基于患者安全的云南省ICU专科护士核心能力培养体系构建研究

李捷; 刘雪莲; 黄英; 晏圆婷; 李思; 陈莉萍; 熊司琦

doi:10.3760/cma.j.cn116021-20211101-01574

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基于患者安全的云南省ICU专科护士核心能力培养体系构建研究

教育评价 | 更新时间：2024-02-26

- 基于患者安全的云南省ICU专科护士核心能力培养体系构建研究
- On the construction of the core competence training system of ICU specialized nurses in Yunnan Province based on patient safety
- 中华医学教育探索杂志 2024年23卷第2期页码：195-199
- 作者机构：
  
  1.昆明市延安医院护理部，昆明 650051
  2.昆明市延安医院门诊部，昆明 650051
  3.昆明市延安医院急诊医学科，昆明 650051
- 作者简介：
  
  熊司琦，Email：1042193609@qq.com
- 基金信息：
  
  昆明市卫生健康委员会卫生科研课题项目(2019-14-02-001)
- DOI：10.3760/cma.j.cn116021-20211101-01574
  中图分类号： R47
- 纸质出版日期：2024-02-20，
  
  收稿日期：2021-11-01，
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李捷, 刘雪莲, 黄英, 等. 基于患者安全的云南省ICU专科护士核心能力培养体系构建研究[J]. 中华医学教育探索杂志, 2024, 23(2): 195-199.

Li Jie, Liu Xuelian, Huang Ying, et al. On the construction of the core competence training system of ICU specialized nurses in Yunnan Province based on patient safety[J]. Chinese Journal of Medical Education Research, 2024,23(2):195-199.
李捷, 刘雪莲, 黄英, 等. 基于患者安全的云南省ICU专科护士核心能力培养体系构建研究[J]. 中华医学教育探索杂志, 2024, 23(2): 195-199. DOI： 10.3760/cma.j.cn04.21 英文已校.

Li Jie, Liu Xuelian, Huang Ying, et al. On the construction of the core competence training system of ICU specialized nurses in Yunnan Province based on patient safety[J]. Chinese Journal of Medical Education Research, 2024,23(2):195-199. DOI： 10.3760/cma.j.cn116021-20211101-01574.

摘要

目的

构建客观、科学的云南省重症监护（intensive care unit，ICU）专科护士核心能力培养体系，为制订同质化、规范化ICU专科护士培训策略及考核评价提供参考。

方法

以护士患者安全胜任力框架为理论依据，查阅护理岗位胜任力相关文献，构建云南省ICU专科护士核心能力培养体系，通过理论分析设计专家函询问卷。于2020年1月至5月对云南省15名重症医学科专家发放德尔菲专家函询，确立云南省ICU专科护士核心能力培养体系。采用SPSS 21.0对数据进行双人录入和统计分析。

结果

共开展两轮德尔菲专家咨询，最终构建的ICU专科护士核心能力指标包括有效沟通、团队协作、安全风险管理、护理质量改进及专业化素养5个一级指标、14个二级指标、59个三级指标。两轮德尔菲专家咨询法问卷的有效回收率分别为100.00%（15/15）、86.67%（13/15），专家权威系数值分别为0.863、0.881，一级指标、二级指标和三级指标的肯德尔协调系数分别为0.381、0.299、0.250，卡方值为22.86、58.22、217.30，差异具有统计学意义（

0.001）；五个一级指标按权重从高到低排序为安全风险管理（0.360）、专业化素养（0.280）、团队协作（0.200）、护理质量改进（0.120）、有效沟通（0.040）。

结论

构建的基于患者安全的云南省ICU专科护士核心能力培养体系具有可靠性、科学性，可为云南省ICU专科护士岗位培训、考核评价及发展患者安全教育课程提供客观依据。

Abstract

Objective

To construct an objective and scientific core competence training system for intensive care unit (ICU) specialized nurses in Yunnan Province

and to provide references for formulating a homogeneous and standardized ICU specialized nurse training strategy and assessment.

Methods

Based on the theoretical basis of the nurse-patient safety competency framework

the relevant literature of nursing job competence was consulted

the core competency training system of ICU specialized nurses in Yunnan Province was constructed

and the expert letter questionnaire was designed through theoretical analysis. From January to May 2020

15 experts of critical care medicine from Yunnan Province were consulted by Delphi method to establish a core competency training system for ICU specialized nurses in Yunnan Province. SPSS 21.0 was used to input and analyze the data.

Results

A total of 2 rounds of Delphi expert consultation were carried out. The final core competency indicators for ICU specialized nurses included effective communication

teamwork

safety risk management

nursing quality improvement and professionalism

including 5 first-level indicators

14 second-level indicators and 59 third-level indicators. The effective recovery rates of the two rounds of Delphi expert consultation questionnaires were 100.00% (15/15) and 86.67% (13/15)

the expert authority coefficient values were 0.863 and 0.881 respectively

the Kendall harmony coefficients of the first-level index

the second-level index and the third-level index were 0.381

0.299 and 0.250

and

value was 22.86

58.22 and 217.30

with statistically significant differences (

0.001). The 5 first-level indicators were safety risk management (0.360)

professionalism (0.280)

teamwork (0.200)

nursing quality improvement (0.120)

and effective communication (0.040) in descending order.

Conclusions

The established core competence training system for ICU specialized nurses in Yunnan Province based on patient safety is reliable and scientific

which can provide objective basis for the on-the-job training

evaluation and development of patient safety education courses for ICU specialized nurses in Yunnan Province.

关键词

患者安全重症监护专科护士核心能力护理岗位胜任力

Keywords

Patient safetyICU specialized nursesCore competenceNursing post competency

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