军队核与辐射事故应急医学救援护理核心能力体系研究

Study on the core competence system of military medical emergency response to nuclear and radiation accidents

目的运用德尔菲法构建一套科学、可行的军队医院核与辐射事故应急医学救援护理核心能力体系。方法以核与辐射事故应急医学救治理论为依据,在已有的应急护理救援流程的基础上,通过查阅文献、理论分析和德尔菲法等,对20名专家进行两轮问卷征询,初步构建护理核心能力体系。结果两轮征询中,专家积极系数为100%,权威系数为0.86和0.88,协调系数为0.432~0.519,最后确定的护理核心能力体系包含4个一级指标、35个二级指标。结论该体系涵盖了军队核与辐射事故应急医学救援中护理工作的要求,具有较高的科学性和可靠性,可为军队核应急救援护理专业队员的选拔、岗前培训、考评等提供参考依据,有利于形成标准化、体系化的救护体制,也有利于提升整体救援效能。

Objective To establish a scientific and feasible core system of emergency medical nursing rescue for military hospital nuclear accidents by Delphi method.Methods Based on the theory of emergency medical treatment for nuclear and radiation accidents and the existing emergency nursing rescue process,20 experts were consulted by two rounds of questionnaires through literature review,theoretical analysis and Delphi method,to construct the nursing core competence system.Results In the two rounds of consultation,the experts′positive coefficient was 100%,the authority coefficient was0.82 and 0.86,and the coordination coefficient was 0.86 and 0.89.And the final nursing core competency system included 4 primary indicators and 35 secondary indicators.Conclusion This system covers the requirements of nursing work in emergency medical rescue of military nuclear and radiation accident,which is highly scientific and reliable,and can provide reference for the selection,pre-job training,and evaluation of military nuclear emergency rescue nursing professional team members.The basis is conducive to the formation of a standardized and systematic rescue system,as well as to improve the overall rescue efficiency.