基于泰勒模式盆底康复专科护士临床技能实践培训模式的构建

Construction of clinical skills practice training model for pelvic floor rehabilitation specialist nurses based on Taylor model

目的基于泰勒模式构建盆底康复专科护士临床技能实践培训模式,为培养盆底康复护理人员的实践能力提供借鉴。方法以泰勒模式为基础,通过文献回顾、半结构式访谈和小组讨论,初步拟定盆底康复专科护士临床技能实践培训模式初稿。于2023年7—8月,邀请护理教育、医疗和盆底康复护理等相关领域的17名专家开展2轮德尔菲专家函询,确定培训模式的各级指标,并通过层次分析法确定各级指标的权重。结果2轮函询的问卷有效回收率均为100.00%(17/17),专家权威系数均为0.876,各级指标的肯德尔和谐系数分别为0.106~0.235、0.204~0.235(P<0.05)。最终制订了包含3项一级指标、12项二级指标、32项三级指标的盆底康复专科护士临床技能实践培训模式。层次分析结果显示,三级指标的各矩阵一致性比率均<0.100,通过一致性检验。结论本研究构建的盆底康复专科护士临床技能实践培训模式突出了护理特色,具有较高的可靠性和实用性,可以为盆底康复相关技能实践培训提供参考。

Objective To construct a clinical skills practice training model for pelvic floor rehabilitation specialist nurses based on the Taylor model,providing reference for cultivating the practical abilities of pelvic floor rehabilitation nurses.Methods Based on the Taylor model,a preliminary draft of the clinical skills practice training model for pelvic floor rehabilitation specialist nurses was formulated through literature review,semi-structured interviews,and group discussions.From July to August 2023,17 experts in nursing education,medical care,and pelvic floor rehabilitation nursing were invited to conduct two rounds of Delphi expert consultations to determine the various indicators of the training model.Analytic hierarchy process was used to determine the weights of indicators at all levels.Results In the two rounds of consultation,the effective response rates of the questionnaires were all 100.00%(17/17),and the expert authority coefficients were 0.876.Kendall harmony coefficients of various indicators were 0.106 to 0.235 and 0.204 to 0.235(P<0.05).A clinical skills practice training model for pelvic floor rehabilitation specialist nurses was ultimately developed,which included three primary indicators,12 secondary indicators,and 32 tertiary indicators.Analytic hierarchy process showed that the consistency ratios of each matrix for the tertiary indicators were all less than 0.100,passing the consistency test.Conclusions The clinical skills practice training model for pelvic floor rehabilitation specialist nurses constructed highlights nursing characteristics,has high reliability and practicality,and can provide reference for practical training of pelvic floor rehabilitation skills.