结核病专科护士核心能力评价指标体系的构建  

Construction of a core competency evaluation index system for tuberculosis specialist nurses

作　　者：史文文[1] 徐语同 陈晓凤 雷国华[3] 矫晓克 王秀华[4] 聂菲菲[3] SHI Wenwen;XU Yutong;CHEN Xiaofeng;LEI Guohua;JIAO Xiaoke;WANG Xiuhua;NIE Feifei(Department of Oncology,Beijing Chest Hospital,Capital Medical University,Beijing,101149,China)

机构地区：[1]首都医科大学附属北京胸科医院肿瘤科,北京市101149 [2]首都医科大学附属北京胸科医院重症医学科,北京市101149 [3]首都医科大学附属北京胸科医院结核科,北京市101149 [4]首都医科大学附属北京胸科医院护理部,北京市101149 [5]北京协和医学院护理学院

出　　处：《中国护理管理》2025年第3期455-460,共6页Chinese Nursing Management

基　　金：2023年度北京市通州区科技计划(KJ2023CX053);2024年度首都医科大学附属北京胸科医院护理“蓓蕾”科研培育计划(HLBL2024-1)。

摘　　要：目的:构建结核病专科护士核心能力评价指标体系,为其培训、考核、评价与管理提供参考依据。方法:以洋葱模型为理论框架,基于文献分析及半结构式访谈,初步拟订结核病专科护士核心能力评价指标体系征求意见稿,于2024年3月—5月,采用德尔菲法确立结核病专科护士核心能力评价指标体系。结果 :共纳入来自9个省份的23名专家,进行2轮专家函询,问卷有效回收率均为100%,专家权威系数为0.93;2轮函询的变异系数为0~0.239和0~0.206,肯德尔和谐系数为0.135~0.170和0.116~0.184。最终构建的结核病专科护士核心能力评价指标体系包含一级指标5项、二级指标13项、三级指标69项。结论 :结核病专科护士核心能力评价指标体系科学、可靠,体现结核病专科护理特点,可为结核病专科护士考评提供依据,对今后结核病专科护士培养及发展奠定基础。Objective:To construct a core competency evaluation index system for tuberculosis specialist nurses,in order to provide references and basis for their training,assessment,evaluation and management.Methods:Based on the Onion Model as the theoretical framework,a preliminary draft of the core competency evaluation index for tuberculosis specialist nurses was developed through literature review and semi-structured interviews.From March to May 2024,the core competency index system for tuberculosis specialist nurses was established by the Delphi method for expert consultation.Results:A total of 23 experts from 9 provinces were included in two rounds of expert consultation.The effective response rates of the questionnaire were all 100%.The expert authority coefficient was 0.93,the variation coefficients of two rounds of expert consultation were 0-0.239 and 0-0.206,and the Kendall's harmony coefficients were 0.135-0.170 and 0.116-0.184.The final evaluation index system of core competency of tuberculosis specialist nurses includes 5 first-level indicators,13 second-level indicators and 69 third-level indicators.Conclusion:The core competency evaluation index system of tuberculosis specialist nurses is scientific and reasonable,which reflects the characteristics of tuberculosis specialist nursing,and can provide references for the evaluation of tuberculosis specialist nurses and lay the foundation for the training and development of tuberculosis specialist nurses in the future.

关 键 词：结核病 专科护士 核心能力 评价指标 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]