急诊急救专科护士培训基地评价指标的构建

doi:10.3761/j.issn.1672-9234.2024.07.002

摘要/Abstract

摘要：

目标构建急诊急救专科护士培训基地评价指标，为急诊急救专科护士培训基地的考核、评价与再认证提供依据。方法以CIPP评价模式（背景评价Context evaluation、输入评价Input evaluation、过程评价Process evaluation、结果评价Product evaluation）为理论基础，通过文献回顾、问卷调查构建评价指标初稿，2022年9月—11月通过2轮专家咨询对指标进行修改，使用层次分析法确定指标权重。结果共对18名专家进行2轮专家咨询，问卷回收率分别为89%（16/18）和100%（16/16），第二轮函询专家权威系数为0.969，肯德尔和谐系数为0.241（P<0.05），最终构建的急诊急救专科护士培训基地评价指标包括4项一级指标（基本条件、培训资源、培训执行情况、培训效果）、17项二级指标和49项三级指标。结论构建的急诊急救专科护士培训基地评价指标科学、合理、全面，能够为基地的考核、评价与再认证提供参考。

关键词: 急诊急救, 德尔菲法, 专科护士, 培训基地, 评价指标

Abstract:

Objective To construct an evaluation index system of training bases for emergency specialty nurses，and to provide a evidence for the assessment，evaluation and recertification of training bases for emergency specialty nurses. Methods Based on the CIPP evaluation model（Context evaluation，Input evaluation，Process evaluation，Product evaluation），the first draft of the evaluation index system was drafted by literature review and questionnaire survey. After that，the indexes were added，deleted and modified through two rounds of Delphi expert consultation from September to November 2022，and the index weights were determined by hierarchical analysis. Results A total of 18 experts were consulted in two rounds consultation，and the questionnaire recovery rate was 89% and 100% respectively. The authority coefficient of experts in the second round was 0.969，and the Kendall’s harmony coefficient was 0.241（P<0.05）. The evaluation index system of training bases for emergency specialty nurses finally constructed，including four primary indicators（basic conditions，training resources，implementation of training，effectiveness of training），17 secondary indicators and 49 tertiary indicators. Conclusion The evaluation index system of training bases for emergency specialty nurses constructed in this study is scientific，reasonable and comprehensive，and can provide references for the assessment，evaluation and recertification of the bases.

Key words: Emergency, Delphi Technique, Specialty nurse, Training base, Evaluation index

李春燕, 黄萍, 王晓静, 付逸超, 周田田, 何静静. 急诊急救专科护士培训基地评价指标的构建[J]. 中华护理教育, 2024, 21(7): 780-787.

LI Chunyan, HUANG Ping, WANG Xiaojing, FU Yichao, ZHOU Tiantian, HE Jingjing. Construction of an evaluation index system of training bases for emergency specialty nurses[J]. Chinese Journal of Nursing Education, 2024, 21(7): 780-787.

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参考文献 18

[1]	张绍果, 牛娟娟, 弓玉红. 糖尿病专科护士临床培训基地准入评价指标体系的构建[J]. 护理研究, 2021, 35(2):189-194.
[2]	贺启莲. 儿科专科护士临床培训基地准入指标体系的研究[D]. 重庆: 重庆医科大学, 2009.
	He QL. Study on the access index system of clinical training base for pediatric nurses[D]. Chongqing: Chongqing Medical University, 2009.
[3]	Stufflebeam DL, Madaus GF, Kellaghan T. Evaluation models:viewpoints on educational and human services evaluation[M]. 2nd ed. Boston: Kluwer Academic Publisher,2000:280-287.
[4]	梁桂兴, 丁美祝, 骆丽娜, 等. 基于CIPP及柯氏模型优化 “互联网+中医护理”护士培训的行动研究[J]. 中华医学教育探索杂志, 2021, 20(8):971-976.
	Liang GX, Ding MZ, Luo LN, et al. Action research on optimizing nurse training of “Internet + TCM nursing” based on CIPP and Kirkpatrick Model[J]. Chin J Med Educ Res, 2021, 20(8):971-976.
[5]	方海云, 沈曼璇, 林哲欣, 等. 基于CIPP理论的高级实践护士培训教学质量评价方案构建[J]. 现代临床护理, 2023, 22(5):57-63.
	Fang HY, Shen MX, Lin ZX, et al. Design of a quality evaluation system for training of advance practice nurses based on CIPP theory[J]. Mod Clin Nurs, 2023, 22(5):57-63.
[6]	毛亚男, 王东梅, 孙云飞, 等. CIPP评价模式在护理教育中的应用与展望[J]. 护理学杂志, 2018, 33(11):111-113.
	Mao YN, Wang DM, Sun YF, et al. A review of the Context,Input,Process,and Product Evaluation Model(CIPP) in nursing education[J]. J Nurs Sci, 2018, 33(11):111-113.
[7]	李春燕, 黄萍, 何静静, 等. 急诊急救专科护士培训基地运行现状调查[J]. 护理学杂志, 2023, 38(6):80-83.
	Li CY, Huang P, He JJ, et al. Investigation on operation status of training base for emergency nurses specialist[J]. J Nurs Sci, 2023, 38(6):80-83.
[8]	郭秀花. 医学现场调查技术与统计分析[M]. 北京: 人民卫生出版社,2009:58-61,274-275.
[9]	季学丽, 张阳春, 姜丽丽, 等. 急诊卒中、创伤、胸痛救治中心的建设与效果[J]. 中国急救复苏与灾害医学杂志, 2019, 14(12):1235-1238.
	Ji XL, Zhang YC, Jiang LL, et al. Construction and effect of emergency treatment center for stroke,trauma and chest pain[J]. China J Emerg Resusc Disaster Med, 2019, 14(12):1235-1238.
[10]	王焕东. 胸痛中心专科护士岗位胜任力培训大纲的构建研究[D]. 郑州: 郑州大学, 2017.
[11]	白洁, 刘云娥, 白珀, 等. 脑卒中专科护士核心能力评价指标体系的构建[J]. 护理管理杂志, 2021, 21(3):217-223.
	Bai J, Liu YE, Bai P, et al. Construction of evaluation index system for the core competence of stroke specialist nurses[J]. J Nurs Adm, 2021, 21(3):217-223.
[12]	丁炎明, 吴欣娟, 王秀英, 等. 我国地市级以上护理学会专科护士培训的调查研究[J]. 中华护理杂志, 2020, 55(5):747-750. doi: 10.3761/j.issn.0254-1769.2020.05.023
	Ding YM, Wu XJ, Wang XY, et al. Investigation on training of specialized nurses developed by nursing associations at all levels in China[J]. Chin J Nurs, 2020, 55(5):747-750. doi: 10.3761/j.issn.0254-1769.2020.05.023
[13]	蒋琪霞, 彭青, 王建荣. 基于典型病例的伤口造口失禁专科护士临床实践培训[J]. 中华护理教育, 2021, 18(4):293-297.
	Jiang QX, Peng Q, Wang JR. The effects of training based on typical cases for specialty nurses of wound,ostomy and continence[J]. Chin J Nurs Educ, 2021, 18(4):293-297.
[14]	赵芳, 邢秋玲, 张文馨, 等. 专科护士师资同质化培养策略与思考[J]. 中国实用护理杂志, 2022, 38(27):2081-2084.
	Zhao F, Xing QL, Zhang WX, et al. Strategies and thoughts on the homogenization training of specialized nurse teachers[J]. Chin J Pract Nurs, 2022, 38(27):2081-2084.
[15]	廖再波, 王锐莉, 胡春艳, 等. 互联网背景下我国专科护士培训及考核的现状与思考[J]. 护士进修杂志, 2021, 36(7):664-667.
	Liao ZB, Wang RL, Hu CY, et al. Current situation and thinking of training and assessment of specialized nurses in China under the background of Internet[J]. J Nurses Train, 2021, 36(7):664-667.
[16]	赵月月, 张丽, 杨亚新, 等. ECMO专科护士培训方案的构建[J]. 护理学杂志, 2022, 37(9):69-73.
	Zhao YY, Zhang L, Yang YX, et al. Development of a program for training nurse specialist in ECMO[J]. J Nurs Sci, 2022, 37(9):69-73.
[17]	常红, 赵洁, 范凯婷, 等. 脑卒中专科护士理论培训课程体系的构建与初步评价[J]. 中国实用护理杂志, 2023, 39(5):355-362.
	Chang H, Zhao J, Fan KT, et al. Construction and preliminary evaluation of stroke nursing specialist theoretical training curriculum system[J]. Chin J Pract Nurs, 2023, 39(5):355-362.
[18]	滕冬梅, 李霞, 王俊莉, 等. 消化内镜专科护士培训中应用目标反馈教学的效果研究[J]. 中华医学教育探索杂志, 2022, 21(9):1244-1247.
	Teng DM, Li X, Wang JL, et al. Effects of objective feedback applied in specialist nurses training of digestive endoscopy[J]. Chin J Med Educ Res, 2022, 21(9):1244-1247.