肺康复专科护理核心能力指标的构建

doi:10.3761/j.issn.0254-1769.2020.08.002

摘要/Abstract

摘要：

目的构建肺康复专科护理核心能力指标,为肺康复护士的培养和管理提供参考依据。方法通过查阅文献、小组讨论、专家函询等方法确定肺康复专科护理核心能力的指标条目,采用层次分析法确定各指标的权重。结果该研究共对26名护理专家进行2轮函询,函询问卷的有效回收率均为100%,专家的判断依据系数为0.938,熟悉程度系数为0.846,权威系数为0.901;2轮函询各级指标的肯德尔和谐系数分别为0.108~0.227和0.126~0.264,均具有统计学意义（P<0.001）;最终形成的肺康复专科护理核心能力指标包含8个一级指标、30个二级指标、113个三级指标。结论该研究构建的肺康复专科护理核心能力指标具有可靠性和实用性,可为肺康复护士的培养、考核、评价和资格认证等提供参考依据。

关键词: 肺康复, 康复护理, 核心能力, 德尔菲技术, 层次分析法

Abstract:

Objective The aim of this study was to develop and construct a core competence index system for specialized nursing of pulmonary rehabilitation,which can provide references for the training and management of pulmonary rehabilitation nurses. Methods Literature review,group discussion and expert consultation were used to establish the index of the core competence for specialist nurses of pulmonary rehabilitation,and the analytic hierarchy process was adopted to confirm the weight of each indicator. Results This study employed a two-round Delphi method with recruitment of 26 nursing experts,and the effective recovery rate was 100%. The results of Ca（judgment coefficient）,Cs（familiarity coefficient） and Cr（authority coefficient） are 0.938,0.846 and 0.901,respectively. Besides,the Kendall coefficients of the two rounds were 0.108~0.227 and 0.126~0.264 respectively,which were statistically significant（P<0.001）. Finally,the core competence index for specialist nurses of pulmonary rehabilitation was formed,including 8 first-level indicators,30 second-level indicators and 113 third-level indicators. Conclusion The reliability and practical significance of the newly developed core competence index were relatively high,which could provide references for the training,examination,evaluation and accreditation of pulmonary rehabilitation nurses.

Key words: Pulmonary Rehabilitation, Rehabilitation Nursing, Core Competence, Delphi Technique, Analytic Hierarchy Process

李平东, 宫玉翠, 陈洁雅, 张国龙, 曾秋璇, 李佳颖. 肺康复专科护理核心能力指标的构建[J]. 中华护理杂志, 2020, 55(8): 1133-1139.

LI Pingdong, GONG Yucui, CHEN Jieya, ZHANG Guolong, ZENG Qiuxuan, LI Jiaying. Development and construction of core competence index system of pulmonary rehabilitation for specialized nursing[J]. Chinese Journal of Nursing, 2020, 55(8): 1133-1139.

图/表 5

表1 函询专家的基本情况（n=26）

表2 专家意见的协调程度

表3 肺康复专科护理核心能力一级指标的专家函询结果（第2轮）

表4 肺康复专科护理核心能力二级指标的专家函询结果（第2轮）

表5 肺康复专科护理核心能力三级指标的专家函询结果（第2轮）

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