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 ›› 2022, Vol. 3 ›› Issue (6): 502-507.doi: 10.3761/j.issn.2096-7446.2022.06.004

• 创伤急救护理专题 • 上一篇    下一篇

急诊创伤高级实践护士核心能力评价指标体系的构建研究

武作家, 王飒, 王钰炜, 闫丹萍, 张玉坤, 金静芬   

  1. 310009 杭州市 浙江大学医学院附属第二医院急诊医学科（武作家,王飒,王钰炜,闫丹萍,张玉坤）,护理部（金静芬）
  • 收稿日期:2022-07-12 出版日期:2022-11-10 发布日期:2022-11-11
  • 通讯作者: 金静芬,E-mail：zrjzkhl@zju.edu.cn
  • 作者简介:武作家：女,本科（硕士在读）,主管护师,E-mail：1178700315@zju.edu.cn
  • 基金资助:
    浙江省卫生健康科技计划（2021KY700）

Construction of evaluation index system of core competence of advanced practice nurses in emergency trauma

WU Zuojia, WANG Sa, WANG Yuwei, YAN Danping, ZHANG Yukun, JIN Jingfen   

  • Received:2022-07-12 Online:2022-11-10 Published:2022-11-11

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摘要： 目的 构建急诊创伤高级实践护士核心能力评价指标体系,为临床急诊创伤高级实践护士的培养和评价提供参考依据。方法 通过参考国内外文献及研究小组讨论拟订急诊创伤高级实践护士核心能力评价指标初稿,2021年3月—5月采用德尔菲法对18名专家进行2轮咨询,完成指标筛选与修改、层次分析法确定指标权重。结果 最终形成的急诊创伤高级实践护士核心能力评价指标体系包括4项一级指标（临床护理实践能力、创伤护理非技术能力、质量持续评价能力、专业发展能力）、14项二级指标、42项三级指标。2轮专家咨询的权威系数均为0.914,有效应答率均为100%,第2轮咨询的一、二、三级指标肯德尔和谐系数分别为0.056、0.187、0.216（均P<0.001）。结论 该研究构建的急诊创伤高级实践护士核心能力评价指标科学合理、内容全面、针对性强,可为临床急诊创伤高级实践护士的培养与评价提供参考。

关键词: 创伤, 高级实践护士, 高级护理实践, 核心能力, 德尔菲技术

Abstract: Objective To construct the evaluation index system of the core competence of emergency trauma advanced practice nurses,and to provide reference for the training and evaluation of emergency trauma advanced practice nurses. Methods The draft of the evaluation index of the core competence of advanced practice nurses in emergency trauma was prepared by referring to domestic and foreign literature and research group discussion. From March to May 2021,18 experts were consulted by Delphi method for two rounds to complete the screening and modification of the index,and the weight of the index was determined by analytic hierarchy process. Results The evaluation index system of the core competence of advanced practice nurses in emergency trauma included 4 first-level indexes（clinical nursing practice ability,trauma nursing non-technical ability,quality continuous evaluation ability,professional development ability）,14 second-level indexes and 42 third-level indexes. The authority coefficients of the two rounds of expert consultation were 0.914,and the effective response rates were 100%. The Kendall harmony coefficients of the first,second and third indexes of the second round of expert consultation were 0.056,0.187 and 0.216,respectively（all P< 0.001）. Conclusion The evaluation index of the core competence of advanced practice nurses in emergency trauma is scientific,reasonable,comprehensive and targeted,which can provide reference for the training and evaluation of advanced practice nurses in emergency trauma.

Key words: Trauma, Advanced Practice Nurse, Advanced Nursing Practice, Core Competence, Delphi Technique