高级实践护士核心能力框架构建

Construction of core competence framework for Advanced Practice Nurse

目的:构建适合我国国情的高级实践护士核心能力框架,为高级实践护士的培养与评价提供参考依据。方法:基于岗位职责分析、文献整合及研究小组讨论,形成高级实践护士核心能力要素条目池;采用德尔菲法对高级实践护士核心能力要素进行定量评估、筛选及整合。结果:开展了2轮德尔菲法专家咨询,形成高级实践护士核心能力框架包含6项一级指标(照护能力、咨询能力、协调能力、领导能力、教学能力、研究能力)及15项二级指标。2轮专家咨询的权威系数为0.89,一级指标的重要性得分为4.58~4.95,变异系数为0.04~0.13;二级指标的重要性得分为4.52~5.00,变异系数为0~0.23。结论:本研究构建的高级实践护士核心能力框架具有科学性、可靠性与实用性,可为我国高级实践护士相关研究和实践提供借鉴和参考。

Objective:To construct the framework of core competence for Advanced Practice Nurse(APN)in China,and to provide a reference for APN training and evaluation.Methods:The element pool of core competence for APN was formed by job analysis and literature review.Delphi method was used for evaluation,screening and integration of the core competence elements.Results:After two rounds of Delphi consultations,the APN core competence framework was formed,including 6 dimensions(care,consultation,coordination,leadership,teaching and research)and 15 secondary indexes.The authority coefficient for both rounds of expert consultation was 0.89.The importance score of the dimensions ranged from 4.58 to 4.95,with a coefficient of variation score of 0.04 to 0.13.The importance score of the secondary indexes ranged from 4.52 to 5.00,with a coefficient of variation score of 0 to 0.23.Conclusion:The constructed framework of core competence for APN is scientific,reliable and practical,and it is expected to provide reference for the related research and practice of APN in China.