消毒供应中心专科护士数智化相关能力培训方案的构建及验证

doi:10.3761/j.issn.0254-1769.2025.13.014

摘要/Abstract

摘要：

目的构建消毒供应中心（central sterile supply department，CSSD）专科护士数智化相关能力培训方案并进行验证，为实现CSSD智慧化发展提供人才保证。方法于2024年2月—4月，依据数智化核心技术集与相关核心能力，通过文献检索与德尔菲专家函询法，构建CSSD专科护士数智化相关能力培训方案；于2024年7月—8月在CSSD专科护士培训中进行初步实践，比较培训前后护士信息胜任力的差异，并了解护士对数智化相关能力培训方案的满意度。结果共开展2轮专家函询，2轮函询有效问卷回收率均为100%，专家权威系数分别为0.790、0.800，变异系数为0~0.229、0~0.105。最终确定CSSD专科护士数智化相关能力培训方案包括培训目标、培训内容、培训方式、考核方法4个部分。其中，培训目标包含一级指标3项、二级指标14项，培训内容包含一级指标6项、二级指标32项；培训方式与考核方法各包含一级指标6项。培训后，护士信息胜任力各维度及总分均高于培训前（P<0.05），且护士对培训内容、培训方式及考核方法的评分均>3分，总体满意度较高。结论 CSSD专科护士数智化相关能力培训方案的构建过程科学、可靠，内容实用性强，专科特色明显，培训方式及考核方法多样，能够提升护士信息胜任力，可为CSSD专科护士数智化相关培训的开展提供借鉴。

关键词: 中心供应室, 医院, 专科护士培训, 数智化, 德尔菲技术, 方案构建与应用

Abstract:

Objective To construct the training program for the digital and intelligent capabilities of specialized nurses in the Central Sterile Supply Department（CSSD），and conduct preliminary practice to provide talent support for the intelligent development of CSSD. Methods From February to April 2024，based on the core technologies of digital intelligence and related core capabilities，a training program for digital intelligence-related competencies of CSSD specialized nurses was constructed using literature review and the Delphi expert consultation method. From July to August 2024，the program was initially implemented in the training of CSSD specialized nurses. The nurses’ information competency before and after the training was compared，and the nurses’ satisfaction with the digital intelligence-related training program was assessed. Results This study conducted 2 rounds of expert consultation via questionnaire. The effective recovery rate of the questionnaires in both rounds was 100%. The expert authority coefficients were 0.790 and 0.800，respectively，and the variation coefficients ranged from 0 to 0.229 and 0 to 0.105. Ultimately，a training program for the digital-related competencies of CSSD specialty nurses was established，which includes 4 components：training objectives，training content，training methods，and assessment methods. Specifically，there were 3 indicators at the first level and 14 at the second level for training objectives，6 indicators at the first level and 32 at the second level for training content，and 6 indicators at the first level for training methods and assessment methods. After the implementation of the training program，the information competency of the nurses in all dimensions and the total score were significantly higher than those before training（P<0.05）. Moreover，the average scores for the training content，training methods，and assessment methods were all above 3 points，indicating a high overall satisfaction among the nurses. Conclusion The construction process of the training program for the digital and intelligent capabilities of CSSD specialty nurses is scientific and reliable. The content is highly practical and distinctive in its specialty. The training methods and assessment approaches are diverse. This program can enhance nurses’ information competency and provide a reference for the implementation of digital and intelligent training for CSSD specialty nurses.

Key words: Central Supply, Hospital, Specialty Nurse Training, Digital and Intelligent, Delphi Technology, Program Construction and Application

郭员志, 姚卓娅, 王俊杰, 赵培, 詹朦, 王俊锋, 李漫春. 消毒供应中心专科护士数智化相关能力培训方案的构建及验证[J]. 中华护理杂志, 2025, 60(13): 1624-1630.

GUO Yuanzhi, YAO Zhuoya, WANG Junjie, ZHAO Pei, ZHAN Meng, WANG Junfeng, LI Manchun. Construction and validation of a digital and intelligent competence training program for specialized nurses in Central Sterile Supply Departments[J]. Chinese Journal of Nursing, 2025, 60(13): 1624-1630.

图/表 4

表1 消毒供应中心专科护士数智化相关能力的培训目标

Table 1 Training objectives of digital and intelligent competence for specialized nurses in central sterile supply department

表2 消毒供应中心专科护士数智化相关能力的培训内容

Table 2 Training contents of digital and intelligent competence for specialized nurses in central sterile supply department

表3 消毒供应中心专科护士数智化相关能力的培训方式及考核方法

Table 3 Training methods and assessment methods of digital and intelligent competence for specialized nurses in central sterile supply department

表4 培训前后消毒供应中心专科护士信息胜任力比较（分，$\bar{x}±s$）

Table 4 Comparison of information competence of specialized nurses in central sterile supply department before and after training（score，$\bar{x}±s$）

参考文献 20

[1]	姚卓娅, 关宁笑, 张宇, 等. 我国消毒供应中心信息化应用现状与分析[J]. 中国数字医学, 2022, 17(12):1-7.
	Yao ZY, Guan NX, Zhang Y, et al. Current situation and ana-lysis of information application in central sterile supply de-partment in China[J]. China Digit Med, 2022, 17(12):1-7.
[2]	国家卫生和计划生育委员会. 医院消毒供应中心第1部分:管理规范:WS 310.1—2016[S]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission. Central ste-rile supply department(CSSD):part 1:management standard:WS 310.1—2016[S]. Beijing: Standards Press of China, 2017.
[3]	李士龙, 徐天宝. 建成国内首家智慧化消毒供应中心新华医疗:紧握高质量发展大旗[J]. 山东国资, 2021(S1):34-35.
	Li SL, Xu TB. Building Xinhua medical,the first intelligent disinfection supply center in China:grasping the banner of high-quality development[J]. State Own Assets Shandong, 2021(S1):34-35.
[4]	Zhang WL, Zhang CH, Cao L, et al. Application of digital-intel-ligence technology in the processing of Chinese materia medica[J]. Front Pharmacol, 2023, 14:1208055.
[5]	Ng DTK, Leung JKL, Su JH, et al. Teachers’ AI digital compe-tencies and twenty-first century skills in the post-pandemic world[J]. Educ Technol Res Dev, 2023, 71(1):137-161.
[6]	黄师菊, 钟美浓, 蔡有弟, 等. 临床营养专科护士核心能力评价指标的构建[J]. 中华护理杂志, 2020, 55(11):1665-1672.
	Huang SJ, Zhong MN, Cai YD, et al. Construction of evaluation index system for core competence of clinical nutrition specialist nurses[J]. Chin J Nurs, 2020, 55(11):1665-1672.
[7]	常亚丽, 张颖唯, 鄢雨英, 等. 辅助生殖技术专科护士核心能力评价指标体系的构建及验证[J]. 中华护理杂志, 2024, 59(23):2833-2840.
	Chang YL, Zhang YW, Yan YY, et al. Construction and verifi-cation of an evaluation index system for core competence of nurses specialized in assisted reproductive technology[J]. Chin J Nurs, 2024, 59(23):2833-2840.
[8]	蔡真真, 陈媛, 闫丽娟, 等. 护士信息胜任力评估量表的研制及信效度检验[J]. 护理学杂志, 2022, 37(24):43-46,63.
	Cai ZZ, Chen Y, Yan LJ, et al. Development of nursing infor-matics competency assessment scale for clinical nurses:testing of reliability and validity[J]. J Nurs Sci, 2022, 37(24):43-46,63.
[9]	程鹤, 李东梅, 刘晔, 等. 质量控制护士岗位胜任力指标体系的构建[J]. 中华护理杂志, 2019, 54(10):1463-1468.
	Cheng H, Li DM, Liu Y, et al. Construction of post competency index system of quality control nurses[J]. Chin J Nurs, 2019, 54(10):1463-1468.
[10]	Attaran M. The impact of 5G on the evolution of intelligent automation and industry digitization[J]. J Amb Intel Hum Comp, 2023, 14(5):5977-5993.
[11]	周文哲, 秦蕾, 郑森国, 等. 沿海五省市127所医院医疗器械清洗情况的调查研究[J]. 中华护理杂志, 2017, 52(11):1361-1365.
	Zhou WZ, Qin L, Zheng SG, et al. Current status of medical instrument cleaning in 127 hospitals in five coastal provinces or cities in China[J]. Chin J Nurs, 2017, 52(11):1361-1365.
[12]	Rengier F, Mehndiratta A, von Tengg-Kobligk H, et al. 3D print-ing based on imaging data:review of medical applications[J]. Int J Comput Assist Radiol Surg, 2010, 5(4):335-341.
[13]	Xu XH, Mangina E, Campbell AG. HMD-based virtual and aug-mented reality in medical education:a systematic review[J]. Front Virtual Real, 2021, 2:692103.
[14]	Di Natale AF, Repetto C, Riva G, et al. Immersive virtual rea-lity in K-12 and higher education:a 10-year systematic review of empirical research[J]. Br J Educ Technol, 2020, 51(6):2006-2033.
[15]	孟闪闪, 姚卓娅, 耿军辉, 等. 达芬奇机器人手术器械清洗质量控制的研究进展[J]. 中华护理杂志, 2024, 59(10):1241-1247.
	Meng SS, Yao ZY, Geng JH, et al. Research progress on cleaning quality control of Da Vinci surgical robot system[J]. Chin J Nurs, 2024, 59(10):1241-1247.
[16]	沈红梅, 莫军军, 郭立, 等. 262所医院消毒供应中心精密器械干燥技术的现状调查[J]. 中华护理杂志, 2023, 58(5):531-536.
	Shen HM, Mo JJ, Guo L, et al. A study on the current situation of precision instrument drying technology in 262 hospital sterile supply centers[J]. Chin J Nurs, 2023, 58(5):531-536.
[17]	Chen H, Liu JW, Zhang MM. Incidence of adverse events in central sterile supply department:a single-center retrospective study[J]. Risk Manag Healthc Policy, 2023, 16:1611-1620.
[18]	陈沅, 钱蒨健, 孙育红, 等. 1225所医院围手术期植入物使用与管理现状调查[J]. 中华护理杂志, 2021, 56(12):1827-1834.
	Chen Y, Qian QJ, Sun YH, et al. Investigation on the use and management of perioperative implants in 1225 hospitals in China[J]. Chin J Nurs, 2021, 56(12):1827-1834.
[19]	钱黎明, 季侃雯, 张青. 医院消毒供应中心实施信息化质量追溯的现况调查[J]. 中华护理杂志, 2020, 55(1):123-127.
	Qian LM, Ji KW, Zhang Q. Current status of information tracking system in central sterile supply departments[J]. Chin J Nurs, 2020, 55(1):123-127.
[20]	孙艳霞, 李莹, 刘明月, 等. 宫颈癌患者性健康护理培训方案的构建[J]. 中华护理杂志, 2022, 57(9):1054-1060.
	Sun YX, Li Y, Liu MY, et al. Construction of sexual health care training program for cervical cancer patients[J]. Chin J Nurs, 2022, 57(9):1054-1060.