非现役文职护士灾害救护核心能力体系的构建

Construction of Core Competences for Disasters Rescue among Civilian Nurses

目的构建非现役文职护士灾害救护核心能力体系。方法运用Delphi专家咨询法，对21名专家进行3轮问卷调查，构建非现役文职护士灾害救护核心能力体系。结果确定的非现役文职护士灾害救护核心能力体系包括4个一级指标（自身能力准备、急救护理能力、灾害救护应对能力、灾后护理能力）、33个二级指标；咨询专家积极系数为100％，权威程度为0．89，33个条目的变异系数为0．026-0．122，专家协调系数达到可接受程度。结论Delphi法构建的非现役文职护士灾害救护核心能力具有较高的科学性和可靠性，可为编制应急预案、编写灾害护理教材、实施有针对性的培训以提高军队医院的卫勤保障救护能力提供依据。

Objective To build core competences for disasters rescue among civilian nurses. Methods Using the Delphi method, 21 experts were consulted for three-round by questionnaires to build the core competences system for disasters rescue among civilian nurses. Results Four major indictors （preparation of one＇s own ability, nursing ability of first-aid, disaster rescue related coping ability, nursing ability after disaster） and 33 secondary indictors of the core competences for disasters rescue were identified. Responding rate of the experts was 100%, experts authority coefficient was 0.89, the variable coefficient for the 33 items ranged from 0. 026 to 0. 122, experts＇ cooperation index was acceptable. Conclusion Core competences of disasters rescue for civilian nurses established by Delphi method were scientific and reliable, which may provide evidences for developing contingency plan and disaster nursing teaching materials, and implementing targeted training to improve the rescue medical support ability of military hospitals.