医养结合机构护士岗位胜任力评价指标体系的构建

Construction of post competency evaluation index system for nurses in medical and nursing institutions

目的构建医养结合机构护士岗位胜任力评价指标体系。方法以胜任力冰山模型为理论框架,通过文献回顾与定性访谈,构建医养结合机构护士岗位胜任力评价指标体系初稿。于2022年9—11月邀请24名专家进行2轮专家函询,汇总专家意见,对各指标进行筛选、修改与完善后形成终稿,并应用层次分析法确定各评价指标权重。结果2轮函询问卷回收率分别为75.0%(18/24)和100.0%(18/18),专家权威系数分别为0.917和0.909,第2轮专家函询全部指标的肯德尔协调系数为0.210(P<0.01)。最终构建的评价指标体系包括6个一级指标、25个二级指标及86个三级指标。各判断矩阵均具有一致性。结论本研究构建的医养结合机构护士岗位胜任力评价指标体系具有较好的可靠性和适用性,能够为医养结合机构护士选拔、培训、考核与管理提供参考依据。

Objective To construct a post competency evaluation index system for nurses in medical and nursing institutions.Methods Using the competency iceberg model as the theoretical framework,through literature review and qualitative interview,the first draft of the competency evaluation index system of nurses in medical and nursing institutions was constructed.From September to November 2022,24 experts were invited for two rounds of expert letter consultation.After collecting expert opinions,the final draft was formed after screening,modification and improvement of each index,and the weight of each evaluation index was determined by analytic hierarchy process.Results The effective recovery rates of two rounds of correspondence were 75.0%(18/24)and 100.0%(18/18),and the expert authority coefficients were 0.917 and 0.909,respectively.The Kendall's coordination coefficient of all indicators of the second round of correspondence was 0.210(P<0.01).The final evaluation index system consisted of 6 first-level indicators,25 second-level indicators and 86 third-level indicators.All judgment matrices had consistency.Conclusions The competency evaluation index system for nurses in medical and nursing institutions constructed in this study has good reliability and applicability,which can provide reference basis for the selection,training,assessment and management of nurses in medical and nursing institutions.