基于Delphi法的社区安宁疗护专职护士岗位胜任力评价指标构建

Construction of job competence evaluation indicators for community hospice nursing full-time nurses based on Delphi method

目的:基于Delphi法对安宁疗护专职护士的岗位胜任力评价指标进行初步构建。方法:于2022年9—12月邀请上海市开展安宁疗护服务医疗机构的15名资深专家和管理者参与专家咨询,两轮咨询问卷的发放和有效回收份数均为15份,有效回收率均为100.0%。结果:15名咨询专家在两轮咨询中的权威程度均为0.87,其中熟悉程度均为0.92,判断依据均为0.85。第一轮肯德尔协调系数为0.327(P<0.05),第二轮为0.545(P<0.05),说明经过两轮咨询后,专家对所有指标重要性排序的意见一致性有所提升。根据指标筛选标准,最终构建了由6个一级指标、28个二级指标组成的安宁疗护专职护士岗位胜任力指标体系。结论:本次研究通过专家咨询方法对社区安宁疗护专职护士的岗位胜任力评价指标体系进行了构建,为建立合理的安宁疗护服务人员评价标准提供了参考。

Objective:To preliminarily construct job competency evaluation indicators for full-time nurses in hospice care based on Delphi method.Methods:From September to December 2022,15 senior experts and administrators from medical institutions in Shanghai were invited to participate in expert consultation.The distribution and effective recovery of 15 questionnaires in both rounds of consultation were achieved,with an effective recovery rate of 100.0%.Results:The authority level of 15 consulting experts in both rounds of consultation was 0.87,with a familiarity level of 0.92 and a judgment basis of 0.85.The Kendall coordination coefficient in the first round was 0.327(P<0.05),and that in the second round was 0.545(P<0.05),which indicated that after two rounds of consultation,the consensus of experts on the importance ranking of all indicators was improved.According to the criteria for selecting indicators,a competency indicator system for the position of full-time nurses in hospice care was ultimately constructed,consisting of 6 first level indicators and 28 second level indicators.Conclusion:This study constructed a competency evaluation indicator system for community hospice nursing full-time nurses through expert consultation methods,providing a reference for establishing reasonable evaluation standards for hospice nursing service personnel.