急诊科不同能级护士临床实践能力评价指标体系的构建

Construction of evaluation index system of clinical practice ability for different ability level nurses in emergency department

目的 构建与我国急诊护理实际情况相符的急诊科不同能级护士临床实践能力评价指标体系,为急诊科护士的实践能力培养和评价提供参考依据.方法 结合前期急诊科护士长和医生对护士临床实践能力要求的质性访谈材料与临床护士＂从新手到专家＂成长的Benner模式,对15名相关护理专家进行3轮咨询.结果 构建了急诊科护士临床实践能力评价指标体系包含4个一级指标：专业实践能力、临床思维能力、沟通协调能力、心理素质能力,16二级指标和39个三级条目.每个能级护士的能力有明确的要求.结论 管理者可通过对该指标的认识,对急诊科护士针对性的任用、培训和考核.同时可以结合其他客观指标如学历、职称、科研情况等对护士进行能级划分、管理.

Objective To construct a clinical practice ability index system for evaluating different nurse ability level in accordance with Chinese emergency nursing practice situation and to provide reference for ability training and evaluation of emergency nurses＇ practice ability.Methods Totally 3 rounds of consultations were conducted on 15 nursing experts, combining previous head nurses and doctors＇ quality interview materials on clinical practice ability requirements in Emergency Department with Benner model which was ＂from novice to expert＂.Results The evaluation index system included 4 level-Ⅰdimensions （professional practice, clinical thinking, communication and coordination, psychological） and 16 level-Ⅱdimensions and 39 level-Ⅲitems. The abilities of each level nurse were clear stated.Conclusions Managers could have specific appointment, training, and assessment to the emergency nurses based on the understanding of the evaluation index system, as well as divide and administer nurse ability levels in consideration of other objective indicators such as education, professional title, scientific research situation.