肿瘤日间化疗护士角色和工作内容框架的构建

Constructing the frame of nursing role and work content in day-care chemotherapy for cancer

目的:构建肿瘤日间化疗护士角色和工作内容框架。方法:通过查阅文献、小组讨论构建肿瘤日间化疗护士角色和工作内容的初步框架,通过专家函询调查法(Delphi法)对22名肿瘤日间化疗护理领域专家进行3轮函询。结果:三轮问卷回收率和有效率均为100.0%。专家的权威系数为0.88,三轮函询协调系数分别为0.119、0.158、0.215(P<0.05),最终确定的肿瘤日间化疗护士角色和工作内容框架包括一级指标6项(临床实践者、教育者、管理者、咨询者、协调者、研究者),二级指标21项,三级指标62项。结论:本研究构建的肿瘤日间化疗护士角色和工作内容框架条目的专家积极性、权威程度及意见集中程度均较高,为今后肿瘤日间化疗护士岗位管理的推进提供依据。

Objective： To construct the frame of nursing role and work content in day-care chemotherapy for cancer. Methods： Through searching literature materials and group discussions, we constructed the primary frame of nursing role and work content. Then 22 experts of relative areas to day-care chemotherapy for cancer were interviewed by mails for three rounds using Delphi method. Results： The returning rates and efficiency of three rounds mailing interview were all 100.0%, respectively. Specialists were quite active while specialists＇ Cr was 0.88 and coefficient of coordination were 0.119, 0.158 and 0.215 （P〈0.05）. The frame of nursing roles and work content in day-care chemotherapy for cancer consisting of 6 primary indicators （including clinical practitioner, educator, administrator, consultant, coordinator and researcher）, 21 secondary indicators and 62 tertiary indicators was finally determined. Conclusion： The frame of nursing role and work content in day-care chemotherapy for cancer is scientific and reliable, with a relatively high degree of specialists＇ Cr, authority and concentration of opinions. It could promote the advance and development of management over nurses in day-care chemotherapy for cancer.