基于能力本位教育理论护士新发传染病应对能力指标体系的构建

Construction of the index system of nurses′ability to cope with new infectious diseases based on ability-based education theory

目的基于能力本位教育理论构建科学、可行的护士新发传染病应对能力指标体系,为护士新发传染病应对能力的培训、考核提供借鉴。方法检索中国知网、万方、维普、PubMed、Wed of Science等中英文数据库,检索时限为建库至2020年10月。基于"能力本位教育"理论,以"突发事件生命周期"理论结合WHO提出的"传染病突发事件行动框架"为结构框架,初步构建指标条目,采用德尔菲专家咨询法,对15名专家进行2轮专家咨询,最终确立护士新发传染病应对能力指标体系。结果2轮专家咨询问卷的有效回收率均为100.00%,权威系数为0.930。2轮咨询三级指标专家Kendall协调系数分别为0.363、0.304、0.269,差异均有统计学意义(均P<0.01),各指标的变异系数为0.000~0.167。构建的护士新发传染病应对能力指标体系一级指标3项、二级指标12项、三级指标44项。结论基于能力本位教育理论构建的护士新发传染病应对能力指标体系具有较好的科学性、实用性和合理性,可为护士新发传染病应对能力培训、考核提供参考依据。

Objective To construct a scientific and feasible index system for nurses′ability to cope with new infectious diseases based on ability-based education theory,so as to provide reference for the training of nurses′ability to cope with new infectious diseases.Methods After consulting domestic and foreign literaturesuch as China National Knowledge Internet,Wanfang,VIP,PubMed,Web of Science,etc.from the establishment of the database to October 2020,based on the theory of"ability-based education",taking the action framework of the theory of"life cycle of emergency"and"sudden infectious disease events proposed"by WHO as the structural framework,the index items were preliminarily constructed,and the Delphi expert consultation method was used to conduct two rounds of expert consultation for 15 experts,so as to finally establish the index system of nurses′ability to cope with new infectious diseases.Results The effective recovery rate of the two rounds of expert consultation questionnaires was 100.00%,and the authority coefficient was 0.930.Kendall′s concordance coefficients of two rounds of consultation experts in the tertiary indicators were 0.363,0.304 and 0.269,respectively,with statistically significant differences(all P<0.01),and the coefficient of variation of each index was 0.000-0.167.The index system of nurses′ability to cope with new infectious diseases included 3 primary indicators,12 secondary indicators and 44 tertiary indicators.Conclusions The index system of nurses′ability to cope with new infectious diseases based on ability-based education theory is scientific,reliable and practical,which can provide reference for the training and assessment of new infectious diseases coping ability of nurses.