基于岗位胜任力的中西医结合医院临床护士培训评价体系研究

Construction of competency model for evaluating clinical nurses in hospital of Integrated Traditional Chinese and Western Medicine

目的 初步构建中西医结合医院临床护士岗位胜任力培训评价体系.方法 2016年12月至2017年8月,通过半结构访谈法,结合文献分析,初步拟定评价指标;运用德尔菲法,选取21名来自5家中医医院及医学高校的相关专家,完成2轮咨询及指标权重赋值,筛选并确定评价指标;使用SPSS 16.0录入与处理数据.结果 确定中西医结合医院临床护士岗位胜任力培训评价体系包括一级指标4项,二级指标20项;一级指标权重系数分别为0.2609、0.2598、0.2570、0.2224.专家两轮积极系数为100%、95.24%,权威系数0.88,变异系数分别为(0.0923~0.1628)和(0.0430~0.1827).结论 初步构建的评价体系可为中西医结合医院临床护士岗位胜任力的培训目标确立提供指引,也为保障培训质量、主管部门实施培训评价提供参考.

Objective To construct the objective and quantifiable model for evaluating clinical nurses'competency in hospital of Integrated Traditional Chinese and Western Medicine.Methods From December 2016 to August 2017,preliminary formulation of evaluation indicators was constructed through semi-structured interviews,combined with literature analysis.21 experts from five hospitals of Traditional Chinese Medicine and medical universities were selected using Delphi method for performing two rounds of consultations and weight assignment of indexes.Data was logged and processed using SPSS 16.0.Results The preliminary system of the competency model included four items of Level one and 20 items of Level two.The weight coefficients of the first level indicators were 0.2609,0.2598,0.2570 and 0.2224.The positive coefficients from consulations of experts were 100.00%and 95.24%,respectively.Authority coefficient was 0.88.The coefficients of variation were 0.0923 to 0.1628 and 0.0430 to 0.1827,respectively.Conclusions This model can provide guidance for the training objective of nurses'competency and serve as an instrument for hospital managers to evaluate nurses in hospital of Integrated Traditional Chinese and Western Medicine.