血液透析专科护士胜任力模型的构建

Construction of competence model for hemodialysis nurse specialist

目的：探索血液透析专科护士的岗位胜任能力，构建科学、合理的血液透析专科护士胜任力模型，以对血液透析专科护士的选拔、培训、考核提供科学依据。方法在文献回顾的基础上，初步拟定专科护士胜任力初稿，运用德尔菲法对30名专家进行2轮函询，筛选、确定血液透析专科护士岗位胜任力。结果构建的血液透析专科护士胜任力模型包含知识、能力、价值观、个性特质4个维度，27项胜任力要素及各项胜任力的权重，2轮函询专家权威系数分别为0．78～1．00，0．82～1．00，其群体权威系数分别为0．82，0．88。结论本研究构建的血液透析专科护士胜任力模型，专家的积极性系数和权威系数均较高，具有较强的科学性和实用性，为进一步制定专科护士胜任力评价指标体系奠定基础。

Objective To probe into the competency of hemodialysis nurse specialists and to formulate the competency model of hemodialysis nurse specialists , which can provide reference for the employment , training and evaluation of hemodialysis nurse specialists .Methods On the basis of literature review , the competency model of hemodialysis nurse specialists was formed preliminarily .Thirty experts were consulted by a two-round Delphi survey , and finally established the competency model of hemodialysis nurse specialists . Results The competency model consisted 4 dimensions （ including knowledge , ability, value and personal traits）, 27 items of competency, and the weight of each index .The coefficients of two round expert′s consultation authority were 0.78~1.00 and 0.82~1.00, in which group′s authority coefficient were 0.82 and 0.88.Conclusions This study constructs the competence model of hemodialysis nurse specialist which has high coefficient of expert′s enthusiasm and authority and has scientificalness and practicablilty , and the model is the corner stone for further formulating evaluation index of nurse specialist .