以名义团体技巧探讨护理人员眼中的医生职业素养

Investigation of the doctors' professional qualities from the view angle of the nurses by nominal group technique

目的从护理人员的角度探讨一名优秀的医生应具备的职业素养,为建立全方位评价优秀医师的标准打下基础。方法针对北京协和医学院4个年级的7个护理学生班级,以名义团体技巧法,通过意见讨论、整合与打分的过程,最终得到关于中心议题的半定量结果。结果预先给出的职业素养类别总共包含9种:临床能力、沟通技巧、团队合作、伦理思辨、人道关怀、追求卓越、承担责任、服务精神和诚信正直。参与者们经过讨论在"其他类别"中增添了10个新的素养类别:抗压能力、自我管理、职业追求、谦虚谨慎、健康、专业发展决策、心理素质、自我调节、自我防护和人文风气。所有的护理学生都将临床能力作为所有医生素养中最重要的一项。排名仅次于临床能力的是人道关怀,7组中,共有4组将人道关怀放在了第2名的位置上,1组放在了第3名的位置上。所有小组中"承担责任"一项都有得分,7组中更有3组这一选项都排名前三。结论从护理人员角度,临床能力、人道关怀、承担责任在医生应具备的职业素养中位居前列。

Objective To investigate the professional qualities which excellent doctors should possess from the perspectives of the nurses and lay the foundation for establishing the comprehensive evaluation criteria of excellent doctors. Methods Nominal group technique was used to investigate the nursing students in seven classes from four grades in Peking Union Medical College,and the semi-quantitative results about the central issue was obtained through the process of discussion,integration and scoring. Results Nine types of professional qualities was given beforehand： clinical ability,communication skill,collaboration,critical thinking of ethics,humane care,pursuit of excellence,responsibility,service spirit,integrity and honesty. Also participants added 10 new qualities in ＂other kinds＂after discussion： stress tolerance,self-management,professional pursuit,modesty and caution,personal health,decision of professional development,psychological quality,self-development,self-development and humanities culture. All the nursing students regard clinical ability as the most important one in the professional qualities. Humane care ranked the second compared with the clinical ability. Human care ranked second in four groups and third in one group,and responsibility got score in each group and ranked the top three in the seven groups. Conclusions From the view angle of nurses,clinical ability,humane care and responsibility are in the top rank of the professional qualities that excellent doctors should possess.