实践视角下助产方向护理硕士专业学位研究生临床实践基地评价指标体系的构建

Construction of an evaluation index system for clinical practice bases of nursing graduate students majoring in midwifery from a practical perspective

目的构建全面、细化的助产方向护理硕士专业学位研究生临床实践基地评价指标体系,为促进我国助产方向护理硕士专业学位研究生临床实践基地的建设提供参考。方法以国际助产实践基本能力为理论框架,通过文献分析、德尔菲法确立助产方向护理硕士专业学位研究生临床实践基地评价指标体系,并利用层次分析法计算各级指标的权重。结果本研究对20名专家进行2轮函询。2轮函询专家的积极系数分别为84.38%、74.07%,专家群体权威系数分别为0.91、0.94,指标体系总Cronbach'sα系数分别为0.930、0.965,整体指标的肯德尔和谐系数分别为0.230、0.297(P<0.01)。最终形成包括一级指标5项、二级指标14项、内涵指标76项的助产方向护理硕士专业学位研究生临床实践基地评价指标体系。结论本研究以母婴健康为服务宗旨、基地功能定位为基础,构建的助产方向护理硕士专业学位研究生临床实践基地评价指标体系科学性和可靠性较高。

Objective To establish a comprehensive and detailed evaluation index system for clinical practice bases of nursing graduate students majoring in midwifery,providing reference for promoting the construction of clinical practice bases for nursing graduate students majoring in midwifery in China.Methods Based on the theoretical framework of international midwifery practice basic skills,an evaluation index system for clinical practice bases of nursing graduate students majoring in midwifery was established through literature analysis and Delphi method.Analytic hierarchy process was used to calculate the weights of indicators at all levels.Results This study conducted two rounds of consultation with 20 experts.In the two rounds of consultation,the positivity coefficients of experts were 84.38%and 74.07%,and the authority coefficients of the expert groups were 0.91 and 0.94,respectively.The total Cronbach'sαcoefficients of the index system were 0.930 and 0.965,respectively,and the Kendall harmony coefficients of the overall indicators were 0.230 and 0.297(P<0.01).The final evaluation index system for clinical practice bases of nursing graduate students majoring in midwifery included five primary indicators,14 secondary indicators,and 76 connotation indicators.Conclusions Based on the service purpose of maternal and child health and the functional positioning of the base,this study constructs a scientific and reliable evaluation index system for clinical practice bases of nursing graduate students majoring in midwifery.