省市级中医护理学重点专科建设评估指标的构建及验证

doi:10.3761/j.issn.0254-1769.2024.23.010

摘要/Abstract

摘要：

目的构建省市级中医护理学重点专科建设评估指标并进行初步验证，为评价中医护理学重点专科建设水平提供参考依据。方法于2022年12月—2023年3月，基于物理-事理-人理方法论，通过文献查阅、半结构化访谈、德尔菲专家函询及层次分析法，确定省市级中医护理学重点专科建设评估指标的内容及各指标权重。2023年4月对重庆市46所二级及以上中医医院护理管理者进行意见征求及满意度调查，初步验证指标的可行性。结果对16名专家进行2轮函询，问卷回收率均为100%，专家权威系数分别为0.963、0.950，肯德尔和谐系数分别为0.216~0.307、0.134~0.144（P<0.05），最终形成包含3个一级指标、17个二级指标、76个三级指标的省市级中医护理学重点专科建设评估指标。初步验证结果显示，97.83%的医院护理管理者对构建的指标较满意，认为指标内容明确、清晰、全面，专业性强，具有较好的实用性。结论构建的省市级中医护理学重点专科建设评估指标具有科学性、可靠性，可为中医护理学重点专科建设提供参考依据，促进中医护理学的发展。

关键词: 中医护理学, 重点专科建设, 指标, 德尔菲技术, 护理管理研究

Abstract:

Objective To construct evaluation indicators for the construction of key specialties in traditional Chinese medicine nursing at the provincial and municipal levels and conduct preliminary verification，providing references for evaluating the level of construction of key specialties in traditional Chinese medicine nursing. Methods From December 2022 to March 2023，based on the Wuli-Shili-Renli system methodology，the content and weight of the evaluation indicators for the construction of key specialties in traditional Chinese medicine nursing at the provincial and municipal levels were determined through literature review，semi-structured interviews，Delphi method，and analytic hierarchy process. Opinion consultation and satisfaction survey were conducted on 46 nursing managers of secondary and above traditional Chinese medicine hospitals in Chongqing in April 2023 to preliminarily verify the application effect of the indicators. Results After 2 rounds of consultation with 16 experts，the questionnaire response rates were 100% and 100%，respectively. The expert authority coefficients were 0.963 and 0.950，respectively，and the coordination coefficients were 0.216~0.307，0.134~0.144，respectively（P<0.05）. Ultimately，an evaluation index for the construction of key specialties in traditional Chinese medicine nursing at the provincial and municipal levels was formed，which includes 3 primary indicators，17 secondary indicators，and 76 tertiary indicators. 97.83% nursing managers of hospitals are satisfied with the constructed indicators，believing that the indicator content is clear，comprehensive，professional，and has good practicality. Conclusion The evaluation indicators for the construction of key specialties in traditional Chinese medicine nursing at the provincial and municipal levels are scientific，reliable，which can provide references for the construction of key specialties in traditional Chinese medicine nursing and promote the development of traditional Chinese medicine nursing.

Key words: Traditional Chinese Medicine Nursing, Key Specialties Construction, Indicators, Delphi Technique, Nursing Administration Research

魏佳佳, 冉真榕, 石奥利, 陈丛琳, 杨雪, 杨光静, 李飞丽, 杨婵娟. 省市级中医护理学重点专科建设评估指标的构建及验证[J]. 中华护理杂志, 2024, 59(23): 2878-2886.

WEI Jiajia, RAN Zhenrong, SHI Aoli, CHEN Conglin, YANG Xue, YANG Guangjing, LI Feili, YANG Chanjuan. Construction and verification of evaluation indicators for the construction of key specialties in traditional Chinese medicine nursing at the provincial and municipal levels[J]. Chinese Journal of Nursing, 2024, 59(23): 2878-2886.

图/表 3

表1 专家的一般资料（n=16）

Table 1 General information on experts（n=16）

表2 专家意见协调程度

Table 2 Degree of harmonization of expert opinions

表3 省市级中医护理学重点专科建设评估指标

Table 3 Provincial and municipal Traditional Chinese Medicine nursing key specialties construction assessment indicators

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