护理学专业本科生外科实习岗位胜任能力里程碑评价体系的构建与思考

Construction and reflection on the competency milestone evaluation system for surgical internship positions for undergraduate nursing students

目的构建护理学专业本科生外科实习岗位胜任能力里程碑评价体系。方法2022年5至10月,通过文献回顾拟定评价体系初稿,再采用德尔菲法进行2轮函询,通过专家积极系数、专家权威系数、专家意见协调程度和集中程度进行评价,其中专家积极系数用问卷回收率表示,专家权威系数(Cr)使用专家熟悉程度和判断依据的均值表示,专家意见协调程度和集中程度分别用肯德尔和谐系数(Kendall's W)和变异系数(CV)表示,最终确定评价体系。结果遴选来自北京、上海、四川、湖北、广东的三级甲等综合性教学医院的18名专家进行函询。2轮专家函询的专家权威系数均为0.90,专家积极系数均为1.0,肯德尔和谐系数分别为0.194和0.474。最终构建的护理学专业本科生外科实习岗位胜任能力里程碑评价体系包括6项一级指标、28项二级指标。结论本研究构建的护理学专业本科生外科实习岗位胜任能力里程碑评价体系具有权威性,评价体系具有良好的信度和效度,科学可靠,可操作性强,可以为全面客观评价护理学专业本科生外科实习的综合能力提供参考。

Objective To construct a milestone evaluation system for nursing undergraduates'competency in surgical internship positions.Methods From May to July 2022,the first draft of the evaluation system was formulated through literature review and expert meeting method;from August to October 2022,2 rounds of correspondence inquiry were conducted by Delphi method,and the evaluation was conducted through the positive coefficient of experts,the authority coefficient of experts,the degree of coordination of experts'opinions and the degree of concentration,so as to finalize the evaluation system.Results A total of 18 experts were selected from Level 3A comprehensive teaching hospitals in Beijing,Shanghai,Sichuan,Hubei,and Guangdong to conduct the correspondence inquiry.the expert authority coefficient of the 2 rounds of expert correspondence inquiry was 0.90,the positive coefficient of the experts was 100%,and the Kendall's harmony coefficients were 0.194 and 0.474,respectively.the final evaluation system of the milestone of the competency of the undergraduates surgical internship positions in the nursing program included 6 primary indicators,28 secondary indicators.Conclusions The evaluation system constructed in this study is authoritative,and the index system has good reliability and validity,is scientific,reliable and operable,and can provide a reference for comprehensive and objective evaluation of the comprehensive competence of undergraduate nursing students'surgical internship.