消毒供应中心护士岗位胜任力评价指标的构建

doi:10.3761/j.issn.0254-1769.2021.06.015

摘要/Abstract

摘要：

目的构建客观、科学的消毒供应中心护士岗位胜任力评价指标,为制订同质化、规范化消毒供应中心护士岗位培训策略及考核评价提供参考。方法以冰山模型为理论依据,查阅护理岗位胜任力相关文献,通过理论分析设计专家咨询问卷。2020年5月对11个省份20名消毒供应中心领域的专家进行德尔菲专家咨询,确立消毒供应中心护士岗位胜任力模型指标和权重赋值。结果共开展3轮德尔菲专家咨询,最终构建的消毒供应中心护士岗位胜任力指标包括理论知识、操作技能、综合能力及个人特质4个一级指标、58个二级指标。3轮德尔菲专家咨询法问卷的有效回收率为100%,专家权威系数值分别为0.88、0.88、0.89,一级指标和二级指标的肯德尔和谐系数分别为0.301、0.343、0.413和0.322、0.256、0.292,经一致性检验均P<0.001。结论构建的消毒供应中心护士岗位胜任力评价指标具有可靠性、科学性、实用性,可为消毒供应中心护士岗位培训及考核评价提供客观的量化依据。

关键词: 中心供应室,医院, 护士, 岗位胜任力, 德尔菲技术, 护理管理研究

Abstract:

Objective To develop the post competency index system for nurses in Central Sterile Service Department,so as to provide scientific bases for the homogenized,standardized training strategy and evaluation of the competence level of the nurses in Central Sterile Service Department. Methods According to the Iceberg Competency Model,the paper drew up an evaluation index framework for the competency of nurses and prepared the inquiry paper of expert letters based on methods as document analysis. 3 rounds of Delphi consultation questionnaires were sent to 20 experts from 11 provinces and cities in May 2020. They were experienced in areas of management of central sterile supply,and helped to define the post competency index system for nurses in Central Sterile Service and its weight assignment. Results The established post competency index system for nurses in Central Sterile Service consisted of 4 first-level indexes,including theoretical knowledge,operational skills,comprehensive ability and personal characteristics,58 second-level indexes after 3 rounds of Delphi consultations. The effective response rate was 100%. The three-round authority coefficient values were 0.88,0.88,and 0.89 respectively. The Kendall harmony coefficients of expert opinions of the 3 rounds of first and second-level indexes were 0.301,0.343,0.413 and 0.322,0.256,0.292,respectively,and P<0.001 after the consistency test. Conclusion The post competency model for nurses in Central Sterile Service Department constructed in the study is reliable,scientific and practical,which will pro-vide objective quantitative bases for post training and evaluation for nurses in Central Sterile Service Department.

Key words: Central Supply,Hospital, Nurses, Post Competency, Delphi Technique, Nursing Administration Research

康洁,张青,杨红,杜合英,吴可萍,徐铭泽. 消毒供应中心护士岗位胜任力评价指标的构建[J]. 中华护理杂志, 2021, 56(6): 893-898.

KANG Jie,ZHANG Qing,YANG Hong,DU Heying,WU Keping,XU Mingze. Development of post competency index system for nurses in Central Sterile Service Department[J]. Chinese Journal of Nursing, 2021, 56(6): 893-898.

图/表 2

参考文献 17

[1]	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[M]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission of People’s Republic of China. Certral sterile supply department(CSSD)Part 1:management standard[M]. Beijing: Standards Press of China, 2017.
[2]	国家卫生和计划生育委员会. 全国护理事业发展规划(2016-2020年)[EB/OL]. (2016-11-18)[2021-02-01]. http://www.nhfpc.gov.cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml.
	National Health and Family Planning Commission of People’s Republic of China. National nursing development plan(2016-2020)[EB/OL]. (2016-11-18)[2021-02-01]. http://www.nhfpc. gov.cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml.
[3]	温贤秀, 敬洁. 基于岗位胜任力的机动库护士培训大纲的构建研究[J]. 中华护理杂志, 2013,48(4):327-330.
	Wen XX, Jing J. The development of training program syllabus for backup nurses based on post competency[J]. Chin J Nurs, 2013,48(4):327-330.
[4]	何惠燕, 陈爱琴, 李丽娇, 等. 立足岗位需求开展消毒供应中心护士持续性培训的探讨[J]. 中国实用护理杂志, 2011,27(20):75-76.
	He HY, Chen AQ, Li LJ, et al. Discussion on the continued edu-cation of Central Sterile Service Department nurse from the stand view of position needs[J]. Chin J Pract Nurs, 2011,27(20):75-76.
[5]	卢春伟, 冯惠芝. 基于岗位胜任力的分层培训在消毒供应中心人员中的应用及效果[J]. 浙江医学教育, 2020,19(5):25-27.
	Lu CW, Feng HZ. Application and effect of hierarchical training based on post competence in central supply and sterile department[J]. Zhejiang Med Educ, 2020,19(5):25-27.
[6]	康博, 由娜, 姚洪娟. 消毒供应中心新护士系统培训方法的应用与探讨[J]. 中国实用护理杂志, 2012,28(33):80-82.
	Kang B, You N, Yao HJ. Application of systematic training methods for new nurses in central sterile supply department[J]. Chin Prac Nurs, 2012,28(33):80-82.
[7]	McCelland DC. Testing for competence rather than for“intelligence”[J]. Am Psychol, 1973,28(1):1-14. DOI URL
[8]	赵磊, 孟开, 郎影, 等. 消化专科护士岗位胜任力指标的构建[J]. 中国医药导报, 2019,16(26):64-69.
	Zhao L, Meng K, Lang Y, et al. Construction of post competency index system for digestive specialist nurses[J]. China Med Her, 2019,16(26):64-69.
[9]	Mahajan V, Linstone HA, Turoff M. The Delphi method:techniques and applications[J]. J Mark Res, 1976,13(3):317.
[10]	郭秀花. 医学现场调查技术与统计学分析[M]. 北京: 人民卫生出版社, 2009: 273-276.
	Guo XH. Medical field investigation techniques and statistical analysis[M]. Beijing: People’s Medical Publishing House, 2009: 273-276.
[11]	谷亚妍, 王悦娜, 刘昕, 等. 基于Donabedian模型的城市社区全科护理质量评价研究[J]. 护理管理杂志, 2020,20(12):891-894,903.
	Gu YY, Wang YN, Liu X, et al. The development of general nursing quality evaluation index system for community based on Donabedian Model[J]. J Nurs Adm, 2020,20(12):891-894,903.
[12]	应桂英, 李恒, 段占祺, 等. 卫生统计指标筛选方法评价[J]. 中国卫生事业管理, 2012,29(6):465-467.
	Ying GY, Li H, Duan ZQ, et al. Evaluating the methods to screen health statistical indexes[J]. Chin Heal Serv Manag, 2012,29(6):465-467.
[13]	郭丽波, 程淑平, 张欣颖, 等. 疼痛专科护士岗位胜任力评价指标的构建[J]. 护理学杂志, 2015,30(19):65-67.
	Guo LB, Cheng SP, Zhang XY, et al. Development of a competency index system for pain management nurses[J]. J Nurs Sci, 2015,30(19):65-67.
[14]	卢静. 新生儿重症监护室护理岗位胜任力评价指标构建[J]. 护理管理杂志, 2020,20(2):99-102.
	Lu J. Construction of evaluation index system for nursing posts in neonatal intensive care unit[J]. J Nurs Adm, 2020,20(2):99-102.
[15]	张宇, 冯秀兰, 任伍爱, 等. 医院消毒供应中心落实三项标准的调查[J]. 中国感染控制杂志, 2014,13(4):193-197.
	Zhang Y, Feng XL, Ren WA, et al. Investigation on implementation of three standards by central sterile supply departments[J]. Chin J Infect Control, 2014,13(4):193-197.
[16]	钱黎明, 车凤莲, 季侃雯, 等. 我国三级医院消毒供应中心人员配置及岗位设置的现状分析[J]. 中华护理杂志, 2015,50(9):1125-1127.
	Qian LM, Che FL, Ji KW, et al. Analysis on the present situation of personnel allocation and post setting in disinfection supply center of tertiary hospital in chain[J]. Chin J Nurs, 2015,50(9):1125-1127.
[17]	季侃雯, 钱建华, 盛坚, 等. 上海市51所医院消毒供应中心专科护士的现状调查[J]. 护理研究, 2020,34(13):2421-2423.
	Ji KW, Qian JH, Sheng J, et al. Investigation on the status of specialist nurses in central sterile supply departments in 51 hospitals in Shanghai[J]. Chin Nurs Res, 2020,34(13):2421-2423.