首页|门急诊护士应对新发呼吸道传染病早期预警能力评价指标体系的构建

门急诊护士应对新发呼吸道传染病早期预警能力评价指标体系的构建

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目的 构建门急诊护士应对新发呼吸道传染病早期预警能力评价指标体系,为评估、培养和考核门急诊护士早期预警能力提供客观的评价工具.方法 基于文献回顾、理论分析、质性访谈、专家咨询,形成早期预警能力评价指标体系初稿;选取18名专家进行两轮德尔菲专家咨询,采用层次分析法和平均分配法确定各指标权重,最终确立早期预警能力评价指标体系.结果 两轮专家函询问卷的有效回收率均为94.00%,专家权威系数分别为0.91、0.90,门急诊三级指标的肯德尔和谐系数分别为0.23、0.23,0.25、0.27(P<0.001);最终构建的门急诊护士应对新发呼吸道传染病早期预警能力评价体系指标包括应对准备、风险识别、风险预警3个一级指标,理论知识储备、操作技能储备、心理危机应对等15个二级指标,66个三级指标,一级指标的权重由高到低依次为应对准备(0.54)、风险预警(0.30)、风险识别(0.16).结论 门急诊护士应对新发呼吸道传染病早期预警能力评价指标体系的构建过程科学,内容全面,可信度较高,对评估、培养和考核门急诊护士早期预警能力具有指导意义.
Construction of an evaluation index system of early warning ability of outpatient and emergency nurses to deal with emerging respiratory infectious diseases
OBJECTIVE To construct an evaluation system of early warning ability of outpatient and emergency nur-ses to deal with emerging respiratory infections,in oeder to provide an objective evaluation tool for assessing,training and evaluating the early warning ability of outpatient and emergency nurses.METHODS Based on litera-ture review,theoretical analysis,qualitative interviews and expert consultation,the first draft of the early warning capacity evaluation index system was formed.Eighteen experts were selected for two rounds of Delphi expert con-sultation.Hierarchical analysis and the average distribution methods were used to determine the weights of each index,and the early warning capacity evaluation index system was finally established.RESULTS The effective re-covery rates of the two rounds of expert correspondence questionnaires were 94.00%,with the expert authority coefficients of 0.91 and 0.90,respectively.The Kendall's harmony coefficients of the three-level indicators of the two rounds of consultation between the outpatient and emergency clinic were 0.23 vs 0.23,and 0.25 vs 0.27,re-spectively(P<0.001).The indicators of the evaluation system of the outpatient and emergency clinic nurses'a-bility to cope with early warning of emerging respiratory infections included three first-level indicators of response preparedness,risk identification,and risk warning,15 second-level indicators such as theoretical knowledge re-serve,operational skills reserve,psychological crisis response and 66 third-level indicators.The weights of the first-level indicators from high to low were coping readiness(0.54),risk warning(0.30),risk identification(0.16).CONCLUSION The construction process of the evaluation index system of early warning ability of outpa-tient and emergency nurses to cope with emerging respiratory infectious is scientific,comprehensive and credible,which has guiding significance for assessing,cultivating,and evaluating the early warning ability of outpatient and emergency nurses.

Emerging respiratory infectionsEarly warningRisk managementIndicatorOutpatient and emer-gency nursesEmergency response capacity

肖芳林、赵燕祥、朱敏、支晨、马慧

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南方医科大学护理学院,广东广州 510515

解放军总医院第六医学中心疾病预防控制科,北京 100048

解放军总医院护理部,北京 100853

新发呼吸道传染病 早期预警 风险管理 指标体系 门急诊护士 应急处置能力

国家自然科学基金

72274210

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(16)