急诊护士创伤救治核心能力评价指标体系构建和培训课程设计的研究

Constructing index system for evaluation of the core competence of trauma treatment and corresponding training programs among emergency nurses

目的构建急诊护士创伤救治核心能力评价指标和培训课程,为进一步开展急诊护士创伤救治临床实践培训提供依据。方法基于文献回顾和半结构式访谈结果,设计急诊护士创伤救治核心能力评价指标与培训课程咨询问卷,采用德尔菲法选取15名专家进行2轮咨询,确定急诊护士创伤救护核心能力和培训课程构架。结果 2轮专家咨询问卷有效回收率分别为100%和86.67%,专家的权威系数为0.85,肯德尔和谐系数分别为0.389、0.268 (P <0.05)。构建的急诊护士创伤救治核心能力共有6项一级指标(专业态度、创伤救治专业能力、评判性思维能力、创伤救治管理能力、沟通协调能力和专业发展能力)、21项二级指标和47项三级指标。核心能力各维度指标权重系数为:一级指标0.149~0.187;二级指标0.041~0.053;三级指标0.019~0.023。该指标体系的总体Cronbach’sα系数为0.964,内容效度指数S-CVI/UA和S-CVI/Ave均为0.948。培训课程包含理论课、workshop、情景模拟、小组讨论、考核共计26学时。培训课程各条目权重系数为0.037~0.043,Cronbach’sα系数为0.950,内容效度指数-CVI/UA和S-CVI/Ave均为0.988。结论构建的急诊护士创伤救治核心能力评价指标体系科学、可靠、完整;培训课程突出创伤救治护理特色,满足核心能力要求,培训方式和考核方法多样,能为进一步开展急诊护士创伤救治的临床实践培训提供参考依据。

Objective To define the core competence index of emergency nurses ’ trauma treatment and to construct a scientific and feasible training program,so as to provide basis for further training of their clinical practice of trauma treatment.Methods Based on the results of literature review and semi-structured interview,a questionnaire was designed to evaluate the emergency nurses ’ core competence and training program of trauma treatment.Fifteen experts were consulted by Delphi method for two rounds to determine the core competence and training program framework.Results The effective response rates of the two rounds of experts ’consultation questionnaires were 100% and 87.67% respectively.The authority coefficient of experts was 0.85.The Kendall ’s concordance coefficients of the first and second level indicators of trauma treatment ability of emergency nurses were 0.389 and 0.268,respectively(P < 0.01).There are 6 first-class indexes(professional attitude,professional practice ability,critical thinking ability,management ability,communication and coordination ability and professional development ability),21 second-class indexes and 44 third-class indexes,with the weight 0.149-0.187,0.041-0.053,and 0.019-0.023,respectively.The training program included 26 hours of theoretical courses,workshop,scenario simulation,discussion and final examination,with the weight 0.037-0.043.Conclusion The evaluation index system of emergency nurses ’core competence in trauma treatment is scientific,reliable and complete.The training program highlights the characteristics of trauma treatment and nursing,meets the requirements of core competence,and has a variety of training methods and assessment methods,which can provide reference for further training of emergency nurses in clinical practice of trauma treatment.