重症超声护理实践培训课程体系的构建

Construction of a practical training course system for critical ultrasound nursing

目的全面检索、汇总重症超声护理实践培训课程的相关证据,旨在为重症超声护理实践培训提供依据。方法以复旦大学循证护理中心证据临床转化模式为理论框架,检索、评价及汇总证据,确定引入临床的证据,并以此形成重症超声护理实践培训条目。于2023年7—8月,选取来自全国10个省/直辖市的25名专家进行2轮函询,确定重症超声护理实践培训课程体系。结果共纳入14篇文献,其中临床决策1篇、专家共识9篇、系统评价4篇。2轮函询专家的积极系数分别为90.0%(27/30)、92.6%(25/27);专家权威系数分别为0.956、0.964;肯德尔和谐系数分别为0.303、0.350(P<0.01)。最终形成的重症超声护理实践培训课程体系包括5个一级指标、25个二级指标和67个三级指标。结论超声检查是一项复杂的学习技能。重症超声护理实践课程体系构建方法科学合理、内容实用性强,可为重症超声护理培训课程的开展及评价提供参考。

ObjectiveTo comprehensively search and summarize the evidence on critical ultrasound nursing practice training courses,with the aim of providing a basis for critical ultrasound nursing practice training.MethodsTaking the evidence-based clinical translation model of Fudan University Centre for Evidence-based Nursing as the theoretical framework,the evidence was retrieved,evaluated,and summarized to determine the evidence to be introduced into clinical practice,forming a training program for critical ultrasound nursing practice.From July to August 2023,25 experts from 10 provinces/municipalities across the country were selected for two rounds of consultation to determine the practical training course system for critical ultrasound nursing.ResultsA total of 14 articles were included,including one clinical decision,nine expert consensus,and four systematic reviews.In the two rounds of consultation,the positive coefficients of experts were 90.0%(27/30)and 92.6%(25/27),the authority coefficients of experts were 0.956 and 0.964,and the coefficients of Kendall's harmony were 0.303 and 0.350(P<0.01),respectively.The final practical training course system for critical ultrasound nursing included five first-level indicators,25 second-level indicators,and 67 third-level indicators.ConclusionsUltrasound examination is a complex skill.The construction method of the practical training course system for critical ultrasound nursing is scientific,reasonable,with strong practicality in content,which can provide reference for the development and evaluation of critical ultrasound nursing training courses.