目的 构建客观、科学的云南省重症监护(intensive care unit，ICU)专科护士核心能力培养体系，为制订同质化、规范化ICU专科护士培训策略及考核评价提供参考。方法 以护士患者安全胜任力框架为理论依据，查阅护理岗位胜任力相关文献，构建云南省ICU专科护士核心能力培养体系，通过理论分析设计专家函询问卷。于2020年1月至5月对云南省15名重症医学科专家发放德尔菲专家函询，确立云南省ICU专科护士核心能力培养体系。采用SPSS 21。0对数据进行双人录入和统计分析。结果 共开展两轮德尔菲专家咨询，最终构建的ICU专科护士核心能力指标包括有效沟通、团队协作、安全风险管理、护理质量改进及专业化素养5个一级指标、14个二级指标、59个三级指标。两轮德尔菲专家咨询法问卷的有效回收率分别为100。00%(15/15)、86。67%(13/15)，专家权威系数值分别为0。863、0。881，一级指标、二级指标和三级指标的肯德尔协调系数分别为0。381、0。299、0。250，卡方值为22。86、58。22、217。30，差异具有统计学意义(P<0。001);五个一级指标按权重从高到低排序为安全风险管理(0。360)、专业化素养(0。280)、团队协作(0。200)、护理质量改进(0。120)、有效沟通(0。040)。结论 构建的基于患者安全的云南省ICU专科护士核心能力培养体系具有可靠性、科学性，可为云南省ICU专科护士岗位培训、考核评价及发展患者安全教育课程提供客观依据。
On the construction of the core competence training system of ICU specialized nurses in Yunnan Province based on patient safety
Objective To construct an objective and scientific core competence training system for intensive care unit(ICU)specialized nurses in Yunnan Province,and to provide references for formulating a homogeneous and standardized ICU specialized nurse training strategy and assessment.Methods Based on the theoretical basis of the nurse-patient safety competency framework,the relevant literature of nursing job competence was consulted,the core competency training system of ICU specialized nurses in Yunnan Province was constructed,and the expert letter questionnaire was designed through theoretical analysis.From January to May 2020,15 experts of critical care medicine from Yunnan Province were consulted by Delphi method to establish a core competency training system for ICU specialized nurses in Yunnan Province.SPSS 21.0 was used to input and analyze the data.Results A total of 2 rounds of Delphi expert consultation were carried out.The final core competency indicators for ICU specialized nurses included effective communication,teamwork,safety risk management,nursing quality improvement and professionalism,including 5 first-level indicators,14 second-level indicators and 59 third-level indicators.The effective recovery rates of the two rounds of Delphi expert consultation questionnaires were 100.00%(15/15)and 86.67%(13/15),the expert authority coefficient values were 0.863 and 0.881 respectively,the Kendall harmony coefficients of the first-level index,the second-level index and the third-level index were 0.381,0.299 and 0.250,and χ2 value was 22.86,58.22 and 217.30,with statistically significant differences(P<0.001).The 5 first-level indicators were safety risk management(0.360),professionalism(0.280),teamwork(0.200),nursing quality improvement(0.120),and effective communication(0.040)in descending order.Conclusions The established core competence training system for ICU specialized nurses in Yunnan Province based on patient safety is reliable and scientific,which can provide objective basis for the on-the-job training,evaluation and development of patient safety education courses for ICU specialized nurses in Yunnan Province.
Patient safetyICU specialized nursesCore competenceNursing post competency
NETL
NSTL
万方数据
