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

李姣; 潘瑞; 杨阳; 梁永欢; 王二晓; 相琼

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

您当前的位置：

首页 >

文章列表页 >

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

护理教育研究 | 更新时间：2025-08-08

- 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
- Construction and innovation of a core competence evaluation index system for pediatric internal medicine nurses based on the Delphi method
- 中华医学教育探索杂志 2025年24卷第7期页码：1003-1008
- 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：
  
  相琼，Email：xiangqiongZX@163.com
- 基金信息：
  
  陕西省卫健委卫生健康科研项目(2022JQ-04)
- DOI：10.3760/cma.j.cn116021-20240911-02073
  中图分类号： R-05
- 收稿日期：2024-09-11，
  
  纸质出版日期：2025-07-20
- 稿件说明：
移动端阅览
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

高慧敏，田凌云，粟亚男，等 . 儿科护理缺失的研究进展 [J ] . 护理学杂志， 2021 ， 36 （ 3 ）： 99 - 102 . DOI: 10.3870/j.issn.1001-4152.2021.03.099 http://dx.doi.org/10.3870/j.issn.1001-4152.2021.03.099 .

杜娟，许翠萍，何从军，等 . 5所三级甲等医院216名儿科护士核心能力现状及影响因素分析 [J ] . 护理学报， 2020 ， 27 （ 5 ）： 35 - 38 . DOI: 10.16460/j.issn1008-9969.2020.05.035 http://dx.doi.org/10.16460/j.issn1008-9969.2020.05.035 .

项倩妹，唐惠艳，王建新，等 . 儿科专科护士核心能力量表的编制及信效度检验 [J ] . 护理学报， 2024 ， 31 （ 14 ）： 74 - 78 . DOI: 10.16460/j.issn1008-9969.2024.14.074 http://dx.doi.org/10.16460/j.issn1008-9969.2024.14.074 .

卫平莲，陈孝云，金利萍，等 . 儿科传染病专科护士核心能力评价指标体系的构建 [J ] . 护理学报， 2023 ， 30 （ 4 ）： 29 - 32 . DOI: 10.16460/j.issn1008-9969.2023.04.029 http://dx.doi.org/10.16460/j.issn1008-9969.2023.04.029 .

朱淑贞，诸纪华，周红琴，等 . 儿科护士对死亡教育的认知现状及其影响因素分析 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 8 ）： 1026 - 1031 . DOI: 10.3760/cma.j.cn116021-20230120-01846 http://dx.doi.org/10.3760/cma.j.cn116021-20230120-01846 .

da Silva Ferraz SC , Rocha PK , Tomazoni A , et al . Use of nursing technologies for safe perioperative pediatric care [J ] . Rev Gaucha Enferm , 2020 , 41 : e20190251 . DOI: 10.1590/1983-1447.2020.20190251 http://dx.doi.org/10.1590/1983-1447.2020.20190251 .

冯美，郑显兰，冷虹瑶，等 . 儿科危重症护士核心能力现状的多中心横断面调查研究 [J ] . 军事护理， 2023 ， 40 （ 8 ）： 22 - 24， 60 . DOI: 10.3969/j.issn.2097-1826.2023.08.006 http://dx.doi.org/10.3969/j.issn.2097-1826.2023.08.006 .

周萍，夏丽娟，毛黄莉 . 微课联合晨间提问及“问卷星”培训模式在护理人员理论培训中的应用 [J ] . 保健医学研究与实践， 2023 ， 20 （ 7 ）： 149 - 153 . DOI: 10.11986/j.issn.1673-873X.2023.07.033 http://dx.doi.org/10.11986/j.issn.1673-873X.2023.07.033 .

潘倩文，许栋，王茜 . 本科实习护生转型冲击现状及其影响因素分析 [J ] . 中华全科医学， 2024 ， 22 （ 1 ）： 140 - 143 . DOI: 10.16766/j.cnki.issn.1674-4152.003350 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.003350 .

Willmott TJ , Pang B , Rundle-Thiele S . Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model [J ] . BMC Public Health , 2021 , 21 ( 1 ): 1014 . DOI: 10.1186/s12889-021-11019-w http://dx.doi.org/10.1186/s12889-021-11019-w .

康凤英，李文静，郭敏敏，等 . 护理研究生Seminar模式构建的行动研究 [J ] . 中华全科医学， 2022 ， 20 （ 5 ）： 851 - 854， 893 . DOI: 10.16766/j.cnki.issn.1674-4152.002471 http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.002471 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

肿瘤科护士核心能力评价指标体系的构建研究

基于问题的模拟培训-视频反馈联合层级管理对老年患者护理人员核心能力的影响研究

“体验式实训死亡教育”在肿瘤科护理实习生带教中的应用探索

基于SPOC的创客式教学在肿瘤外科护理带教中应用研究

基于神经外科专科护士核心能力的培训课程设置研究