Abstract:

Objective The core competence index system of nurses providing “internet + postpartum maternal and infant home care” service was constructed and preliminarily verified，so as to provide references for objective evaluation of their core competence. Methods Based on literature review and semi-structured interviews，the core competence index system of nurses in “internet + postpartum maternal and infant home care” service was initially constructed with the iceberg model as the theoretical framework. In April to May 2024，the indicators are organized and analyzed using the Delphi method to form a final indicator system. In December 2024，30 nurses providing “internet + postpartum maternal and infant home care” service in a tertiary A obstetrics and gynecology hospital in Hangzhou were selected as the survey subjects，and the index system was preliminarily verified by questionnaires. Results A total of 20 experts completed 2 rounds of correspondence. The authoritative coefficients of the 2 rounds of expert inquiry were 0.88 and 0.90，respectively；the Kendall coordination coefficients were 0.34 and 0.39，respectively（P<0.001）；the variation coefficients were 0~0.17 and 0.05~0.18，respectively. The final index system includes 3 first-class indicators，12 second-class indicators and 68 third-class indicators. The comprehensive，specialized，necessary，applicable，and overall satisfaction scores of the indicator system are（4.27±0.77） points，（4.43±0.56） points，（4.43±0.72） points，（4.47±0.56） points，and（4.46±0.56） points，respectively. Conclusion The core competence index system of nurses in“internet + postpartum maternal and infant home care” service is comprehensive，specialized，scientific and reliable，and can provide references for the training，assessment and evaluation of “internet + postpartum maternal and infant home care” talents.

Key words: Iceberg Model, Internet+, Maternal and Infant, Home Care, Core Competency, Nursing Administration Research

摘要： 目的 构建“互联网+产后母婴居家护理”护士核心能力指标并进行初步验证，为客观评价其核心能力提供参考。方法 基于文献分析和半结构式访谈，以冰山模型为理论框架，初步构建“互联网+产后母婴居家护理”护士核心能力指标。2024年4月—5月，采用德尔菲法对指标进行整理和分析，形成最终的指标；2024年12月，选取杭州市某三级甲等妇产专科医院的30名“互联网+产后母婴居家护理”护士为调查对象，通过问卷对构建的指标进行初步验证。结果 共20名专家完成2轮函询。2轮专家函询的权威系数分别为0.88和0.90，肯德尔和谐系数分别为0.34和0.39（P<0.001），变异系数分别为0~0.17和0.05~0.18。最终形成的指标包括3项一级指标、12项二级指标和68项三级指标。初步验证结果显示，指标全面性、专科性、必要性、适用性、整体满意度得分分别为（4.27±0.77）（4.43±0.56）（4.43±0.72）（4.47±0.56）（4.46±0.56）分。结论 构建的“互联网+产后母婴居家护理”护士核心能力指标内容全面、专科性强，具有较好的科学性和可靠性，可为“互联网+产后母婴居家护理”人才的培训、考核及评价提供参考。

关键词: 冰山模型, 互联网+, 母婴, 居家护理, 核心能力, 护理管理研究