基于双螺旋模型的医养结合岗位护士胜任力评价的量化指标研究

Quantitative Index System for Competency Evaluation of Nurses in Post of Integration of Medical Care and Health Service based on Double Helix Model

目的构建基于双螺旋模型的医养结合岗位护士胜任力评价的量化指标体系。方法通过文献分析及半结构式访谈,立足胜任力模型理论,基于双螺旋模型初步构建医养结合岗位护士胜任力评价的量化指标体系框架,经过2轮德尔菲专家函询确定指标条目,采用层次分析法确定指标权重,并编制《医养结合岗位护士胜任力评价表》,应用评价表对60名医养结合岗位护士进行岗位胜任力评价。结果基于双螺旋模型的医养结合岗位护士胜任力评价的量化指标包括一级指标5项,二级指标20项,三级指标64项;一级指标权重系数分别为职业态度(W=0.2710),职业品质(W=0.3878),知识(W=0.1152),技能(W=0.1649),个性特征(W=0.0611)。构建的量化指标区分度为0.833,组内相关系数为0.957,克朗巴赫系数为0.966,各条目克朗巴赫系数为0.723~0.968。折线图显示3位测评人员对60名医养结合岗位护士的岗位胜任力评分结果线形走势一致,表明构建的医养结合岗位护士胜任力指标体系具有较好的一致性。结论基于双螺旋模型的医养结合岗位护士胜任力评价的量化指标设置科学、合理,可为医养结合岗位护士的培养、培训、考核、选拔、评价提供依据,同时可为老年护理人才培养提供参考。

Objective To establish a quantitative index system using double helix model to evaluate the competency of nurses in the post of integration of medical care and health service.Methods After literature review and semi-structure interview,based on competency model and the double helix model,we constructed the initial quantitative index system for the competency evaluation of nurses in the post of integration of medical care and health service.After two rounds of Delphi expert consultation,the index content was determined,then the index weight was determined by analytic hierarchy process(AHP).We also developed an evaluation form of nursing competency for nurses in the post of integration of medical care and health service and 60 nurses were surveyed with the form.Results The quantitative index system consisted of 5 first-level,20 second-level and 64 third-level indicators.The weight coefficient of first-level indicators of professional attitude,professional quality,knowledge,skills and personality characteristics was 0.2710,0.3878,0.1152,0.1649 and 0.0611 respectively.The differentiation of constructed quantitative index was 0.833;intra-group correlation coefficient 0.957;the Cronbach coefficient 0.966,and the cronbach coefficient of each item ranged from 0.723 to 0.968.The line chart showed consistent linear trend of the scoring of the 3 evaluators,indicating that the constructed quantitative index system had good consistency.Conclusion The quantitative index system based on double helix model for the competence of nurses in the post of integration of medical care and health service is scientific and reasonable,which provides basis for the cultivation,training,examination,selection and evaluation of nurses in the post of integration of medical care and health service,and also provide reference for designing curriculum for geriatric nursing talents.