以核心能力为导向的急诊专科护士培训方案构建

Construction of a training program for emergency specialty nurses based on the core competence

目的构建既符合我国现阶段国情又能体现急诊专科护士核心能力的培训方案。方法以急诊专科护士核心能力为导向,通过文献研究、半结构式访谈初步拟定急诊专科护士培训方案草案,采用德尔菲法对30名专家进行2轮咨询,确立培训方案。结果专家咨询问卷有效回收率分别为91%(30/33)、100%(30/30),专家权威系数为0.94,2轮函询的肯德尔和谐系数分别为0.223、0.356(P<0.001)。最终确立的急诊专科护士培训方案包括培训目标、培训内容、培训管理、考核评价4个部分。其中,培训目标包括一级指标3项,二级指标25项;培训内容包括一级指标6项,二级指标44项;培训管理包括一级指标5项,二级指标10项;考核评价一级指标2项,二级指标7项。结论以核心能力为导向构建的急诊专科护士培训方案具有科学性和可靠性,能为我国完善急诊专科护士培训提供参考依据。

Objective To construct a training program which not only accords with the present situation in China but also reflects the core competence of emergency specialty nurses.Methods Based on the core competence of emergency specialty nurses,the training program were established by literature review and semi-structured interviews.Thirty experts were invited to participate in a two rounds consultation to establish the program.Results After two rounds of expert consultation,the positive coefficients of consultations were 91%(30/33)and 100%(30/30)respectively.The authority coefficient of experts was 0.94,and the Kendall coordination coefficients were 0.223 and 0.356(P<0.001)respectively.The final established emergency specialty nurse training program consisted of 4 parts.The training objective part included 3 first-level indicators and 25 second-level indicators.The training content part included 6 first-level indicators and 44 second-level indicators.The training management part included 5 first-level indicators and 10 second-level indicators.The evaluation part included 2 first-level indicators and 7 second-level indicators.Conclusion The training program for emergency specialty nurses based on the core competence is scientific and reliable,which can provide reference for improving the training of emergency specialty nurses in China.