急诊科护士安宁疗护培训内容的构建

Construction of hospice care training content for emergency nurses

目的构建急诊科护士安宁疗护培训内容,为国内急诊科护士的安宁疗护培训提供参考。方法在文献研究、问卷调查、课题组讨论的基础上拟定培训内容,采用德尔菲法邀请6个省份的17名相关领域专家进行3轮函询,最终构建了急诊科护士安宁疗护培训内容。结果3轮咨询问卷的有效回收率均为100%,专家权威系数分别为0.91、0.92、0.92,3轮咨询后各级条目的协调系数为0.224~0.258(P<0.001)。最终确定的急诊科护士安宁疗护培训内容包括急诊科安宁疗护总论、身体护理、心理-社会-精神护理、急诊科安宁疗护转诊、终末期护理、急诊护士的自我关怀与提升6个一级条目、18个二级条目、53个三级条目。结论急诊科护士安宁疗护培训内容具有先进性和实用性,构建科学合理,可将急诊科护士安宁疗护培训内容纳入到急诊科护士在职培训体系中,以弥补当前培训的不足。

Objective To construct and determine the training content of hospice care for emergency nurses.Methods On the basis of literature research,questionnaire survey,and the research group discussion,the original training content was developed.Then the Delphi technique was used.A total of 17 experts from six provinces were invited for three rounds of correspondence,and the final training content for emergency nurses was constructed.Results The effective response rates of three-round consultation were both 100%and the expert’s authority coefficients were 0.91,0.92 and 0.92 respectively.The coordination coefficient of items at all levels were 0.224—0.258(P<0.001).The final hospice care training content for emergency nurses included 6 first-level items(the general introduction of hospice care in emergency department,body care,psychosocial and spiritual care,emergency department hospice care referral,end-stage care,and self-care and improvement of emergency nurses),18 second-level items,and 53 third-level items.Conclusion The content of hospice care training for emergency nurses is progressive and practical,and the construction is scientific and reasonable.We suggest that hospice care training can be incorporated into the on-the-job training system for emergency nurses to make up for the deficiencies of current training.