体外膜肺氧合护士岗位胜任力评价指标体系的构建

Construction of a post competency evaluation index system for extracorporeal membrane oxygenation nurses

目的构建体外膜肺氧合(ECMO)护士岗位胜任力评价指标体系。方法基于半结构式访谈初步拟订ECMO护士岗位胜任力指标体系。于2022年5—6月,采用德尔菲法对来自全国6个省、直辖市的15所三级甲等医院的19名危重症领域专家进行2轮函询,确定评价指标体系,并通过层次分析法确定各级指标的权重和一致性系数。专家积极程度采用问卷有效回收率表示,专家意见协调程度采用肯德尔协调系数和变异系数表示,专家权威程度采用专家权威系数表示,专家意见集中程度采用重要性赋值均数和满分率表示。结果2轮专家函询的问卷有效回收率均为100.00%(19/19);专家权威系数分别为0.834、0.879。第2轮函询整体指标的肯德尔协调系数为0.281(P<0.01),各级指标的变异系数为0.05~0.17。第2轮函询各级指标的重要性赋值均数为4.05~4.95分,满分率为21.05%~94.74%。最终构建的ECMO护士岗位胜任力评价指标体系包括4个一级指标、28个二级指标、59个三级指标。结论ECMO护士岗位胜任力评价指标体系科学、可靠,内容合理,可为优化ECMO护士培训体系和完善考核评价标准提供参考。

Objective To establish the post competency evaluation index system for extracorporeal membrane oxygenation(ECMO)nurses.Methods Based on semi-structured interviews,a preliminary post competency evaluation index system for ECMO nurses was developed.From May to June 2022,the Delphi method was used to conduct two rounds of consultation with 19 experts in critical illness field from 15 ClassⅢGrade A hospitals in 6 provinces and municipalities across the country to determine the evaluation index system.The analytic hierarchy process was used to determine the weights and consistency coefficients of indexes at all levels.The positivity of experts was expressed by the effective response rate of the questionnaire,the coordination degree of expert opinions was expressed by Kendall's W and coefficient of variation,the authority of experts was expressed by the authority coefficient of experts,and the concentration of expert opinion was expressed by the mean importance assignment and the perfect score rate.Results In two rounds of expert consultations,the effective response rates of the questionnaires well all 100.00%(19/19),with expert authority coefficients of 0.834 and 0.879.The Kendall's W for the overall indicator in the second round of expert correspondence was 0.281(P<0.01),and the coefficient of variation of the indicators at all levels was 0.05 to 0.17.In the second round of consultation,the mean importance scores assigned to indicators at all levels was 4.05 to 4.95,with a perfect score of 21.05%to 94.74%.The final constructed post competency evaluation index system for ECMO nurses included 4 first-level indicators,28 second-level indicators,and 59 third-level indicators.Conclusions The post competency evaluation index system for ECMO nurses is scientific,reliable,and reasonable,which can provide reference for optimizing the ECMO nurse training system and improving evaluation standards.