ECMO专业护士核心能力评价指标体系的构建

Evaluation index system of core competence of extracorporeal membrane oxygenation specialist nurses

目的构建体外膜肺氧合(ECMO)专业护士核心能力评价指标体系。方法通过文献检索与分析初步形成ECMO专业护士核心能力评价指标体系条目池,于2022年9—11月选取20名急危重症、心血管领域的医疗及护理专家进行2轮函询。根据函询专家的意见修改ECMO专业护士核心能力评价指标,采用层次分析法确定各级指标的权重。结果2轮专家函询均发放问卷20份、回收有效问卷20份,问卷有效回收率均为100.00%。第2轮函询专家权威系数为0.86,肯德尔和谐系数为0.31(P<0.01)。最终构建的ECMO专业护士核心能力评价指标体系包含5项一级指标(临床专业能力、沟通协作能力、护理管理能力、评判性思维能力和专业发展能力)、15项二级指标和53项三级指标。结论本研究构建的ECMO专业护士核心能力评价指标体系具有科学性和实用性,可以为评价ECMO专业护士核心能力提供参考。

Objective To construct the evaluation index system of core competence of extracorporeal membrane oxygenation(ECMO)specialist nurses.Methods Through literature search and analysis,an entry pool of the core competence evaluation index system for ECMO specialist nurses was initially formed,and 20 medical and nursing experts in acute and critical care and cardiovascular fields were selected for two rounds of correspondence from September to November 2022.According to experts'opinions,the evaluation indexes of core competence of ECMO specialist nurses were modified,and the analytic hierarchy process determined the weights of indexes at all levels.Results A total of 20 questionnaires were sent out and 20 valid questionnaires were collected during each of the two rounds of expert correspondence consultation,with effective recovery rates of 100.00%.The expert authority coefficient of the second round was 0.86,and Kendall's harmony coefficient was 0.31(P<0.01).Finally,the evaluation index system of core competence of ECMO specialist nurses included five primary indexes(clinical professional ability,communication and collaboration ability,nursing management ability,critical thinking ability,and professional development ability),15 secondary indexes,and 53 tertiary indexes.Conclusions The evaluation index system of core competence of ECMO specialist nurses constructed in this study is scientific and practical,providing a reference for evaluating ECMO specialist nurses'core competence.