摘要
目的 构建群体烧伤院内紧急救援护士核心能力评价指标体系.方法 基于文献回顾,参考护士核心能力框架,在整体理论的指导下结合本院参与群体烧伤救治工作的实践经验,拟定评价指标初稿,2023年12月1日-2024年2月1日采用德尔菲法进行两轮专家函询,结合层次分析法计算各指标权重.结果 两轮函询问卷回收率为100%,专家权威系数为0.889,专家意见协调系数分别为0.244、0.254(P<0.05),最终形成包括烧伤专科知识、烧伤护理实践能力、应急能力、多学科协作能力、评判性思维能力5项一级指标、15项二级指标和48项三级指标的群体烧伤院内紧急救援护士核心能力评价指标体系.结论 该研究构建的群体烧伤院内紧急救援护士核心能力评价指标体系,专家意见统一,为评估紧急救援护士能力提供工具,同时为进一步优化院内紧急救援护士培训模式、建立院内紧急救援护士梯队提供参考.
Abstract
Objective To construct evaluation index system for core competencies of nurses in hospital emergency rescue for group burns.Methods Based on literature review and reference to the core competency framework of nurses,guided by overall theory and combined with the practical experience of our hospital in participating in group bums treatment,a preliminary draft of evaluation indicators was formulated.From December 1,2023 to February 1,2024,the Delphi method was used for two rounds of expert consultation,and the weights of each indicator were calculated using the analytic hierarchy process.Results The response rate of the two rounds of questionnaires was 100%,the authority coefficient of experts was 0.889,and the coordination coefficients of expert opinions were 0.244 and 0.254(P<0.05),respectively.Finally,an evaluation index system for core competencies of nurses in hospital emergency rescue for group bums was formed,which includes 5 primary indicators,15 secondary indicators,and 48 tertiary indicators,including bum specialty knowledge,burn nursing practice ability,emergency response ability,multidisciplinary collaboration ability,and critical thinking ability.Conclusion The evaluation index system for core competencies of nurses in hospital emergency rescue for group burns constructed in this study,with unified expert opinions,provides a tool for evaluating the capabilities of emergency rescue nurses,and also provides reference for further optimizing the training mode of emergency rescue nurses in the hospital and establishing an echelon of emergency rescue nurses in the hospital.