心能力构建乳腺癌手术决策辅助护士培训方案,为临床决策辅助护士规范化培训提供参考。方法2023年2-5月,通过文献回顾、质性访谈、研究小组讨论、德尔菲专家咨询以及层次分析法等确定乳腺癌手术决策辅助护士培训方案。结果共纳入18名专家,男3名,女15名,年龄为(44.67±9.24)岁。构建的乳腺癌手术决策辅助护士培训方案包括准入条件、培训内容(理论+实践)、培训形式、培训学时、培训师资及培训评价6条一级指标,17条二级指标,57条三级指标。2轮专家咨询问卷回收率均为18/18,专家权威系数均为0.933,Kendall协调系数分别为0.160、0.213,均有统计学意义(均P<0.05)。结论基于核心能力构建的乳腺癌手术决策辅助护士培训方案科学实用,可为护士规范化培训提供借鉴。Objective To construct a training program for nurses in shared-decision making of breast cancer surgery based on core competence,and to provide reference for clinical training.MethodsFrom February to May 2023,through literature review,qualitative interview,group discussion,Delphi and analytic hierarchy process,the training program were determined.ResultsAmong 18 experts,there were 3 males and 15 females,aged(44.67±9.24)years old.The final training program included 6 first-level indicators(admission criteria,training content(theory+practice),training format,training hours,training instructors,training evaluation),17 second-level indicators,and 57 third-level indicators.The effective response rates of 2 rounds of expert consultations were both 18/18,and the expert authority coefficients were both 0.933.The Kendall coordination coefficients of the first and second round were 0.160,0.213(both P<0.05).ConclusionsThe training program of decision aid nurses in breast cancer surgery is scientific,practical and clinically valuable,and can provide reference for the development of standardized training for nurses.

关 键 词：乳腺肿瘤 共同决策 决策支持技术 培训方案 

分 类 号：R47[医药卫生—护理学]