北京市社区护士岗位职责与任职资格研究

Practice scope and professional competency of community nurses in Beijing

目的 :初步构建北京市社区护士岗位职责与任职资格建议方案。方法 :采用Delphi专家咨询法,对29位相关领域专家进行函询。结果 :经过两轮专家函询,最终构建的北京市社区护士岗位职责与任职资格建议方案中在岗位职责部分包括2个一级指标,9个二级指标,36个三级指标;任职资格部分包括3个一级指标及10个二级指标;社区护士岗位职责包括基本医疗相关护理职责和部分基本公共卫生服务相关护理职责;任职资格包括基本任职资格、独立进行家庭访视护理工作的任职资格和参与特定公共卫生服务工作的任职资格。结论 :社区护士须完成社区卫生服务中所涉及的各项基本医疗相关的护理工作,同时参与部分基本公共卫生工作;提供家庭护理服务者应具备更高的执业要求;社区护士参与特定基本公共卫生工作需要相应特殊培训;社区护士的岗位职责应与其任职资格相匹配。

Objectives： To establish the proposed projects of practice scope and professional competency of community nurses in Beijing. Methods： We used the Delphi method for the research and recruited 29 community nursing related experts to consult. Results： After two rounds of consultation, the practice scope of community nurses in Beijing included the practices in both primary medical care part and in some of the public health part. The professional competency of community nurses in Beijing included the basic competency, the competency for independent family visiting, and the competency for participating in the specific public health service. Conclusions： Community nurses could provide professional care in primary care services and participate some of the services in public health service, Community nurses who can provide home care should meet higher requirements. Community nurses who can participate certain public health services require special training. The work that community nurses do and the competency that community nurses possess should be matched.