Abstract:

Objective To construct an evaluation index system for the core competencies of advanced practice nurses in the ICU，providing a reference basis for the training and ability evaluation of advanced practice nurses in the ICU. Methods Based on the literature analysis method and semi-structured interview method，the draft of the evaluation index system for the core competencies of advanced practice nurses in ICU was initially drafted. From November 2024 to January 2025，the Delphi expert consultation method was used to systematically construct the content of the evaluation index system for the core competencies of advanced practice nurses in ICU，and the analytic hierarchy process was adopted to calculate the weights of each level of indicators. Finally，the construction of the core competency evaluation index system for advanced practice nurses in the ICU was completed. Results A total of 16 experts participated in the two rounds of consultation. The recovery rates of the questionnaires in the two rounds were 80% and 100% respectively，and the expert authority coefficient is 0.904. After two rounds of consultation，the harmony coefficient of the first-level indicator was 0.338，that of the second-level indicator was 0.317，and that of the third-level indicator was 0.357，the differences were all statistically significant（P<0.05）. Ultimately，a core competency evaluation index system for advanced practice nurses in the ICU was formed，consisting of 5 first-level indicators，12 second-level indicators，and 36 third-level indicators. Conclusion The core competency evaluation index system for ICU advanced practice nurses is scientific and reliable，with good practicality and promotion value. It can provide a reference for the training，selection，and competency evaluation of ICU advanced practice nurses.

Key words: ICU, Advanced Practice Nurse, Core Competency, Delphi Expert Consultation, Analytic