麻醉后重症监护室护士核心能力评价指标体系的构建

Construction of core competence evaluation index system for nurses in Anesthesia Intensive Care Unit

目的构建麻醉后重症监护室(AICU)护士核心能力评价指标体系,为AICU护士的职业定位、培养和管理提供参考。方法通过文献评价法、半结构式访谈及小组讨论拟订AICU护士核心能力评价指标体系初稿;采用目的抽样法,于2021年8—9月选取26名专家进行2轮专家函询,确定AICU护士核心能力评价指标体系,并结合层次分析法确定各级指标权重。结果2轮专家函询问卷有效回收率分别为92.31%(24/26)、91.67%(22/24),专家权威系数分别为0.93、0.93,肯德尔和谐系数分别为0.28、0.19(均P<0.01)。最终形成的AICU护士核心能力评价指标体系包括4个一级指标(理论知识、护理实践、综合能力、个人特质)、14个二级指标、52个三级指标。结论构建的AICU护士核心能力评价指标体系具有科学性与可靠性,可为AICU护士的职业定位、培养和管理提供参考依据。

Objective To construct a core competence evaluation index system for Anesthesia Intensive Care Unit(AICU)nurses,and to provide reference for the career orientation,training and management of AICU nurses.Methods The first draft of the core competence evaluation index system of AICU nurses was developed by literature evaluation,semi-structured interview and group discussion.Using the purposive sampling method,26 experts were selected for 2 rounds of expert consultation from August to September 2021 to determine the evaluation index system of core competence of AICU nurses,and the weights of indicators at all levels were determined by analytic hierarchy process.Results The effective recovery rates of the 2 rounds of expert letter consultation questionnaire were respectively 92.31%(24/26)and 91.67%(22/24),the expert authority coefficients were respectively 0.93 and 0.93,and the Kendall's harmony coefficients were respectively 0.28 and 0.19(all P<0.01).The final evaluation index system of AICU nurses'core competence included 4 first-level indicators(theoretical knowledge,nursing practice,comprehensive ability,personal characteristics),14 second-level indicators and 52 third-level indicators.Conclusions The constructed evaluation index system of core competence of AICU nurses is scientific and reliable,which can provide a reference for the career orientation,training and management of AICU nurses.