中医专科护士核心能力评价体系构建

Establishment of Evaluation System for Core Competence of Chinese Medicine Specialist Nurses

目的:运用德尔菲法构建中医专科护士核心能力评价体系,探讨适合我国中医专科护士核心能力评价体系。方法:运用质性访谈、文献回顾、临床调研等方法初步构建中医专科护士核心能力评价体系的各级指标;通过德尔菲法对10名中医护理专家进行2轮专家咨询,完成核心指标的筛选、修改,并确定各级权重。结果:通过2轮专家咨询,最终确定了中医专科护士核心能力评价体系包括一级指标5个,二级指标10个,三级指标25个;2轮咨询有效应答率均为100%,专家判断依据、熟悉程度、权威系数分别为0.93、0.92、0.925,第2轮一、二、三级指标Kendall’s W值为0.654、0.250、0.879(P<0.001)。结论:中医专科护士核心能力评价体系具备良好的实践与理论基础,所包含的内容科学合理,兼具中医护理特色,对于我国中医专科护士核心能力的培养方向具有一定的参考价值。

Objective:The Delphi method was used to establish the evaluation system for core competence of Chinese medicine specialist nurses,and to explore such an evaluation system applicable to China.Methods:Using qualitative interviews,literature review,clinical research and other methods as initial efforts to establish the evaluation system at all levels;with 2 rounds of expert consultation on 10 Chinese medicine nursing specialists by Delphi method,the core indicators were screened and modified,and the weights at all levels were determined.Results:After 2 rounds of expert consultation,the evaluation system for core competence of Chinese medicine specialist nurses was finally determined,including 5 first-level indicators,10 second-level and 25 third-level.The effective response rates of the 2 rounds of consultation were 100%.The coefficients of judgment basis of experts,familiarity,and authority were 0.93,0.92,and 0.925,respectively.The Kendall's W values of the first,second,and third-level indicators in the second round were 0.654,0.250,and 0.879(P<0.001).Conclusion:The evaluation system for core competence of Chinese medicine specialist nurses has good practical and theoretical basis and its content is scientific and reasonable with the characteristics of Chinese medicine nursing.It has certain reference value for the training direction of core competence of Chinese medicine specialist nurses in China.