临床护士老年护理能力分层标准体系构建

Construction of an indicator set for the stages of geriatric nursing competence of clinical nurses

目的构建临床护士老年护理能力分层标准体系,为对临床护士开展老年护理能力分层规范化培训、考核及评价提供参考。方法通过文献研究、专家会议、半结构式访谈拟订临床护士老年护理能力分层标准体系初稿,采用德尔菲专家咨询法对18名专家进行2轮咨询并利用优序图法确定各指标权重。结果2轮问卷回收率均为100%,专家权威系数为0.914,专家意见的肯德尔协调系数分别0.091~0.824,0.084~0.778(均P<0.05)。最终确定临床护士老年护理能力分层标准包括基础实践级、胜任实践级、高级实践级3个层级,每个层级均包括3个一级指标、10个二级指标,31~49个三级指标;并确定各级指标权重。结论咨询专家具有较高的权威性,构建的临床护士老年护理能力分层标准体系较可靠,可为临床分层次培训及老年护理人才分层管理与使用提供参考。

Objective To construct an indicator set for assessing clinical nurses′ geriatric nursing competence at different stages of professional growth.Methods Based on literature review, expert discussion, and semi-structured interview, the indicator set for the stages of geriatric nursing competence of clinical nurses was developed, then a two-round Delphi consultation was conducted among 18 experts and the weight values of the indicators were calculated with precedence chart.Results All experts returned their questionnaires in both rounds, and the expert authority coefficient was 0.914. The Kendall′s coefficients of concordance(Kendall′s W) were 0.091-0.824 in round 1 and 0.084-0.778 in round 2(P<0.05 for all). The indicator set included 3 stages of geriatric nursing competence: fundamental, competent, and advanced. Each stage consisted of 3 first-grade indicators, 10 second-grade indicators and 31-49 tertiary-grade indicators. The weight values were determined.Conclusion The experts participating in the study have high authority, and the consensus-based indicator set is valid for assessing geriatric nursing competence of clinical nurses, which facilitates hierarchical training and use of clinical nurses in geriatric specialty.