ICU联络护士在过渡期护理中工作内容的构建

The construction of work content of ICU liaison nurse in transitional care

目的:构建ICU联络护士在过渡期护理中的工作内容。方法:基于界面理论中的交互障碍原理,剖析ICU过渡期中的护理安全问题,运用界面管理方式,结合文献分析、实地观察,构建ICU联络护士的工作内容条目池,采用德尔菲专家咨询法,对19位危重症领域医疗及护理专家进行2轮咨询。结果:构建了3个一级条目、9个二级条目、27个三级条目的ICU联络护士在过渡期护理中的工作内容;2轮专家咨询的有效回收率是95%及100%,最终条目重要性及可操作性变异系数范围在0.05~0.24,专家权威系数在0.81~0.87,协调程度在0.163~0.211(P<0.01)。结论:构建的ICU联络护士在过渡期护理中的工作内容具有较高的可靠性和科学性,可以为临床上开展ICU过渡期护理提供依据。

Objective:To establish work content for the role of ICU liaison nurse in transitional care.Methods:Based on the theory of interface interaction barriers principle,we analyzed the ICU nursing safety problems in the transition period.By using the interface management way and combining the literature analysis and field observation,the work content of liaison nurse item pool was built.The Delphi expert consultation method was adopted to conduct two rounds of consultation for 19 medical and nursing experts in the field of critical illness.Results:Three first-level items,nine second-level items and twenty-seven third-level items were constructed.The effective recovery rate of 2 rounds of expert consultation were 95%and 100%,the range of item importance and operability variation coefficient was between 0.05 and 0.24,the expert authority coefficient was between 0.81 and 0.87,the coordination degree was between 0.163 and 0.211(P<0.01).Conclusion:The work content of ICU liaison nurse in the transitional care has high reliability and scientificity,which can provide a basis for carrying out ICU transitional care in clinic.