Abstract: Objective To develop a Chinese competency evaluation system for nursing care of AIDS patients. Methods The evaluation system was developed through literature review,group discussion,semi-structured interviews,and two rounds of Delphi expert consultations. Results The effective recovery rates of questionnaire in two rounds was 93.8% and 100%,respectively. During the second round,the authority coefficient was 0.838,and the coordination coefficients of three level indicators were 0.451,0.323,0.255 respectively（P< 0.001） regarding the importance,and 0.436,0.304,0.248 respectively（P< 0.001） regarding the operability. The final competency evaluation system for nursing care of AIDS patients consisted of 4 first-level indicators （including core knowledge system,technical ability for whole-course management of AIDS,ability for safety and risk prevention,ability for social intervention） 13 second-level indicators and 33 third-level indicators. Conclusion The competency evaluation system is scientific,practical,and specific,and it has implications for management and training of clinical nurses in AIDS caring.

Key words: AIDS, Communicable Diseases, Competency, Evaluation Index, Nursing Administration Research

摘要： 目的 构建艾滋病专病护理胜任力的评价指标体系,为从事艾滋病护理工作的临床护士提供参考依据。方法 通过查阅文献、专家小组讨论、半结构访谈和2轮德尔菲专家咨询,确立艾滋病专病护理胜任力评价指标体系。结果 2轮函询问卷的有效回收率分别为93.8%和100%,第2轮函询中,专家的权威系数为0.838,一、二、三级指标重要性的专家意见肯德尔和谐系数分别为0.451、0.323、0.255（P< 0.001）,指标可操作性的肯德尔和谐系数分别为0.436、0.304、0.248（P< 0.001）。最终形成的指标体系包含4个一级指标（核心知识体系、疾病全程管理技能、安全与风险防范能力、社会干预能力）、13个二级指标和33个三级指标。结论 该研究所构建的艾滋病专病护理胜任力评价指标体系科学合理、贴近临床、有专科特色,对从事艾滋病护理工作的临床护士的管理和培训具有一定的借鉴意义。

关键词: 获得性免疫缺陷综合征, 传染病, 胜任力, 评价指标, 护理管理研究