Abstract:

Objective To construct an emergency rescue competence index system for public health emergency among community nurses. Methods A draft of the index system was developed based on literature reviews and qualitative interviews. Delphi method was employed to conduct 2 rounds of consultations among 20 experts to revise the draft. Analytical Hierarchy Process and average distribution method were used to measure the weight of each index. Results The response rates of the 2 rounds of expert consultation questionnaire were 90% and 100% respectively,and the effective rates were 100%. Expert authority coefficients were both 0.866;Kendall’s coefficients of concordance were 0.174 and 0.224,and both were statistically significant（P<0.001）. The final index system comprised public health emergency prevention capacity,preparedness capacity,rescue capacity and recovery capacity 4 first-level indexes,15 second-level indexes,and 51 third-level indexes. Conclusion The index system for public health emergency among community nurses constructed in this study could provide a scientific tool for evaluating community nurses’ emergency rescue ability of public health emergencies,and provide a reference for relevant departments to further optimize the emergency education and training mode of community nurses.

Key words: Community Nurse, Public Health Emergency, Emergency Rescue Competence, Index, Delphi Technique, Nursing Administration Research

摘要：

目的 构建社区护士应对突发公共卫生事件救援能力评价指标。方法 基于文献研究、理论分析、质性访谈初步拟订评价指标,2020年8月—9月采用德尔菲法对20名专家进行2轮咨询,结合层次分析法和平均分配法计算各级指标权重。 结果 2轮专家咨询的问卷回收率为90%、100%,有效率均为100%;专家权威系数均为0.866;专家意见协调系数分别为0.174、0.224,均具有统计学意义（P<0.001）。最终确立的社区护士应对突发公共卫生事件救援能力评价指标包括突发公共卫生事件预防能力、突发公共卫生事件救援准备能力、突发公共卫生事件救援能力和突发公共卫生事件恢复能力4个一级指标、15个二级指标和51个三级指标。 结论 该研究构建的社区护士应对突发公共卫生事件救援能力评价指标,专家意见统一,为评估社区护士应对突发公共卫生事件救援能力提供了工具,同时为进一步优化社区护士应急培训模式提供参考。

关键词: 社区护士, 突发公共卫生事件, 应急救援能力, 指标, 德尔菲法, 护理管理研究