ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (3): 303-308.doi: 10.3761/j.issn.2096-7446.2025.03.007

• 急危重症护士培养及管理专题 • 上一篇    下一篇

产科重症专科护士核心能力评价指标体系的构建及专科特色分析

赵蕊(), 姜梅, 吕扬()   

  1. 100026 北京市 首都医科大学附属北京妇产医院/北京妇幼保健院MICU（赵蕊），护理部（姜梅）；国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科（吕扬）
  • 收稿日期:2024-04-28 出版日期:2025-03-10 发布日期:2025-03-03
  • 通讯作者: 吕扬，E-mail：lvyang_369@126.com
  • 作者简介:赵蕊：女，本科，主管护师，护士长，E-mail：fcmicu@ccmu.edu.cn
  • 基金资助:
    首都医科大学附属北京妇产医院护理专项(FCYYHL-202101)

Construction of evaluation index system for core competence of maternal ICU specialist nurses and analysis of speciality features

ZHAO Rui(), JIANG Mei, LÜ Yang()   

  1. Department of Maternal Intensive Care Unit，Beijing Obstetrics and Gynecology Hospital，Capital Medical University Beijing，100026，China
  • Received:2024-04-28 Online:2025-03-10 Published:2025-03-03

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摘要：

目的 构建产科重症专科护士核心能力评价指标，为产科重症专科护士的培养与评价体系提供理论参考。方法 于2023年1月—10月，通过文献研究、德尔菲法、层次分析法，确定产科重症专科护士核心能力评价指标及各指标权重。结果 2轮专家函询应答率均为100%，专家权威系数均为0.932。最终一级指标的变异系数为0~0.085，二级指标的变异系数为0~0.154，三级指标的变异系数为0~0.169。三级指标的肯德尔和谐系数分别为0.518，0.679，0.556。最终构建的产科重症专科护士核心能力评价指标包括一级指标5项（专业相关知识、临床实践能力、专业发展能力、临床评判性思维能力、职业素养），二级指标16项，三级指标55项。结论 该研究针对产科重症专科护士构建的核心能力评价指标科学合理、特异性强，可为该类专科护士的培训与管理提供科学的参考依据。

关键词: 重症监护病房, 产科, 护士, 核心能力, 德尔菲法

Abstract:

Objective To establish an evaluation index system of core competence for maternal ICU specialist nurses，to provide theoretical reference for the training and evaluation system of maternal critical care nurses. Methods Through literature research，Delphi method and analytic hierarchy process，the framework of the evaluation index system for core competence of maternal ICU specialist nurses and the weight value of each evaluation index were constructed from January to October，2023. Results The effective response rates of 2 rounds of expert consultations were both 100%，and the expert authority coefficients were both was 0.932. The variation coefficients of each first-level index ranged from 0 to 0.085，second-level index ranged from 0 to 0.154，three-level index ranged from 0 to 0.169. The coefficient coordination was 0.518，0.679，and 0.556，respectively. In summary，the evaluation index system of core competence for maternal ICU specialist nurses included 5 first-level indicators（professional knowledge，clinical practice skills，professional development skills，clinical critical thinking ability，professionalism），16 second-level indicators，and 55 third-level indicators. Conclusion The evaluation index system of core competence of maternal ICU specialist nurses is scientific，reasonable，comprehensive，and targeted，which can provide references for the training and evaluation of maternal ICU specialist nurses.

Key words: Intensive Care Unit, Maternal, Nurses, Core Competence, Delphi Method