A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method

Fu Yuanwei; Xue Shuai; Li Hui; Li Shu; Tian Ci; Zhang Hua; Ma Qingbian; Zheng Kang

doi:10.3760/cma.j.cn116021-20231223-02044

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A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method

Standardized Residency Training | 更新时间：2025-08-28

- A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method
- Chinese Journal of Medical Education Research Vol. 24, Issue 8, Pages: 1097-1103(2025)
- 作者机构：
  
  1.北京大学第三医院急诊科，北京 100191
  2.分子心血管学教育部重点实验室，北京 100191
  3.北京大学第三医院临床流行病学研究中心，北京 100191
- 作者简介：
  
  Zheng Kang, Email: zhengkang@bjmu.edu.cn
- 基金信息：
  
  The Project for Enhancing the Quality of Standardized Training for Resident Physicians, Beijing Municipal Health Commission (2022);The Special Fund of the National Clinical Key Specialty Construction Program, P. R. China
- DOI：10.3760/cma.j.cn116021-20231223-02044
  CLC： R4
- Received：23 December 2023，
  
  Published：20 August 2025
- 稿件说明：
移动端阅览
付源伟, 薛帅, 李辉, 等. 应用改良德尔菲法构建住院医师心肺复苏分层培训指标体系的研究[J]. 中华医学教育探索杂志, 2025, 24(8): 1097-1103.

Fu Yuanwei, Xue Shuai, Li Hui, et al. A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method[J]. Chinese journal of medical education research, 2025, 24(8): 1097-1103.
付源伟, 薛帅, 李辉, 等. 应用改良德尔菲法构建住院医师心肺复苏分层培训指标体系的研究[J]. 中华医学教育探索杂志, 2025, 24(8): 1097-1103. DOI： 10.3760/cma.j.cn116021-20231223-02044.

Fu Yuanwei, Xue Shuai, Li Hui, et al. A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method[J]. Chinese journal of medical education research, 2025, 24(8): 1097-1103. DOI： 10.3760/cma.j.cn116021-20231223-02044.

摘要

目的

目前，我国住院医师心肺复苏培训缺乏针对性的培训方案。本研究旨在构建符合中国医疗现状的住院医师心肺复苏分层培训指标体系。

方法

通过文献检索、小组讨论、问卷调研，设计了专家咨询问卷。采用改良德尔菲法进行了两轮专家咨询，最终形成住院医师心肺复苏分层培训指标体系。运用SPSS 26.0软件进行统计分析，并使用肯德尔协调系数进行一致性检验。

结果

共有15名专家进行了两轮问卷咨询，专家的积极系数均为100.00%，专家权威程度为0.91。这表明专家的积极性和权威程度都很高，因此研究结果可信。在第一轮问卷咨询中，专家评分的变异系数为0~0.40，协调系数为0.22，

0.001；在第二轮问卷咨询中，专家评分的变异系数为0~0.24，协调系数为0.25，

0.001。两轮问卷咨询后，专家意见的肯德尔协调系数差异均具有统计学意义，说明专家意见具有一致性，结果可靠。该指标体系由6项一级指标和32项二级指标构成。

结论

本研究基于改良的德尔菲法构建了住院医师心肺复苏分层培训指标体系。未来，将根据研究成果，制定与中国医疗现状相适应的心肺复苏培训方案，并进行推广，以验证其科学性和应用价值。

Abstract

Objective

Currently

there is a lack of targeted training programs for resident physicians in cardiopulmonary resuscitation (CPR) in China. This study aims to establish a stratified training indicator system for resident physicians in CPR that is in line with the medical realities in China.

Methods

Expert consultation questionnaires were designed through literature review

group discussions

and surveys. Two rounds of expert consultation were conducted using the modified Delphi method to develop the stratified training indicator system for resident physicians in CPR. Statistical analysis was performed using SPSS 26.0 software and Kendall's coefficient of concordance was used to assess the consistency of expert opinions.

Results

A total of 15 experts participated in two rounds of questionnaire consultation

with a positive coefficient of 100.00% and an authority coefficient of 0.91

indicating high expert engagement and authority

thus ensuring the credibility of the results. The coefficient of variation for expert ratings in the first round of questionnaire consultation ranged from 0 to 0.40

with a concordance coefficient of 0.22 (

0.001). In the second round of quest

ionnaire consultation

the coefficient of variation for expert ratings ranged from 0 to 0.24

with a concordance coefficient of 0.25 (

0.001). The Kendall's coefficient of concordance for expert opinions showed statistically significant differences in both rounds of questionnaire consultation

indicating consensus among experts and reliable results. This system consisted of 6 primary indicators and 32 secondary indicators.

Conclusions

Based on the modified Delphi method

this study established a stratified training indicator system for resident physicians in CPR. In the future

based on the research findings

CPR training programs adapted to the medical realities in China will be developed and promoted to validate their scientific and practical value.

关键词

Keywords

references

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