麻醉护理硕士专业学位研究生临床实践课程体系构建

Construction of clinical practice curriculum system for postgraduate students in master of nursing specialist in anesthesia

目的构建麻醉方向护理专业学位研究生(MNS)临床实践课程体系。方法以我国《专业学位类别(领域)博士、硕士学位基本要求》及国卫办医函〔2019〕884号文件为指导,参照国际麻醉护士联盟(IFNA)提出的核心能力标准以及我国麻醉方向MNS核心能力要求,运用加拿大医师能力框架(CanMEDS)理论框架结合文献回顾、半结构访谈结果,拟定麻醉方向MNS临床实践课程体系专家函询问卷,采用德尔菲法进行专家函询。结果对23名专家进行2轮函询,问卷有效回收率分别为91.30%和95.24%;专家权威系数均为0.94;2轮专家函询的肯德尔协调系数分别为0.098和0.108,差异有统计学意义(P<0.001),最终形成11个一级指标、46个二级指标组成的麻醉方向MNS临床实践课程体系。结论麻醉方向MNS临床实践课程体系可借鉴性强,且构建过程科学、可靠,可为麻醉方向MNS的临床培养提供借鉴与指导。

Objective To construct a clinical practice curriculum system for postgraduates in master of nursing specialist(MNS)in anesthesia.Methods Guided by China's Basic Requirements for Doctoral and Master's Degrees in Professional Degree Categories(Fields)and Document No.884 of Medical Letter[2019]issued by General Office of the National Health Commission of the People's Republic of China,by referring to the core competency standards proposed by the International Federation of Nurse Anesthetists(IFNA)as well as China's anesthesia-oriented MNS core competency requirements,based on the theoretical framework of the Canadian Framework for Physician Competency(CanMEDS)and through literature review and semi-structured interviews,an expert consultation questionnaire of clinical practice curriculum for MNS in anesthesia was developed,and the Delphi method was used to conduct expert consultation.Results Two rounds of consultation were conducted among 23 experts.The effective recovery rates of the questionnaires were 91.30%and 95.24%respectively.The authority coefficient of the experts was 0.94.The Kendall's coordination coefficients of the two rounds of expert consultation were 0.098 and 0.108 respectively,with statistical differences(P<0.001).Finally,the MNS clinical practice curriculum system for anesthesia was formed,which was comprised of 11 first-level and 46 second-level indexes.Conclusions The MNS clinical practice curriculum system for anesthesia is highly referable and the construction process is scientific and reliable,which can provide reference and guidance for the clinical training of MNS in anesthesia.