手术室专科护士认证评价指标体系的构建

Construction of the certification evaluation index system for specialized nurse in operating room

目的构建一套符合我国护理实践现状的手术室专科护士认证评价指标体系,为行政部门制定统一规范提供参考依据。方法2017年11月—2018年2月,采用文献回顾、专家访谈、德尔菲法确立手术室专科护士认证评价指标及评价标准,运用专家意见集中程度、协调程度、积极系数和权威系数等指标,对专家函询的可靠性进行验证;应用层次分析法确定各指标及评价标准权重。结果22名专家参与本研究,2轮函询问卷的积极系数分别为86.67%和84.62%;专家权威系数分别为0.89和0.93,本研究第2轮协调系数为0.215。最终构建由8个一级指标、28个二级指标、76条评价标准组成的手术室专科护士认证评价指标体系。一级指标权重为0.0314~0.2758;二级指标组合权重为0.0020~0.2069;评价标准组合权重为0.0007~0.1379。各判断矩阵的CI值为0~0.0480,CR值为0~0.0533。结论所构建的手术室专科护士认证评价指标体系结果可靠,可作为手术室专科护士认证评价的参考标准。

Objective To construct the certification evaluation index system for specialized nurse in operating room in accord with nursing practice in China,so as to provide a reference for administrative department to formulate the standards.Methods From November 2017 to February 2018,we established the certification evaluation index and standard for specialized nurse in operating room by literature review,expert interview and Delphi method,and we tested the reliability of expert enquiry by the concentration degree of expert opinion,coordination coefficient,active coefficient and authority coefficient.The analytic hierarchy process was used to determine the indexes and weight of evaluation standards.Results A total of 22 experts participated in the study.Among two rounds of enquiries,the active coefficients were 86.67%and 84.62%respectively,and authority coefficients were 0.89 and 0.93 respectively.In the second enquiry,the coordination coefficient was 0.215.The certification evaluation index system for specialized nurse in operating room consisted of 8 primary indexes,28 secondary indexes and 76 evaluation criteria.The weight of primary indexes,secondary indexes and valuation criteria ranged from 0.031 4 to 0.275 8,from 0.002 0 to 0.206 9 and from 0.000 7 to 0.137 9 respectively.CI values of comparison matrix were from 0 to 0.0480 and CR values were from 0 to 0.053 3.Conclusions The certification evaluation index system for specialized nurse in operating room is reliable,which can be a reference standard for certification evaluation for specialized nurse in operating room.