外科护士疼痛护理胜任力评价指标体系的构建及信效度测量  

Construction and validation of the pain management nursing competency evaluation index system for surgical nurses

作　　者：李云霞[1] 薛子豪 范晓雯 刘敏君[1] 潘红英[1] Li Yunxia;Xue Zihao;Fan Xiaowen;Liu Minjun;Pan Hongying(Nursing Department,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院护理部,杭州310006

出　　处：《中国实用护理杂志》2025年第11期824-831,共8页Chinese Journal of Practical Nursing

基　　金：浙江省教育厅一般科研项目(Y202146263)。

摘　　要：目的构建科学、系统的外科护士疼痛护理胜任力评价指标体系,为外科护士疼痛护理胜任力评估及在职培训提供科学依据。方法2023年12月至2024年7月,研究小组采取文献分析、半结构式访谈、专家函询及层次分析法确定外科护士疼痛护理胜任力评价指标体系的内容及权重;在此基础上,采用便利抽样法选取788名外科护士开展横断面调查,以检验指标体系的内部一致性、重测信度和内容效度。结果2轮专家函询有效问卷回收率均为100%(23/23),专家权威系数为0.921;一级指标的专家意见肯德尔协调系数分别为0.106、0.245。最终确定的外科护士疼痛护理胜任力评价指标体系包括7项一级指标(常规疼痛评估、活动性疼痛及非预期疼痛评估及处理、药物镇痛护理、患者自控镇痛护理、非药物镇痛护理、疼痛健康教育、专业发展能力),23项二级指标和78项三级指标。测得其整体Cronbach α系数为0.991,重测信度为0.493,条目水平的内容效度指数为0.96~1.00,量表水平的内容效度指数为0.98。结论所构建的外科护士疼痛护理胜任力评价指标体系具有科学性、可靠性和可操作性,可为评估外科护士的疼痛护理能力及制订针对性的在职培训方案提供依据。Objective To develop a Pain Management Nursing Competency Evaluation Index System for surgical nurses,providing a framework for assessing their pain management competency and guiding in-service training programs.Methods From December 2023 to July 2024,a research team employed literature analysis,semi-structured interviews,expert consultations,and the analytic hierarchy process(AHP)to determine the content and weight of the competency evaluation index system.A crosssectional survey was subsequently conducted using convenience sampling on 788 surgical nurses to test the internal consistency,test-retest reliability,and content validity of the index system.ResultsThe response rates for the two rounds of expert consultations were both 100%(46/46),with an expert authority coefficient of 0.921;the Kendall's coefficients of expert opinions for the primary indicators were 0.106 and 0.245,respectively.The final index system included seven primary indicators(routine pain assessment,assessment and management of active and unexpected pain,pharmacological pain management,patientcontrolled analgesia nursing,non-pharmacological pain management,pain related education for patients and their families,and professional development),23 secondary indicators,and 78 tertiary indicators.The overall Cronbach α was 0.991,the test-retest reliability was 0.493,the item-level content validity index ranged from 0.96 to 1.00,and the scale-level content validity index was 0.98.Conclusions The pain management nursing competency evaluation index system for surgical nurses is scientifically valid,reliable,and practical.It offers a solid foundation for evaluating the pain management competencies of surgical nurses and designing targeted in-service training programs.

关 键 词：护士 外科 疼痛护理 胜任力 评价指标 

分 类 号：R47[医药卫生—护理学]