目的 构建连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)专科护士核心能力评价指标体系。 方法 参考国内外文献及研究小组讨论拟订CRRT护士核心能力评价指标初稿,2023年6月─8月采用德尔菲法对16名专家进行2轮咨询,完成指标筛选与修改、确定指标权重。 结果 CRRT护士核心能力评价指标包括一级指标7项(专业理论知识、专业实践能力、评判性思维能力、沟通协调能力、管理能力、专业发展能力、职业人文素养能力),二级指标27项,三级指标112项,2轮专家咨询有效应答率均为100%,专家权威系数均为0.912;第二轮函询一、二、三级指标肯德尔和谐系数分别为0.399、0.278、0.208,函询结果均P<0.001。 结论 构建的CRRT专科护士核心能力评价指标科学合理、内容全面、专业性强,可为CRRT专科护士的培养与评价提供参考依据。
Objective To construct a core competency evaluation index system for nurses specializing in continuous renal replacement therapy (CRRT). Methods The first draft of core competence evaluation indexes for CRRT nurses was formulated by referring to domestic and international literature and after discussion in the research group. The second round of consultation with 16 experts was conducted from June to August 2023 by using the Delphi method, to complete the screening and modification of the indexes and to determine the weights of the indexes. Results The finalized core competency evaluation indicators for CRRT nurses included 7 first-level indicators (professional theoretical knowledge, professional practical ability, critical thinking ability, communication and coordination ability, management ability, professional development ability, and professional humanistic literacy ability), 27 second-level indicators, and 112 third-level indicators. The effective response rate of the two rounds of expert consultation was 100%, and the expert authority coefficient was 0.912. The Kendall harmony coefficients of the first-, second-, and third-level indicators of the second round of correspondence were 0.399, 0.278, and 0.208, respectively, and the results of the correspondence were all P<0.001. Conclusion The constructed core competency evaluation indexes for CRRT specialized nurses are scientific, rational, comprehensive, and professional. This evaluation index system can be used for the training and evaluation of CRRT specialized nurses.
【1】Ric ci Z,Romagnoli S,Ronco C,et al. From continuous renal replacement therapies to multiple organ support therapy[J]. Contrib Nephrol.2018,194:155-169.
【2】T andukar S,Palevsky P M. Continuous renal replace-ment therapy: Who, When, Why, and How[J]. Chest,2019. 155(3):626-638.
【3】Kidney DIGO(AKIWG. KDIGO Clinical Practice Guideline for Acute Kidney Injury.Kidney Int Suppl(2011).2012.2:1-138.
【4】Arinlura T, Abe M,Shiga H,et al. Clinical study of blood purification therapy in critical care in Japan:results from the survey research of the Japan Society for Blood Purification in Critical Care in 2013.J Artif Organs.2017.20(3):244-251.
【5】Srisawat N, Chakravarthi R. CRRT in developing world [J]. Semin Dial.2021, 34(6):567-575.
【6】陈珺仪,席淑新,石美琴. 德尔菲法在专科护理质量评价指标研究中的应用现状[J].护理研究. 2016,30(10B):3591-3595.
【7】刘明,殷磊,马敏燕,等. 注册护士核心能力测评量表结构效度验证性因子分析[J].中华护理杂志. 2008,43(3):204-206.
【8】国家卫生健康委办公厅.国家卫生健康委办公厅关于进一步加强医疗机构护理工作的通知,国卫办医发【2020】11号:(2020-08-21).
【9】岳晓红,徐甜甜,王瑞敏,等. 血液净化专科护士核心能力框架模型的构建. 国际护理学杂志.2020.39(24):4432-4435.
【10】肖烨,王晓霞,彭山玲.等.器官移植专科护士核心能力评价指标体系的构建[J].中华护 理杂志.2019,54(4):532-537.
【11】 刘智群, 陈华丽,文辉等. 呼吸专科护士核心能力评价指标体系的构建研究 [J]. 护理管理杂志.2019,19(6):394-397.
【12】张颖君,陈林,刘莉等.血液透析血管通路专科护士核心能力评价指标体系的构建[J].护理研究.2021,35(7):1162-1166.