本科学历新入职护士临床轮转考核评价体系的构建

doi:10.3761/j.issn.1672-9234.2021.03.009

摘要/Abstract

摘要：

目的构建本科学历新入职护士临床轮转期间全过程考核评价体系。方法通过文献回顾、专家小组讨论初步拟定指标条目,采用德尔菲法,选取从事临床护理（带教）工作、护理管理工作、护理教育工作等领域符合纳入标准的18名专家,进行2轮专家函询。结果 2轮专家函询问卷回收率分别为90%和100%,2轮专家权威系数均为0.886,2轮专家函询Kendall’s W值分别为0.213和0.210（均P<0.05）。最终形成新入职护士轮转考核评价体系包含一级指标8项,二级指标29项,并对考核方式、工具及时机给出建议。结论本研究构建的本科学历新入职护士临床轮转考核评价体系,具有一定的可靠性、科学性、实用性,可为新入职护士培训、临床实践综合能力评价提供工具,为管理者培训和选拔人才提供参考。

关键词: 在职培训, 教育考核, 德尔菲技术, 新入职护士, 临床轮转

Abstract:

Objective To develop a clinical rotation evaluation system for nurses undergoing standardized training. Methods Through literature review and expert group discussion,the preliminary items were designed. By using the Delphi method,18 experts in the field of clinical nursing（teaching）,nursing management,and nursing education were selected and two rounds of expert letter consultation were consulted. Results The recovery rates of the 2 rounds consultation were 90% and 100%,respectively. The Cr was 0.886,and the Kendall’s W were 0.213 and 0.210 respectively（all P<0.05）. The final clinical rotation evaluation system for nurses included 8 first-level indicators and 29 second-level indicators. Besides,suggestions on assessment methods,tools and timing were all proposed. Conclusion The clinical rotation evaluation system is reliable,scientific and practical,which can provide a tool for clinical comprehensive ability assessment for nurses undergoing standardized training and provides reference for managers to train and select talents.

Key words: Inservice Training, Educational Measurement, Delphi Technique, New nurse, Clinical rotation

韩现红,丁春戈,鲁丰华,刘延锦. 本科学历新入职护士临床轮转考核评价体系的构建[J]. 中华护理教育, 2021, 18(3): 235-239.

HAN Xian-hong,DING Chun-ge,LU Feng-hua,LIU Yan-jin. Development of the clinical rotation evaluation system for newly recruited nurses with a bachelor’s degree[J]. Chinese Journal of Nursing Education, 2021, 18(3): 235-239.

图/表 2

参考文献 12

[1]	姜小鹰, 刘敦. 临床护士规范化培训现状与需求分析[J]. 中国护理管理, 2012,12(1):50-52.
	Jiang XY, Liu D. Clinical nurses’ standardization training status and needs[J]. Chin Nurs Manag, 2012,12(1):50-52.
[2]	徐瑾, 张红亚, 施小红, 等. 新护士护理技能规范化培训的研究进展[J]. 中华现代护理杂志, 2015,21(12):1472-1474.
	Xu J, Zhang HY, Shi XH, et al. Research progress on standardized training of nursing skills for new nurses[J]. Chin J Mod Nurs, 2015,21(12):1472-1474.
[3]	索佩珩, 徐翠荣. 新入职护士规范化培训评价的研究现状与思考[J]. 护士进修杂志, 2019,34(6):513-515.
	Suo PH, Xu CR. Current situation and consideration of standardized trainingevaluation for new nurses[J]. J Nurses Train, 2019,34(6):513-515.
[4]	Mircioiu C, Atkinson J. A comparison of parametric and non-parametric methods applied to a Likert scale[J]. Pharmacy(Basel), 2017,5(2):26. DOI: 10.3390/pharmacy5020026.
[5]	徐蔼婷. 德尔菲法的应用及其难点[J]. 中国统计, 2006,32(9):57-59.
	Xu AT. Application and difficulties of Delphi method[J]. China Stat, 2006,32(9):57-59.
[6]	曾光. 现代流行病学方法与应用[M]. 北京: 中国协和医科大学联合出版社, 1994.
	Zeng G. Modern epidemiological methods and applications[M]. Beijing: the Union Press of China Union Medical University, 1994.
[7]	张炳江. 层次分析法及其应用案例[M]. 北京: 电子工业出版社, 2014.
	Zhang BJ. Analytic hierarchy process and its application[M]. Beijing:Publishing House of Electronics Industry, 2014.
[8]	郝艳青, 孙铮. 基于柯氏模型的继续护理学教育效果评价指标体系的构建研究[J]. 中华护理教育, 2014,11(9):645-649.
	Hao YQ, Sun Z. Development of the effect evaluation index system for continuing nursing education based on Kirkpatrick model[J]. Chin J Nurs Educ, 2014,11(9):645-649.
[9]	贾东点, 李来有, 陈璐, 等. 护理人员科研能力与需求的调查分析[J]. 护理实践与研究, 2020,17(5):1-4.
	Jia DD, Li LY, Chen L, et al. Investigation and analysis of scientific research ability and needs of nursing staff[J]. Nurs Pract Res, 2020,17(5):1-4.
[10]	李慧芬, 王超, 张璐, 等. 我国护士科研能力相关文献计量学分析[J]. 国际护理学杂志, 2020,39(9):1573-1576.
	Li HF, Wang C, Zhang L, et al. Bibliometric analysis of literature related to nurses’ scientific research competency in China[J]. Int J Nurs, 2020,39(9):1573-1576.
[11]	国家卫生计生委办公厅. 关于印发《新入职护士培训大纲（试行）》的通知[EB/OL]. （2016-02-16）. http://www.nhc.gov.cn/yzygj/s3593/201602/91b5a8fa3c9a45859b036558a5073875.shtml.
[12]	丁炎明, 吴欣娟, 刘飞, 等. 三级综合医院新护士规范化培训的现状调查[J]. 中华护理杂志, 2020,55(3):331-336.
	Ding YM, Wu XJ, Liu F, et al. Investigation on the status of standardized training for new nurses in tertiary general hospitals in China[J]. Chin J Nurs, 2020,55(3):331-336.

[1]	陈媛, 吴林静, 喻海燕, 王历刚. 心血管专科护士再评价管理体系的构建研究[J]. 中华护理教育, 2024, 21(9): 1126-1131.
[2]	姜园园, 曹英娟, 管祥云, 张锦欣, 王美娟, 李黎. 以胜任力为导向的临床护士呼吸治疗培训目标与内容的构建研究[J]. 中华护理教育, 2024, 21(8): 968-975.
[3]	陶琳, 易银萍, 蒋秋焕, 张红梅, 李黎明, 荆婵, 杜晓宁. 营养支持专科护士临床教学基地建设的探索[J]. 中华护理教育, 2024, 21(7): 801-806.
[4]	白亚爽, 张增梅, 李胜云, 金子, 张淑利. 机器人辅助手术的护士培训方案构建及应用[J]. 中华护理教育, 2024, 21(5): 517-524.
[5]	邹颖, 徐梦琦, 阮甜甜, 丁原, 朱凌燕. 原位模拟在护士气道管理培训中的应用进展[J]. 中华护理教育, 2024, 21(4): 506-512.
[6]	盖莹, 李唱, 张继敏, 耿小婷, 姜海龙, 李淑英, 郭艳巍. 妊娠期糖尿病产妇产后随访清单的构建与应用[J]. 中华护理教育, 2024, 21(4): 389-396.
[7]	张建, 井杰, 盖玉彪, 薛雪, 刘庆伟, 魏丽丽, 张宇辰, 李尊柱, 孙建华, 刘艳妍, 罗红波. ICU护士急性皮肤衰竭护理知信行现状及影响因素分析[J]. 中华护理教育, 2024, 21(3): 336-341.
[8]	吴捷, 李梦瑶, 闫德修, 章雅青, 张媛媛. 新入职护士基本理论知识培训慕课的开发及应用[J]. 中华护理教育, 2024, 21(2): 140-144.
[9]	张岩, 秦元梅, 刘姝, 杨艳明, 钟远, 邹小燕. 中医医院新入职本科护士培训考核评价指标的构建[J]. 中华护理教育, 2024, 21(2): 145-151.
[10]	刘佳惠, 李金花, 李旭英, 陈婕君, 李星凤, 王婧, 胡美华. 肿瘤专科医院新入职护士培训目标清单的构建[J]. 中华护理教育, 2024, 21(2): 152-158.
[11]	张雪玲, 肖烨, 张少颖, 杨静萍, 林菁菁, 黄敏芳, 林蓉金. 高危妊娠孕产妇全程照护培训方案的构建[J]. 中华护理教育, 2023, 20(9): 1084-1089.
[12]	刘婧, 封秀琴, 陈祎兰. 应急梯队护士培训方案的构建与应用[J]. 中华护理教育, 2023, 20(9): 1090-1094.
[13]	刘翔宇, 郭俊晨, 朱丽辉, 谌永毅, 肖亚洲, 丁炎明. 安宁疗护专科护士培训线上教学实践及效果评价[J]. 中华护理教育, 2023, 20(9): 1034-1037.
[14]	何静静, 黄萍, 李春燕, 周田田. 三级医院临床护士灾害护理分层培训方案的构建[J]. 中华护理教育, 2023, 20(7): 829-834.
[15]	黄家懿, 吴志山, 姜丽萍. 三级医院ICU护士连续性肾脏替代治疗培训现状及需求调查研究[J]. 中华护理教育, 2023, 20(7): 835-839.