基于改良Miller金字塔理论的护理本科生临床实习效果评价指标体系的构建

Construction of evaluation index system for clinical practice effectiveness of undergraduate nursing students based on improved Miller's pyramid theory

目的构建护理专业本科生临床实习效果评价指标体系,为护理本科生临床实习效果评价提供依据。方法以改良Miller金字塔理论为基础,采用文献分析、半结构式访谈法初步形成护理本科生临床实习效果评价指标体系条目池。2023年4—7月,通过目的抽样法,在护理教育、临床护理教学等领域选取20名专家,经过2轮德尔菲法专家函询,最终形成护理本科学生临床实习效果评价指标体系,并确定各项指标的权重。结果经过2轮函询,问卷有效回收率分别为95.00%(19/20)和100.00%(19/19),专家权威系数为0.86、0.88,肯德尔和谐系数为0.226和0.183(P<0.01)。最终确立了包括5个一级指标、13个二级指标和56个三级指标的护理本科生临床实习效果评价指标体系。结论本研究以改良Miller金字塔理论为基础,构建了具有一定科学性、可靠性和实用性的护理本科生临床实习效果评价指标体系,可为本科护生临床实践评价提供参考依据。

Objective To construct an evaluation index system for clinical practice effectiveness of undergraduate nursing students,so as to provide a basis for the evaluation of clinical practice effectiveness of undergraduate nursing students.Methods Based on the improved Miller's pyramid theory,a preliminary evaluation index system for clinical practice effectiveness of nursing undergraduate students was formed by literature analysis and semi-structured interview method.From April to July 2023,purposive sampling was used to select 20 experts in nursing education,clinical nursing teaching,and other fields.After two rounds of Delphi expert consultation,a final evaluation index system for clinical practice effectiveness of undergraduate nursing students was formed,and the weights of each index were determined.Results After two rounds of consultation,the effective response rates of the questionnaire were 95.00%(19/20)and 100.00%(19/19),respectively.The expert authority coefficients were 0.86 and 0.88,and the Kendall harmony coefficients were 0.226 and 0.183(P<0.01).The final established evaluation index system for clinical practice effectiveness of undergraduate nursing students included five primary indicators,13 secondary indicators,and 56 tertiary indicators.Conclusions Based on the improved Miller's pyramid theory,the evaluation index system for clinical practice effectiveness of undergraduate nursing students constructed is scientific,reliable,and practical,which can provide reference for the evaluation of clinical practice for undergraduate nursing students.