社区护士突发公共卫生事件应急处置胜任力评估工具的系统评价

doi:10.3761/j.issn.2096-7446.2024.07.005

摘要/Abstract

摘要： 目的对国内外社区护士突发公共卫生事件应急处置胜任力评估工具的方法学质量和测量学特性进行比较、分析及总结,为研究者选择高质量的评估工具提供参考依据。方法系统检索PubMed、Embase、Web of Science核心数据库、CINAHL、Cochrane、中国知网、维普数据库、万方数据库、中国生物医学文献数据库9个数据库中有关社区护士突发公共卫生事件应急处置胜任力评估工具测量学特性的文献,检索时限均为建库至2023年11月27日。由2名研究者独立进行文献筛选和资料提取,并以基于共识的健康测量工具选择标准（the consensus-based standards for the selection of health measurement instruments,COSMIN）为指导对纳入评估工具的方法学质量及测量学特性进行分析、比较。结果共纳入10个评估工具,主要包括对社区护士突发公共卫生事件应急处置胜任力的综合评估和专项评估。基于评价结果,所有评估工具均为B级推荐。结论目前社区护士突发公共卫生事件应急处置胜任力评估工具较为多样,但测评内容差异较大,并且测量学特性均有待进一步验证及完善,未来可考虑以COSMIN指南为指导进行更有针对性的评估工具的开发。

关键词: 社区护理, 突发公共卫生事件, 胜任力, 评估工具

Abstract: Objective To compare,analyze,and summarize the methodological quality and psychometric properties of assessment tools used to evaluate community nurses‘ competencies in responding to public health emergencies globally,providing researchers with guidance in selecting high-quality assessment tools. Methods A systematic literature search of 9 databases（PubMed、Embase、Web of Science、CINAHL、Cochrane、CNKI、VIP、Wanfang、CBM） was conducted for the literature on the measurement characteristics of competency assessment tools for community nurses in emergency response to public health emergencies,covering the period from the establishment of the database to November 27,2023. Two researchers independently screened and extracted data,analyzed and compared the methodological quality and measurement properties using the COnsensus-based Standards for the selection of health Measurement INstruments（COSMIN） as a guide. Results A total of 10 assessment tools were included,mainly including comprehensive assessment and specific assessment of community nurses‘ competencies responding to public health emergencies. Based on the evaluation results,all assessment tools were rated as B level recommended. Conclusion At present,there are various tools for assessing the competence of community nurses in emergency response to public health emergencies,but there are significant differences in the evaluation content,and the measurement characteristics need to be further verified and improved. In the future,more targeted evaluation tools can be developed under the guidance of the COSMIN guidelines.

Key words: Community Care, Public Health Emergency, Competency, Assessment Tool

翁澳州, 蒋璐璐, 衣冉, 王喜益, 刘砚燕, 胡韵. 社区护士突发公共卫生事件应急处置胜任力评估工具的系统评价[J]. 中华急危重症护理杂志, 2024, 5(7): 604-610.

WENG Aozhou, JIANG Lulu, YI Ran, WANG Xiyi, LIU Yanyan, HU Yun. The competency assessment tools for community nurses in emergency response to public health emergencies：a systematic review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(7): 604-610.

参考文献

[1] 胥梓薇,程康耀,陈汝婕,等. 突发重大传染病事件卫生系统管理政策主题聚类与演化分析[J]. 中华急危重症护理杂志,2023,4(11):1045-1051.
Xu ZW,Cheng KY,Chen RJ,et al.Clustering and evolution analysis of health system management policy topics for major infectious disease emergencies[J]. Chin J Emerg Crit Care Nurs,2023,4(11):1045-1051.
[2] Osawa E,Okuda H,Koto-Shimada K,et al.The environment encouraging COVID-19 response at public health centers and future challenges in Japan[J]. Int J Environ Res Public Health,2022,19(6):3343.
[3] Feldmann-Jensen S,Jensen SJ,Smith SM,et al.The next generation core competencies for emergency management[J]. J Emerg Manag,2019,17(1):17-25.
[4] Akbar MA,Juniarti N,Yamin A.The roles of community health nurses' in covid-19 management in Indonesia:a qualitative study[J]. Int J Community Based Nurs Midwifery,2022,10(2):96-109.
[5] Lin Y,Ge XH,Liu P,et al.A retrospective analysis of coping competence among community health centers during the COVID-19 pandemic in Shanghai,China:coping strategies for future public health emergency events[J]. Glob Health Med,2023,5(3):151-157.
[6] Prinsen CAC,Mokkink LB,Bouter LM,et al.COSMIN guideline for systematic reviews of patient-reported outcome measures[J]. Qual Life Res,2018,27(5):1147-1157.
[7] 龚震宇,龚训良. 突发公共卫生事件和自然灾害期间应持续开展蚊虫监测和控制[J]. 疾病监测,2020,35(11):1055-1056.
Gong ZY,Gong XL.Continuation of mosquito surveillance and control during public health emergencies and natural disasters[J]. Dis Surveillance,2020,35(11):1055-1056.
[8] Mokkink LB,de Vet HCW,Prinsen CAC,et al. COSMIN Risk of Bias checklist for systematic reviews of Patient-Reported Outcome Measures[J]. Qual Life Res,2018,27(5):1171-1179.
[9] Terwee CB,Prinsen CAC,Chiarotto A,et al.COSMIN methodology for evaluating the content validity of patient-reported outcome measures:a Delphi study[J]. Qual Life Res,2018,27(5):1159-1170.
[10] 呼延思函. 社区护士突发公共卫生事件应对能力的研究[D]. 锦州:锦州医科大学,2022.
Huyan SH.Research on the ability of community nurses to respond to public health emergencies[D]. Jinzhou:Jinzhou Med-ical University,2022.
[11] Chen TF,Chou KR,Liao YM,et al.Construct validity and reliability of the Chinese version of the Disaster Preparedness Evaluation Tool in Taiwan[J]. J Clin Nurs,2015,24(7/8):1132-1143.
[12] 杨雅娜. 社区护士灾害应对能力评价指标体系的构建研究[D]. 重庆:第三军医大学,2010.
Yang YN.Construction of quality evaluation index system for disaster preparedness and response capacity of community nurses[D]. Chongqing:Third Military Medical University,2010.
[13] 万雅莉,刘云访,陈怿,等. 护理人员传染病突发事件防控能力问卷编制及信效度检验[J]. 中华护理杂志,2023,58(5):536-543.
Wan YL,Liu YF,Chen Y,et al.Development and reliability and validity tests of Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies[J]. Chin J Nurs,2023,58(5):536-543.
[14] 刘竹浴. 护士重大传染病疫情胜任力评估工具的编制及信效度检验[D]. 沈阳:中国医科大学,2022.
Liu ZY.The development and psychometric assessment of nurses' competency questionnaire on virulent infectious diseases[D]. Shenyang:China Medical University,2022.
[15] 惠艳红,耿晴晴,陈红霞,等. 护理人员传染病突发公共事件救援核心胜任力测评量表的编制[J]. 护理管理杂志,2022,22(7):517-521.
Hui YH,Geng QQ,Chen HX,et al.Development of core competency assessment scale for the rescue of infectious diseases emergency public events for nurses[J]. J Nurs Adm,2022,22(7):517-521.
[16] 王恒,成翼娟,胡秀英. 临床护士灾害护理能力评估工具的信度效度检验[J]. 中国护理管理,2020,20(3):388-392.
Wang H,Cheng YJ,Hu XY.Psychometric testing of the Nurse' Disaster Nursing Competency Evaluation Tool[J]. Chin Nurs Manag,2020,20(3):388-392.
[17] Fang XE,Chen DP,Cheng KY,et al.Cross-cultural adaptation,validity,and reliability of the Chinese version of the Nurses' Perceptions of Disaster Core Competencies Scale (NPDCC)[J]. Ann Palliat Med,2020,9(5):3304-3312.
[18] Maeda T,Kotera S,Matsuda N,et al.Developing a scale to measure Japanese nurses' individual readiness for deployment to disasters[J]. Nurs Health Sci,2018,20(3):346-354.
[19] Garbutt SJ,Peltier JW,Fitzpatrick JJ.Evaluation of an instrument to measure nurses' familiarity with emergency preparedness[J]. Mil Med,2008,173(11):1073-1077.
[20] Kalanlar B.Psychometric properties of disaster preparedness tools in nurses:a systematic literature review[J]. Prehosp Disaster Med,2022,37(4):509-514.
[21] 王浩云,高云,叶君荣,等. 认知性访谈在精神科护士工作场所暴力管理能力量表构建中的应用[J]. 中华护理杂志,2023,58(17):2126-2133.
Wang HY,Gao Y,Ye JR,et al.Application of cognitive interview in the construction of Workplace Violence Management Ability Scale for Psychiatric Nurses[J]. Chin J Nurs,2023,58(17):2126-2133.
[22] 刘素香,边莉,张叶群,等. 基于COSMIN指南对糖尿病患者健康素养评估工具的系统评价[J]. 中华护理杂志,2023,58(21):2670-2677.
Liu SX,Bian L,Zhang YQ,et al.A systematic review of health literacy assessment tools for diabetic patients based on COSMIN guidelines[J]. Chin J Nurs,2023,58(21):2670-2677.
[23] 胡韵,蒋璐璐,胡静超,等. 突发公共卫生事件应急处置护理培训课程的开发与应用[J]. 中华护理教育,2022,19(6):489-495.
Hu Y,Jiang LL,Hu JC,et al.Development and application of a nursing training course for response to public health emergencies[J]. Chin J Nurs Educ,2022,19(6):489-495.
[24] 崔佳嵩,张恩铭,王苏醒,等. 新发急性呼吸道传染病危重症患者各阶段护理岗位职责的制订研究[J]. 中华急危重症护理杂志,2023,4(11):965-972.
Cui JS,Zhang EM,Wang SX,et al.A study on the development of nursing responsibilities at various stages of care for critically ill patients with emerging acute respiratory infectious diseases[J]. Chin J Emerg Crit Care Nurs,2023,4(11):965-972.
[25] 王喜益,方琼,胡静超,等. 突发公共卫生事件应急处置“护理预备队”胜任力指标体系的构建[J]. 中国卫生资源,2022,25(3):332-338.
Wang XY,Fang Q,Hu JC,et al.Construction of the competence index system of “Nursing reserve team” for emergency treatment of public health emergencies[J]. Chin Health Resour,2022,25(3):332-338.