心外科护士培训效果评价指标体系的构建及可用性评价

doi:10.3761/j.issn.0254-1769.2025.12.013

摘要/Abstract

摘要： 目的构建心外科护士培训效果评价指标体系并进行可用性评价，为心外科护士培训质量评价提供参考。方法基于柯氏模型，通过文献回顾、半结构式访谈，初步构建心外科护士培训效果评价指标体系初稿，于2024年9月—11月采用德尔菲法对24名专家进行函询，运用层次分析法确定各指标的权重。于2025年2月，以南京市3所三级甲等医院的60名心外科护士为调查对象，并应用心外科护士培训效果评价指标体系满意度问卷进行调查。结果 2轮专家函询问卷有效回收率分别为96%和100%，专家的权威系数为0.913，肯德尔系数分别为0.127~0.212和0.152~0.176（均P<0.05），最终构建的心外科护士培训效果评价指标体系包括4项一级指标、14项二级指标和59项三级指标。60名心外科护士培训效果评价指标体系满意度问卷得分为（18.75±2.21）分。结论构建的心外科护士培训效果评价指标体系科学、可靠，具有实用性及可行性，对心外科护士的培养、考核评价具有指导意义。

关键词: 心脏外科, 专业护士, 培训, 评价指标, 柯氏模型, 德尔菲技术, 护理管理研究

Abstract:

Objective To construct and evaluate an evaluation index system for the training effect of cardiac surgery specialist nurses and provide a reference for the quality evaluation of cardiac surgery specialist nurse training. Methods Based on the Kirkpatrick Model，the preliminary draft of the evaluation index system for the training effect of cardiac surgery specialist nurses was formed through literature review and semi-structured interviews. The Delphi method was used to conduct the expert consultation with 24 experts nationwide in September 2024，and the weight of each index was determined by the analytic hierarchy process. In February 2025，60 cardiac surgery nurses from 3 tertiary A hospitals in Nanjing were selected as the survey subjects，and a satisfaction questionnaire on the evaluation index system for the training effect of cardiac surgery nurses was used for the survey. Results The effective recovery rates of the 2 rounds of expert questionnaires were 96% and 100%，respectively. The expert authority coefficient was 0.913，and the Kendall harmony coefficient was 0.127-0.212 and 0.152-0.176，respectively（both P<0.05）. The final evaluation index system for the training effect of cardiac surgery specialist nurses included 4 primary indexes，14 secondary indexes and 59 tertiary indicators. The satisfaction questionnaire score of the evaluation index system for the training effect of cardiac surgery nurses was （18.75±2.21）. Conclusion The evaluation index system for the training effect of cardiac surgery specialist nurses was scientific and reliable，and can guide significance for the subsequent training，assessment and evaluation of cardiac surgery specialist nurses.

Key words: Cardiac Surgery, Professional Nurse, Training, Evaluation Index, Kirkpatrick Model, Delphi Technology, Nursing Management Research

陈晨, 王哲芸, 金花, 管艳, 谢晓莉, 胡岳秀, 苏云艳. 心外科护士培训效果评价指标体系的构建及可用性评价[J]. 中华护理杂志, 2025, 60(12): 1493-1499.

CHEN Chen, WANG Zheyun, JIN Hua, GUAN Yan, XIE Xiaoli, HU Yuexiu, SU Yunyan. Construction and usability evaluation of an evaluation index system of training effect of cardiac surgery nurses[J]. Chinese Journal of Nursing, 2025, 60(12): 1493-1499.

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