Chinese Journal of Emergency and Critical Care Nursing >
Construct of a core competence evaluation index system for cardiac surgery specialist nurses and analysis of speciality features
Received date: 2024-06-11
Online published: 2025-03-03
Objective To construct a core competence evaluation index system for cardiac surgery specialist nurses，and to provide references for the training and assessment of cardiac surgery specialist nurses. Methods Through literature review and semi-structured interviews，the preliminary draft of the core competency evaluation index system for cardiac surgery specialist nurses was formed. The Delphi method was used to conduct 2 rounds of correspondence with 24 experts nationwide，and the hierarchy analysis was used to determine the weight of each index. Results The effective recovery rates of the 2 rounds of expert consultations were 95% and 100% respectively，the expert authority coefficient was 0.917，and the Kendall harmony coefficient was 0.163~0.172 and 0.189~0.209 respectively（both P<0.001）. The final core competence evaluation index system for cardiac surgery specialist nurses included 7 primary indexes（clinical practical ability，communication and coordination ability，critical thinking ability，professional management ability，professional development ability，professional ethics and personal traits），21 secondary indexes and 84 tertiary indexes. Conclusion The core competence evaluation index system for cardiac surgery specialist nurses is scientific and reliable，and can provide valuable reference for the training and competence evaluation of cardiac surgery specialist nurses in the future.
Key words： Cardiac Surgery; Specialist Nurse; Core Competence; Delphi Method; Evaluation Index
CHEN Chen , GUAN Yan , SU Yunyan , XIE Xiaoli , JIN Hua , WANG Zheyun . Construct of a core competence evaluation index system for cardiac surgery specialist nurses and analysis of speciality features[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(3) : 309 -316 . DOI: 10.3761/j.issn.2096-7446.2025.03.008
| [1] | 《中国心血管健康与疾病报告》编写组. 《中国心血管健康与疾病报告2022》要点解读[J]. 中国心血管杂志, 2023, 28(4):297-312. |
| Writing Group of Report on Cardio-vascular Health and Disease in China. Interpretation of report on cardiovascular health and diseases in China 2022[J]. Chin J Cardiovasc Med, 2023, 28(4):297-312. | |
| [2] | 中国生物医学工程学会体外循环分会,侯晓彤. 2022年中国心血管外科手术和体外循环数据白皮书[J]. 中国体外循环杂志, 2023, 21(4):197-200. |
| Extracorporeal Circulation Branch of Chinese Biomedical Engineering Society,Hou XT. White book of Chinese cardio-vascular surgery and extracorporeal circulation in 2022[J]. Chin J Extracorpor Circ, 2023, 21(4):197-200. | |
| [3] | Hirji SA, Percy E, Trager L, et al. Current status of adult cardiac surgery-Part 1[J]. Curr Probl Surg, 2022, 59(12):101246. |
| [4] | Soltis LM. Role of the clinical nurse specialist in improving patient outcomes after cardiac surgery[J]. AACN Adv Crit Care, 2015, 26(1):35-42. |
| [5] | 孙燕, 张伟英, 倪逸倩, 等. 胸心外科专科护士的培训现状[J]. 解放军护理杂志, 2011, 28(18):33-34. |
| Sun Y, Zhang WY, Ni YQ, et al. Training status of specialized nurses in cardiothoracic surgery[J]. Nurs J Chin PLA, 2011, 28(18):33-34. | |
| [6] | 司鹏瑞, 杨秀滨, 华琨. 中国心脏外科专科医师的培养及国内外培养制度差异的思考[J]. 医学教育研究与实践, 2023, 31(6):735-738,744. |
| Si PR, Yang XB, Hua K. Reflections on the training of cardiac surgeons in China and the differences in training systems at home and abroad[J]. Med Educ Res Pract, 2023, 31(6):735-738,744. | |
| [7] | 赵雯, 王曙红. 我国心脏专科护士临床培训的现状分析[J]. 中华护理教育, 2018, 15(5):397-400. |
| Zhao W, Wang SH. Analysis of the current status of clinical training for cardiac specialist nurses in my country[J]. Chin J Nurs Educ, 2018, 15(5):397-400. | |
| [8] | Mueller C, Burggraf V, Crogan NL. Growth and specialization of gerontological nursing[J]. Geriatr Nurs, 2020, 41(1):14-15. |
| [9] | Bell L. Hamric and Hanson’s advanced practice nursing:an integrative approach,sixth edition[J]. Critical Care Nurse, 2019, 39(6):82-83. |
| [10] | Liu M, Kunaiktikul W, Senaratana W, et al. Development of competency inventory for registered nurses in the People’s Republic of China:scale development[J]. Int J Nurs Stud, 2007, 44(5):805-813. |
| [11] | 郭秀花. 医学现场调查技术与统计分析[M]. 人民出版社, 2009:274-275. |
| Guo XH. Medical field investigation techniques and statis-tical analysis[M]. People’s Publishing House, 2009:274-275. | |
| [12] | 张琳, 何青. 原发性心脏肿瘤的研究进展[J]. 北京医学, 2020, 42(8):747-750. |
| Zhang L, He Q. Research progress on primary cardiac tumors[J]. Beijing Med J, 2020, 42(8):747-750. | |
| [13] | 王晶晶, 李罗兰, 徐琪, 等. 翻转课堂模式在胸心外科专科护士培训中的应用研究[J]. 护理管理杂志, 2018, 18(1):64-66. |
| Wang JJ, Li LL, Xu Q, et al. Application of flipped classroom mode on specialist nurses’ training in cardiothoracic surgery[J]. J Nurs Adm, 2018, 18(1):64-66. | |
| [14] | 李文慧, 邵艳红, 程云清, 等. CBL教学法结合临床教学路径在心脏外科护理带教中的应用[J]. 中国继续医学教育, 2023, 15(2):87-91. |
| Li WH, Shao YH, Cheng YQ, et al. Application of CBL teach-ing combined with clinical teaching path in cardiac surgery nursing teaching[J]. China Contin Med Educ, 2023, 15(2):87-91. | |
| [15] | Gabbard ER, Klein D, Vollman K, et al. Clinical nurse specia-list:a critical member of the ICU team[J]. Crit Care Med, 2021, 49(6):e634-e641. |
| [16] | Zhao WJ, He LY, Deng WY, et al. The effectiveness of the com-bined problem-based learning(PBL) and case-based learning(CBL) teaching method in the clinical practical teaching of thyroid disease[J]. BMC Med Educ, 2020, 20(1):381. |
| [17] | 袁美玲. ICU方向护理硕士专业学位研究生培养方案的初步构建[D]. 山东: 青岛大学, 2020. |
| Yuan ML. Preliminary construction of master’s degree training program for nursing specialty in icu[D]. Shandong: Qingdao University, 2020. | |
| [18] | Garey A. Importance of nursing research and nursing conti-nuing professional development[J]. Res Nurs Health, 2022, 45(6):635. |
| [19] | Lerner NB, Resnick B, Galik E, et al. Advanced nursing assi-stant education program[J]. J Contin Educ Nurs, 2010, 41(8):356-362. |
| [20] | 国家卫生健康委员会. 全国护理事业发展规划(2021-2025年)[J]. 中国护理管理,2022, 22(6):801-804. |
| National Health Commission. National nursing development plan(2021-2025)[J]. Chin J Nurs Admin,2022, 22(6):801-804. |
/
| 〈 |
|
〉 |