三级综合医院成人ICU低年资护士置信职业行为评价指标的构建与初步应用研究

doi:10.3761/j.issn.1672-9234.2026.03.014

中华护理教育 ›› 2026, Vol. 23 ›› Issue (3): 343-349.doi: 10.3761/j.issn.1672-9234.2026.03.014

三级综合医院成人ICU低年资护士置信职业行为评价指标的构建与初步应用研究

张登科¹(), 黄燕梅²^,^*(), 成守珍², 余惠³, 邝焕明¹

1.广州市红十字会医院重症医学科广州市 510240
2.中山大学附属第一医院护理部广州市 510080
3.广州市红十字会医院烧伤整形科广州市 510240

收稿日期:2025-09-11 出版日期:2026-03-15 发布日期:2026-03-17
通讯作者: *黄燕梅，E-mail：hymei@mail.sysu.edu.cn
作者简介:张登科：男，硕士，护师，E-mail：1345260554@qq.com
基金资助:
中山大学附属第一医院柯麟护理人才培育计划项目(2023CE01)

Construction and validation of entrustable professional activities evaluation index for adult ICU junior nurses in tertiary general hospitals

ZHANG Dengke¹(), HUANG Yanmei²^,^*(), CHENG Shouzhen², YU Hui³, KUANG Huanming¹

1. ICU，Guangzhou Red Cross Hospital，Guangzhou 510240，China
2. Department of Nursing，the First Affiliated Hospital of Sun Yat-sen University，Guangzhou 510080，China
3. Department of Burns and Plastic Surgery，Guangzhou Red Cross Hospital，Guangzhou 510240，China

Received:2025-09-11 Online:2026-03-15 Published:2026-03-17
Contact: *HUANG Yanmei，E-mail：hymei@mail.sysu.edu.cn
Supported by:
Kelin Nursing Talent Development Program Project of the First Affiliated Hospital of Sun Yat-sen University(2023CE01)

摘要/Abstract

摘要：

目的构建三级综合医院成人ICU低年资护士置信职业行为评价指标体系，为评价三级综合医院成人ICU低年资护士岗位胜任力提供参考。方法通过文献检索及德尔菲法确定成人ICU低年资护士置信职业行为评价指标，并于2024年10月—12月使用成人ICU护士置信职业行为临床评价表对广州市2所三级综合医院108名成人ICU护士进行初步应用，以验证评价指标的可行性。结果 2轮函询专家积极系数均为100%，专家权威系数分别为0.82、0.87，肯德尔和谐系数分别为0.092、0.182（P<0.05）。最终形成了13项成人ICU低年资护士置信职业行为指标条目及说明。临床初步验证提示成人ICU低年资护士的置信职业行为得分为（95.76±17.45）分，且监督者反馈指标体系具有良好的可操作性。结论三级综合医院成人ICU低年资护士置信职业行为指标能够比较全面反映成人ICU低年资护士的核心能力，可为成人ICU低年资护士的胜任力培训及评价提供参考依据。

关键词: 重症监护病房, 德尔菲技术, 置信职业行为, 评价

Abstract:

Objective To construct an evaluation index system for Entrustable Professional Activities（EPA） of junior nurses in adult ICU of tertiary general hospitals，and provide reference for competency assessment. Methods Through literature review and the Delphi method，the evaluation indexes for EPA of adult ICU junior nurses were determined. From October to December 2024，the clinical evaluation form for EPA of junior nurses in adult ICU was used to conduct a preliminary application among 108 ICU nurses in two tertiary general hospitals in Guangzhou to verify the feasibility of the evaluation index system. Results The positive response rate of experts in both rounds of consultation was 100%，the expert authority coefficient was 0.82 and 0.87，and the Kendall’s coefficient of concordance was 0.092 and 0.182（P<0.05）. Finally，13 items of EPA evaluation indexes and their explanations for adult ICU junior nurses were formed. The preliminary clinical validation indicated that the score of EPA of adult ICU junior nurses was（95.76±17.45） points，and the supervisors considered that the index system had good operability. Conclusion The EPA evaluation index system for junior nurses in adult ICU can comprehensively and accurately reflect their core competencies，and thus provide a reference for their competence training and assessment.

Key words: Intensive Care Unit, Delphi Technique, Entrustable Professional Activities, Evaluation

张登科, 黄燕梅, 成守珍, 余惠, 邝焕明. 三级综合医院成人ICU低年资护士置信职业行为评价指标的构建与初步应用研究[J]. 中华护理教育, 2026, 23(3): 343-349.

ZHANG Dengke, HUANG Yanmei, CHENG Shouzhen, YU Hui, KUANG Huanming. Construction and validation of entrustable professional activities evaluation index for adult ICU junior nurses in tertiary general hospitals[J]. Chinese Journal of Nursing Education, 2026, 23(3): 343-349.

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参考文献 22

[1]	陈凤, 陈香萍, 庄一渝, 等. 参与共治在ICU护理管理中的实践[J]. 中华医院管理杂志, 2020, 36(6):508-510.
	Chen F, Chen XP, Zhuang YY, et al. Practice of shared gover-nance in ICU nursing management[J]. Chin J Hosp Adm, 2020, 36(6):508-510.
[2]	段思雨, 侯铭, 丁敏, 等. 低年资护士工作成长现状及影响因素分析[J]. 中华护理杂志, 2024, 59(7):848-853. doi: 10.3761/j.issn.0254-1769.2024.07.012
	Duan SY, Hou M, Ding M, et al. The current status and influen-cing factors of thriving at work among junior nurses[J]. Chin J Nurs, 2024, 59(7):848-853.
[3]	彭华, 李倩, 贺连香, 等. 重症监护专业护士核心能力综合评估表的编制与评价[J]. 中国现代医学杂志, 2014, 24(25):109-112.
	Peng H, Li Q, He LX, et al. Compilation and evaluation of core competence comprehensive evaluation table for intensive care nurses[J]. China J Mod Med, 2014, 24(25):109-112.
[4]	吕春晓. 综合病例下站点式考核模式培训在提高ICU新入职护士护理能力中的作用[J]. 中医药管理杂志, 2021, 29(20):127-128.
	Lü CX. The role of site-based assessment model training under comprehensive cases on improving the nursing ability of new nurses in ICU[J]. J Tradit Chin Med Manag, 2021, 29(20):127-128.
[5]	徐凡凡, 蒋羽, 唐文娟. 迷你临床演练评估在重症监护室护士规范化培训中的应用[J]. 医院管理论坛, 2017, 34(8):59-61.
	Xu FF, Jiang Y, Tang WJ. Application of mini clinical evalua-tion exercise in new nurses’ standardized training in intensive care unit[J]. Hos Manag Forum, 2017, 34(8):59-61.
[6]	Green ML, Aagaard EM, Caverzagie KJ, et al. Charting the road to competence:developmental milestones for internal medicine residency training[J]. J Grad Med Educ, 2009, 1(1):5-20. doi: 10.4300/01.01.0003
[7]	Ten Cate O. Entrustability of professional activities and com-petency-based training[J]. Med Educ, 2005, 39(12):1176-1177. doi: 10.1111/med.2005.39.issue-12
[8]	Baghus A, Giroldi E, Muris J, et al. Identifying entrustable pro-fessional activities for shared decision making in postgraduate medical education:a national Delphi study[J]. Acad Med, 2021, 96(1):126-133. doi: 10.1097/ACM.0000000000003618
[9]	黄浩, 焦雨晨, 嵇艳. 三级综合医院急诊科护士置信职业行为指标的构建与验证[J]. 中华护理杂志, 2023, 58(9):1096-1103. doi: 10.3761/j.issn.0254-1769.2023.09.011
	Huang H, Jiao YC, Ji Y. Construction and verification of entru-stable professional activities for nurses in emergency depart-ments of tertiary general hospitals[J]. Chin J Nurs, 2023, 58(9):1096-1103.
[10]	穆莉, 王琤, 齐心, 等. 手术室新入职护士置信职业行为指标的构建研究[J]. 中华医学教育杂志, 2023, 43(3):226-230.
	Mu L, Wang C, Qi X, et al. Development of the entrustable professional activities for operating room new entrant nurses[J]. Chin J Med Educ, 2023, 43(3):226-230.
[11]	鹿笑寒, 宋洁, 刘霖, 等. 本科护理实习生老年护理置信职业行为评价指标体系的构建[J]. 中华护理教育, 2022, 19(9):779-785.
	Lu XH, Song J, Liu L, et al. Establishment of the evaluation index system of the entrustable professional activities in geriatric nursing interns[J]. Chin J Nurs Educ, 2022, 19(9):779-785.
[12]	王筝扬, 黄一琳, 万姗姗, 等. 德雷福斯模型在临床能力评估与教学中应用的启示[J]. 中华医学教育杂志, 2021, 41(11):1038-1041.
	Wang ZY, Huang YL, Wan SS, et al. The elicitation of Dreyfus model in medical education and training of clinical skills in China[J]. Chin J Med Educ, 2021, 41(11):1038-1041.
[13]	朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(五)证据临床转化研究中的文献质量评价[J]. 护士进修杂志, 2020, 35(11):996-1000.
	Zhu Z, Hu Y, Zhou YF, et al. Promotion evidence to clinical transformation:evidence resource retrieval for the purpose of clinical transformation[J]. J Nurses Train, 2020, 35(11):996-1000.
[14]	Ten Cate O, Chen HC, Hoff RG, et al. Curriculum develop-ment for the workplace using Entrustable Professional Activi-ties(EPAs):AMEE Guide No.99[J]. Med Teach, 2015, 37(11):983-1002. doi: 10.3109/0142159X.2015.1060308
[15]	何易, 梅菁, 谢斐, 等. 住院患者护理存在量表的汉化及信度效度检验[J]. 中国护理管理, 2024, 24(8):1164-1169.
	He Y, Mei J, Xie F, et al. Sinicization,reliability and validity of the Nursing Presence Scale for Hospitalized Patients[J]. Chin Nurs Manag, 2024, 24(8):1164-1169.
[16]	张榆. 宫颈癌患者支持性照护方案的构建及初步应用[D]. 重庆: 重庆医科大学, 2022.
	Zhang Y. Construction and application of supportive care pro-gram for cervical cancer patients[D]. Chongqing: Chongqing Medical University, 2022.
[17]	Ten Cate O, Young JQ. The patient handover as an entrustable professional activity:adding meaning in teaching and practice[J]. BMJ Qual Saf, 2012, 21(Suppl 1):i9-i12. doi: 10.1136/bmjqs-2012-001213
[18]	吴雪花, 徐芙蓉, 肖华梅, 等. 区域医联体医院ICU护士核心能力现状及影响因素研究[J]. 护理学杂志, 2024, 39(15):60-64.
	Wu XH, Xu FR, Xiao HM, et al. Core competencies and its influencing factors among ICU nurses in regional medical consortium hospitals[J]. J Nurs Sci, 2024, 39(15):60-64.
[19]	孙虹, 李彩福. 吉林省ICU护士核心能力现状及影响因素分析[J]. 重庆医学, 2016, 45(34):4887-4889.
	Sun H, Li CF. Analysis of the status quo and influencing factors of ICU nurses’ core competence in Jilin Province[J]. Chongqing Med, 2016, 45(34):4887-4889.
[20]	李娟生, 李江红, 刘小宁, 等. Kendall’s W分析方法在医学数据处理中的应用及在SPSS中的实现方法[J]. 现代预防医学, 2008, 35(1):33,42.
	Li JS, Li JH, Liu XN, et al. The application of Kendall’s W analysis method in medical data processing and its imple-mentation in SPSS[J]. Mod Prev Med, 2008, 35(1):33,42.
[21]	张曦, 陈美榕, 许碧芳, 等. 福建省12所医院ICU护士核心胜任力现状及影响因素研究[J]. 中国护理管理, 2019, 19(3):404-409.
	Zhang X, Chen MR, Xu BF, et al. Competency and the related factors of ICU nurses from 12 hospitals in Fujian Province[J]. Chin Nurs Manag, 2019, 19(3):404-409.
[22]	高彩萍, 周以婕, 吕剑虹, 等. 国内外ICU重症患者家属健康教育需求及宣教策略的研究进展[J]. 国际护理学杂志, 2022, 41(9):1723-1727.
	Gao CP, Zhou YJ, Lü JH, et al. Research progress on health education needs and publicity and education strategy of family members of ICU patients at home and abroad[J]. Int J Nurs, 2022, 41(9):1723-1727.

三级综合医院成人ICU低年资护士置信职业行为评价指标的构建与初步应用研究

Construction and validation of entrustable professional activities evaluation index for adult ICU junior nurses in tertiary general hospitals

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