多面Rasch测量分析在临床护理考核评分中的应用

Application of Rasch analysis in clinical nursing examination

目的以静脉穿刺套管针留置技术操作考核为研究对象，评价护士长在考核评分中的宽严程度和自身一致性。方法采用多面Rasch测量分析软件FACETS系统分析考官在评分过程中的表现。结果不同护士长之间评分宽严程度和自身一致性有着显著差异。结论在护理临床考核中，护士长评分存在随意性较大等问题，护士长评分的宽严程度和自身一致性的差异严重影响了考核结果的可靠性。建立科学、可控的护理临床操作考核评价体系对带教老师和实习护生业务能力的提高，对医院护理质量的提升有着密切的关系。

Objective To evaluate the strictness and self-consistency of the charge nurses in the nurses examination using venipuncture trocar operation as research object. Methods FACETS, the polyhedral Rasch software was used in the examination. Results The strictness and self-consistency of charge nurses were evidently different. Conclusions The variable strictness and self-consistency of the charge nurses in the examination leads to unreliability of the results. Developing a scientific and reliable evaluation system is essential to improve the ability of the teaching nurses and the student nurses as well as the hospital nursing quality.