麻醉护理专科护士临床实践培训基地建设指标的构建及初步应用

Construction and preliminary application of indicators for the development of clinical practice training bases for anesthesia nurse specialists

目的构建系统的麻醉护理专科护士临床实践培训基地建设指标,为麻醉护理专科护士培养和基地建设提供参考。方法以循证理念为依据,结合基地调研、专家会议拟定麻醉护理专科护士临床实践培训基地建设指标。采用Delphi法向22名专家进行2轮函询,应用层次分析法确定各级指标权重,实证研究验证指标区分度。结果2轮专家函询问卷回收率均为100%,专家权威系数为0.941,Kendall协调系数一、二、三级指标分别为0.654、0.486、0.671(均P<0.05)。最终形成的麻醉护理专科护士临床实践培训基地建设指标包括5个一级指标,14个二级指标和50个三级指标。专家应用该指标对广东省14个麻醉护理专科护士临床实践培训基地进行评估,结果显示其具有良好的区分度。结论麻醉护理专科护士临床实践培训基地建设指标层次清晰、区分度高,具有科学性和实用性,可规范麻醉专科护士培养和培训基地建设。

Objective To construct systematic indicators for the development of clinical practice training bases for anesthesia nurse specialists,and to provide a reference for the cultivation of anesthesia nurse specialists and the construction of training bases.Methods Based on the principles of evidence-based practice and site surveys and expert panel discussions,indicators for the development of clinical practice training bases for anesthesia nurse specialists were drafted.The Delphi method was used to conduct two rounds of expert inquiries with 22 experts,and the Analytic Hierarchy Process(AHP)was applied to determine the weights of each level of indicator.Empirical research was conducted to verify the discriminability of the indicators.Results The response rate for two rounds of expert consultation was 100%,with the authority coefficient of the experts being 0.941 and the Kendall′s concordance coefficients for the first,second,and third-level indicators being 0.654,0.486,and 0.671,respectively(all P<0.05).The final indicators for the clinical practice training bases for anesthesia nurse specialists included 5 primary indicators,14 secondary indicators,and 50 tertiary indicators.Experts used these indicators to assess 14 clinical practice training bases for anesthesia nurse specialists in Guangdong province,and the results showed that these indicators showed good discriminability.Conclusion The indicators for constructing clinical practice training bases for anesthesia nurse specialists are clear in hierarchy and high in discriminability,demonstrating scientific and practical value.They can standardize the cultivation of anesthesia nurse specialists and the construction of training bases.