手术室专科护士核心能力评价指标体系的构建

The construction of core competence evaluation index system of the operating room nurses

目的构建符合我国国情的手术室专科护士核心力评价指标体系,研究手术室专科护士应具备的核心能力特征,为手术室护士的培训、绩效考核等提供理论依据与实践操作指南。方法以核心能力模型为理论基础,在半结构访谈的基础上,结合专家小组讨论、文献回顾和德尔菲法、层次分析法构建手术室专科护士核心能力评价指标体系,并完成各级指标权重设置。结果构建了包括4项一级指标、12项二级指标、42项3级指标的评价指标体系,两轮咨询专家均予以高度重视,问卷回收率均为100%,专家群体权威系数为0.853;第二轮各级指标协调系数(分别为0.514、0.317、0.412)均高于第一轮(分别为0.481、0.252、0.313),经χ2检验,P值均小于0.05。结论本研究构建的手术室专科护士核心能力评价指标体系能够反映出我国手术室专科护士核心能力实际状况,经检验,专家意见集中度高,科学可靠,能够为手术室专科护士进入工作岗位后的能力提升、岗位培训、考核、准入提供理论依据。

Objective To build specialized conforms national conditions of the operating room nurses core competence evaluation index sys?tem in China,and study what the core competence of the operating room nurses should possess,in order to provide theoretical basis and prac?tice instructions to the operating room nurses'training,performance appraisal and so on.Methods Based on the theory of core competence model,semi-structured interview,combined with expert group discussion,literature reviewing and Delphi method and analytic hierarchy process(AHP)to construct the core competence evaluation index system,and weight coefficients of the model.Results We built including 4 first-level indicators,12 secondary indicators,42 items 3 level indicators of evaluation index system,two rounds of consulting experts which attached great importance to the questionnaire recovery rate is 100%,expert group authority coefficient is 0.900;The second round of indicators at all levels to coordinate coefficient(0.514、0.317、0.412,respectively)were higher than in the first round(0.481、0.252、0.313,respectively),the inspection P values are less than 0.05.Conclusion This study is to build the core competence evaluation index system of the operating room health nurses which can reflect the operating room core ability of junior nurses the actual situation in our country.After ex?amination,we found that expert opinion concentration is high,the result is based on scientific effects,and is of high reliablility,which indi?cates that evaluation index system can provide theoretical basis to development to capacity,job training,improving the capacity assessment,and so on.