基于神经外科专科护士核心能力的培训课程设置研究  

Development of a training curriculum targeting the core competences of neurosurgery nurses

作　　者：张丽娜[1] 谭丽萍[1] 蒋银芬[1] 黄慧[1] Zhang Lina;Tan Liping;Jiang Yinfen;Huang Hui(Nursing Department,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学附属第二医院护理部,苏州215004

出　　处：《中华医学教育探索杂志》2025年第3期390-395,共6页Chinese Journal of Medical Education Research

基　　金：苏州卫生职业技术学院护理教育研究所院校合作课题(swhy201601)。

摘　　要：目的基于神经外科专科护士核心能力进行培训课程设置,为神经外科专科护士标准化培训提供参考,为其成为神经外科护理专家奠定基础。方法以神经外科专科护士核心能力为指引,基于香港理工大学护理学院细胞结构图课程设置概念框架,采用文献分析和德尔菲法,对16名专家进行两轮函询,根据专家意见对相关内容的条目和维度进行增减、修改,最终确定神经外科专科护士培训课程设置。采用SPSS 18.0软件统计专家一般资料、协调系数、变异系数、满分比、平均重要程度等。计数资料采用频数(百分比)表示,计量资料采用(均数±标准差)表示。采用卡方检验进行等级资料分析。结果两轮专家函询问卷有效回收率均为100.00%,专家权威系数分别为0.873、0.888。课程设置模块、课程内容的肯德尔和谐系数分别为0.416、0.221(P<0.001),课程设置模块各条目平均重要程度得分为3.188~3.938,变异系数为0.063~0.178,满分比为0.250~0.875;课程内容各条目平均重要程度均值为3.250~4.000,变异系数为0~0.238,满分比为0.375~1.000。最终形成以临床直接实践能力为核心的神经外科专科护士课程设置,包含6个模块(神经系统解剖生理基础、神经外科患者病情评估与监测、神经外科疾病护理、常用神经外科护理技术、护理管理、科研基础)、77项课程内容。结论基于神经外科专科护士核心能力的培训课程设置具有较好的可靠性,能够为神经外科专科护士标准化培训提供参考。Objective To develop a training curriculum targeting the core competences of neurosurgery nurses,so as to provide a reference for standardized training of neurosurgery nurses and to strengthen their professionality.Methods Centering on the core competences required for neurosurgery nurses,we formed the curriculum framework based on the cell structure-inspired concept proposed by the School of Nursing of The Hong Kong Polytechnic University,and determined the contents through a literature analysis and two rounds of questionnaire-based Delphi consultations with 16 experts.We increased,reduced,or modified the items and dimensions,and finally estabilished the curriculum for neurosurgery nurse training.SPSS 18.0 software was used to analyze the general information of experts,coordination coefficient,variation coefficient,full mark ratio,and mean importance value.Categorical data were described as frequencies and percentages,and continuous data were described as mean±standard deviation.Ranked data were analyzed by using the chi-square test.Results In the two rounds of expert consultations,questionnaires were both 100.00%returned,and the coefficients of expert authority were 0.873 and 0.888,respectively.The coordination coefficient of curriculum modules and curriculum contents were 0.416 and 0.221,respectively(P<0.001).For individual items across the curriculum modules,the mean importance value was 3.188-3.938,the variation coefficient was 0.063-0.178,and the full mark ratio was 0.250-0.875.For content items,the mean importance value was 3.250-4.000,the variation coefficient was 0-0.238,and the full mark ratio was 0.375-1.000.The established clinical practice-directed curriculum for neurosurgery nursing training included 6 course modules(anatomy and physiology of the nervous system,neurosurgery patient evaluation and monitoring,neurosurgery disease nursing,commonly used neurosurgery nursing techniques,nursing management,and scientific research basis)and 77 content items.Conclusions The established training curriculum t

关 键 词：神经外科专科护士 核心能力 在职培训 德尔菲法 课程设置 

分 类 号：R615[医药卫生—外科学] R-05[医药卫生—临床医学]