脑卒中专科护士理论培训课程体系的构建与初步评价

Construction and preliminary evaluation of Stroke Nursing Specialist theoretical training curriculum system

目的基于脑卒中专科护士应具备的核心能力,构建脑卒中专科护士理论培训课程体系并在卒中专科护士理论培训中进行初步评价。方法应用德尔菲专家咨询法,在文献研究的基础上,形成脑卒中专科护士培养课程初稿,采用发送电子邮件的方法,对符合遴选标准的14名专家进行了2轮咨询,构建了脑卒中专科护士理论培训课程体系;采用便利抽样方法,对127名参加北京护理学会第一期卒中专科护士培训学员的理论成绩及满意度进行分析,评价脑卒中专科护士理论培训课程体系的应用效果。结果2轮专家咨询问卷的有效回收率均为14/14,2轮咨询专家的权威系数均为0.94,一、二、三级指标的专家Kendall协调系数分别为0.356、0.216、0.207(P<0.05)。最终形成的脑卒中专科护士理论培训课程包括5个一级指标(专业实践概念、通科护理知识、脑血管疾病的诊断与治疗、急性脑卒中的护理管理、脑血管疾病的二级预防),21个二级指标,63个三级指标。运用层析分析法确定了各级指标权重系数,并通过一致性检验(CR<0.1)。以构建的课程体系为内容框架设置理论课程对卒中专科护士进行培训,109名学员完成了培训后考核,培训前专科护士理论成绩合格率为77.95%(99/127),培训后专科护士理论成绩合格率为100%(109/109),差异有统计学意义(χ^(2)=27.60,P<0.01),培训前专科护士理论成绩优秀率为35.43%(45/127),培训后为100%(109/109),差异有统计学意义(χ^(2)=24.17,P<0.01);学员的满意度平均得分为(38.90±2.55)分。结论本研究构建的脑卒中专科护士理论培训课程体系具有较高的科学性和可靠性,并为我国构建同质化脑卒中专科护士培训课程提供了依据。

Objective Based on the core competence of stroke certified registered nurses,this study construct the theoretical raining curriculum system for stroke certified registered nurses and made a preliminary evaluation.Methods Using Delphi expert consultation method and based on literature research,the first draft of training course for stroke certified registered nurses was formed.In the form of Email,14 experts in the field of stroke care who met the selection criteria were sent a questionnaire,and two rounds of consultation were conducted.The theoretical raining curriculum system for the training of stroke specialist nurses was constructed;the purpose sampling method was used to evaluate the application effect of the stroke specialist nursing theoretical training curriculum system through the theoretical performance and satisfaction evaluation of 127 trainees who participated in the first phase of the stroke specialist nursing theoretical training curriculum.Results The recovery rate and effective rate of the two rounds of expert consultation questionnaire were 14/14,the authority coefficient of the second round of expert consultation was 0.94,and the expert Kandall coordination coefficients of the first,second and third-level indexes were 0.356,0.216,0.207 respectively(P<0.05).The training curriculum of stroke specialist nurses finally formed included 5 primary indicators(Professional practice concept,general nursing knowledge,stroke diagnosis and treatment,acute stroke nursing management,secondary prevention of cerebrovascular disease),21 secondary indicators and 63 tertiary indicators.The Analytic hierarchy process was used to determine the weight coefficients of all levels of indicators,and the consistency Ratio<0.1.Based on the curriculum system as the content framework,theoretical courses were set up to train stroke specialist nurses.109 trainees completed the post-training assessment.Before training,the qualified rate of theoretical performance of stroke certified registered nurses was 77.95%(99/127),and after training,the qualified rate of theoretical performance of stroke certified registered nurses was 100%(109/109).The difference was statistically significant(χ^(2)=27.60,P<0.01).The excellent rate of theoretical performance of stroke certified registered nurses before training was 35.43%(45/127),and 100%(109/109)after training,the difference was statistically significant(χ^(2)=24.17,P<0.01).The average score of the trainees′satisfaction was(38.90±2.55)points.Conclusions The theoretical raining curriculum system for stroke certified registered nurses setting constructed in this study standardizes the training system of stroke nurses to a certain extent,and provides a basis for the construction of homogeneous training courses in China in the future.