ICU护士误吸防治与管理培训内容体系的构建

Construction of the training content system for prevention and management of aspiration among ICU nurses

目的构建ICU护士误吸防治与管理培训内容体系,以期提升ICU护士对误吸防治与管理的能力,为护理管理者开展误吸相关培训提供依据。方法本研究通过文献检索、半结构式访谈初步拟定误吸防治与管理培训内容体系的条目池;于2023年5—6月,采用目的抽样法选取自北京市、山东省、湖北省等地的19名专家进行2轮德尔菲专家函询,确定ICU护士误吸防治与管理培训内容体系。结果2轮函询问卷的有效回收率分别为95.5%(21/22)、90.5%(19/21),专家权威系数分别为0.91、0.93,肯德尔和谐系数分别为0.121、0.148(P<0.01)。最终确定ICU护士误吸防治与管理培训内容体系包括10个一级指标、33个二级指标。结论ICU护士误吸防治与管理培训内容体系的构建过程较为科学可靠、内容充实,可指导ICU护士的临床实践,并为护理管理者开展误吸相关教育与培训提供借鉴。

Objective To construct the training content system of aspiration prevention and management for ICU nurses,in order to improve the ability of ICU nurses in aspiration prevention and management,and provide a basis for nursing managers to carry out aspiration related training.Methods This study preliminarily developed an item pool for the training content system of aspiration prevention and management through literature search and semi-structured interviews.From May to June 2023,the purposive sampling method was used to select 19 experts from Beijing,Shandong Province,Hubei Province and other places for two rounds of Delphi expert consultations,to determine the training content system for the prevention and management of aspiration among ICU nurses.Results The effective response rates of the two-rounds of inquiry questionnaires were 95.5%(21/22)and 90.5%(19/21),respectively.The expert authority coefficients were 0.91 and 0.93,and the Kendall's harmony coefficients were 0.121 and 0.148(P<0.01).The final determination of the training content system for ICU nurse aspiration prevention and management included 10 primary indicators and 33 secondary indicators.Conclusions The construction process of the training content system of aspiration prevention and management for ICU nurses is more scientific,reliable and full,which can guide the clinical practice of ICU nurses and provide reference for nursing managers to carry out education and training related to aspiration.