重症监护病房护理人员岗位设置的研究

Post setting of nursing staffs in Intensive Care Unit

目的：运用科学的方法,对重症监护病房（ ICU）临床护理岗位进行重新设计,制定岗位说明书。方法采用资料分析法、观察法、访谈法等对某三级甲等综合医院ICU进行护理岗位调查,拟定护理人员岗位设置调查问卷,运用Delphi法对15名专家进行2轮问卷函询,汇总专家意见。结果最终确定9类护理岗位,拟定9份岗位说明书。专家的权威系数为0.84,9个岗位的专家意见协调系数为0.36（P〈0.05）,专家协调程度较好。结论本研究形成的ICU护理人员岗位说明书专家意见集中,可信度高,贴合临床实际,可为本病区护理人员岗位培训、岗位评价、绩效考核提供依据。

Objective To redesign the clinical nursing post by scientific method and formulate a post description for ICU nurses. Methods The methods of data analysis, observation and interview were used to make a questionnaire for ICU nurses′ post in one general tertiary-level hospital, opinions of 15 experts were filtered by Delphi method from two rounds of questionnaires. Results Finally, 9 types nursing posts had been confirmed, and we studied out 9 post job descriptions. The experts′authority coefficient was 0. 84 while the had a good expert′s opinion coordination coefficient with 0. 36 （P〈0. 05）. Conclusions Experts′ opinions on the description of ICU clinical nursing post were concentrated and had high re liabilities in this study. It is consistent with the clinical practice and can provide foundations which includes work training, post evaluation and performance evaluation for ICU staffs.