Abstract:

Objective To construct a scientific and systematic core competence evaluation index system for nurses participating in ECMO technology,in order to provide references for the training,assessment and competence evaluation of nurses. Methods Through literature review and semi-structured interviews,the preliminary draft of the core competence evaluation index system for nurses participating in ECMO technology was formed in this study. From February to April 2021,25 experts from 6 provinces in China were consulted by Delphi method,and the weight of indexes at all levels was determined by analytic hierarchy process. Results The effective recovery rates of the 2 rounds of expert consultations were 90.00% and 92.59%,respectively;the expert authority coefficient was 0.886,and the Kendall harmony coefficient was 0.205（P<0.001） in the second round. The final core competence evaluation index system for nurses participating in ECMO technology includes 7 first-level indexes,19 second-level indexes and 70 third-level indexes. The first-level indexes include professional knowledge,clinical practice ability,critical thinking ability,professional development ability,communication and coordination ability,management ability,and personal traits. Conclusion The core competence evaluation index system for nurses participating in ECMO technology in this study was scientific and reliable,which can provide valuable references for the training,assessment and competence evaluation of nurses.

Key words: Extracorporeal Membrane Oxygenation, Nurses, Professional Competence, Index System, Delphi Technique, Nursing Administration Research

摘要：

目的 构建一套科学、系统的护士应用体外膜肺氧合（extracorporeal membrane oxygenation,ECMO）技术的核心能力评价指标,为护士的培养、考核和能力评价提供参考依据。 方法 通过文献回顾、半结构式访谈形成护士应用ECMO技术核心能力评价指标初稿,2021年2月—4月,采用德尔菲法对6个省份的25名专家进行问卷函询,运用层次分析法确定各级指标权重。 结果 共开展2轮函询,问卷有效回收率分别为90.00%、92.59%,第2轮函询专家的权威系数为0.886,肯德尔和谐系数为0.205（P<0.001）。最终构建的评价指标包括临床专业知识、临床实践技能、评判性思维能力、专业发展能力、沟通协调能力、管理能力、个人特质7个一级指标、19个二级指标、70个三级指标。 结论 构建的护士应用ECMO技术核心能力评价指标具有较高的科学性和可靠性,对护士的培养、考核和能力评价具有指导意义。

关键词: 体外膜肺氧合, 护士, 专业能力, 指标体系, 德尔菲技术, 护理管理研究