质量控制护士岗位胜任力指标体系的构建

Construction of post competency index system of quality control nurses

目的构建科学、规范、完整、实用的质量控制护士岗位胜任力指标体系,为质量控制护士的岗位准入、资质认证、能力培养以及考核评价提供参考依据。方法基于文献回顾、行为事件访谈、半结构化访谈及德尔菲专家函询等方法提取质量控制护士岗位胜任力要素,应用层次分析法和平均分配法,量化分析胜任力的维度、条目及各级评价指标,确定各级指标权重。结果纳入30名函询专家,2轮函询问卷有效回收率分别为93.3%和100%,第2轮函询专家的熟悉程度系数为0.878,判断依据系数为0.943,权威系数为0.911。最终构建的质量控制护士岗位胜任力指标体系包括一级指标6项(临床实践能力、评判性思维能力、质量评价改善能力、组织与沟通协调能力、培训指导能力、科研创新能力),二级指标20项,三级指标62项。结论本研究构建的质量控制护士岗位胜任力指标体系科学、可靠、完整,能为质量控制护士的准入、认证、培养、考评、绩效考核提供量化依据,具有理论和实践意义。

Objective To construct a scientific,standardized,comprehensive and applicable quality control nurses'post competency index system,which can provide reference basis for quality control nurses'post admission,qualification certification,ability training,assessment and evaluation system.Methods Based on literature review,behavioral event interviews,semi-structured interviews and Delphi expert inquiries,the factors of job competency of quality control nurses were extracted.Analytic Hierarchy Process(AHP)and average distribution method were applied to quantify the dimensions,items and evaluation indicators of competency,and determine the weight of indicators at all levels.Results Thirty experts were included.The efficiency of two rounds of inquiry papers was 93.3%and 100%,respectively.In the second round Delphi expert inquiry,the familiarity coefficient was 0.878,the judgment basis coefficient was 0.943 and the authority coefficient was 0.911.The finally quality control nurses'post competency index system included six first-level indicators(clinical practice ability,critical thinking ability,quality evaluation improvement ability,organization and communication coordination ability,training guidance ability,scientific research innovation ability),20 second-level indicators and 62 third-level indicators.Conclusion The competency index system of quality control nurses based on analytic hierarchy process and expert inquiry is scientific,reliable and comprehensive.It can provide quantified basis for admission,certification,training,evaluation and performance of quality control nurses,and has theoretical and practical significance.