Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method

Li Jiao; Pan Rui; Yang Yang; Liang Yonghuan; Wang Erxiao; Xiang Qiong

doi:10.3760/cma.j.cn116021-20240911-02073

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Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method

Nursing Education Study | 更新时间：2025-08-08

- Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 1003-1008(2025)
- 作者机构：
  
  空军军医大学第一附属医院/西京医院儿科，西安 710032
- 作者简介：
  
  Xiang Qiong, Email: xiangqiongZX@163.com
- 基金信息：
  
  Health Scientific Research Project of the Shaanxi Provincial Health Commission(2022JQ-04)
- DOI：10.3760/cma.j.cn116021-20240911-02073
  CLC： R-05
- Received：11 September 2024，
  
  Published：20 July 2025
- 稿件说明：
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李姣, 潘瑞, 杨阳, 等. 基于德尔菲法的儿内科护士核心能力评价指标体系构建与创新研究[J]. 中华医学教育探索杂志, 2025, 24(7): 1003-1008.

Li Jiao, Pan Rui, Yang Yang, et al. Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method[J]. Chinese journal of medical education research, 2025, 24(7): 1003-1008.
李姣, 潘瑞, 杨阳, 等. 基于德尔菲法的儿内科护士核心能力评价指标体系构建与创新研究[J]. 中华医学教育探索杂志, 2025, 24(7): 1003-1008. DOI： 10.3760/cma.j.cn116021-20240911-02073.

Li Jiao, Pan Rui, Yang Yang, et al. Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method[J]. Chinese journal of medical education research, 2025, 24(7): 1003-1008. DOI： 10.3760/cma.j.cn116021-20240911-02073.

摘要

目的

构建儿内科护士核心能力评价指标体系。

方法

在研究小组查阅文献、理论分析及临床实践的基础上，研究小组讨论后初步拟定儿内科护士核心能力评价指标体系，通过德尔菲专家函询法对该体系进行两轮专家函询，共邀请18名专家参与，最终确立儿内科护士核心能力评价指标体系，并计算各级指标权重。

结果

第一轮和第二轮专家函询问卷表有效回收率均为100.00%；第一轮和第二轮专家权威程度值分别为0.896和0.890，其中判断系数值分别为0.901和0.889，熟悉程度值分别为0.847和0.891，Cr均大于0.70。两轮专家函询的变异系数分别为0.041~0.227、0.002~0.126，各级指标的变异系数均小于0.25。第一轮专家函询对一级指标、二级指标和三级指标的肯德尔协调系数分别为0.305、0.362、0.364，

值均小于0.001；第二轮专家函询对一级指标、二级指标和三级指标的肯德尔协调系数分别为0.371、0.352、0.380，

值均小于0.001。最终确立儿内科护士核心能力评价指标体系，包括一级指标3个、二级指标14个、三级指标57个。

结论

儿内科护士核心能力评价指标具有科学性、可靠性、专科特色和参考价值，可以为我国儿内科护士的培养和评价提供借鉴。

Abstract

Objective

To establish a core competence evaluation index system for pediatric internal medicine nurses.

Methods

On the basis of literature review

theoretical analysis

and clinical practice of the research group

the evaluation index system of the core competence of nurses in pediatric internal medicine was preliminarily formulated after the discussion of the research group. The Delphi method was employed for two rounds of expert consultation

involving a total of 18 experts. Finally

the evaluation index system of the core competence of nurses in pediatric internal medicine was established

and the weights of indicators at all levels were calculated.

Results

The effective recovery rates of the first and second rounds of expert consultation were 100.00%. In the first and second rounds of expert consultation

the aut

hority coefficients were 0.896 and 0.890

the judgment coefficients were 0.901 and 0.889

and the familiarity coefficients were 0.847 and 0.891

with authority coefficients

0.70 in both rounds. The coefficients of variation of the two rounds of expert correspondence were 0.041-0.227 and 0.002-0.126

respectively

and the coefficients of variation of indicators at all levels were

0.25. In the first round of expert consultation

Kendall's coordination coefficients of primary

secondary

and tertiary indicators were 0.305

0.362

and 0.364

respectively

with

values

0.001. In the second round of expert consultation

Kendall's coordination coefficients of primary

secondary

and tertiary indicators were 0.371

0.352

and 0.380

respectively

with

values

0.001. Finally

the core competence evaluation index system of pediatric internal medicine nurses was established

including 3 first-level indicators

14 second-level indicators

and 57 third-level indicators.

Conclusions

The evaluation index system of the core competence of pediatric internal medicine nurses has scientificity

reliability

specialty-specific characteristics

and reference value

which can provide a reference for the training and evaluation of pediatric internal medicine nurses in China.

关键词

Keywords

references

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