ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 ›› 2026, Vol. 23 ›› Issue (8): 910-916.doi: 10.3761/j.issn.1672-9234.2026.08.002

• 专题策划——专科护士人才培养与使用 • 上一篇    下一篇

综合医院专科护士实践能力评价指标的构建与应用

徐双燕(), 兰美娟*(), 赵华, 孙红玲, 刘婧, 林丹妮, 袁天漫, 骆立康   

  1. 浙江大学医学院附属第二医院护理部 杭州市 310000
  • 收稿日期:2026-01-21 出版日期:2026-08-15 发布日期:2026-08-14
  • 通讯作者: *兰美娟，E-mail：lanmj@zju.edu.cn
  • 作者简介:徐双燕：女，本科，副主任护师，E-mail：daisy1978@zju.edu.cn
    第一联系人：

    徐双燕：研究设计和论文撰写；兰美娟：研究和论文指导；赵华：研究设计和质量控制；孙红玲：研究设计和实施；刘婧、林丹妮：研究实施和数据收集；袁天漫：统计分析；骆立康：系统开发与技术支持。

Construction and application of practical competency evaluation indicators for specialty nurses in general hospitals

XU Shuangyan(), LAN Meijuan*(), ZHAO Hua, SUN Hongling, LIU Jing, LIN Danni, YUAN Tianman, LUO Likang   

  1. Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
  • Received:2026-01-21 Online:2026-08-15 Published:2026-08-14
  • Contact: *LAN Meijuan，E-mail：lanmj@zju.edu.cn

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摘要：

目的 构建适用于综合医院的专科护士实践能力评价指标，并评价其科学性和实用性。方法 通过文献回顾、专家论证会及专家函询构建专科护士实践能力评价指标，并开发信息化评价系统嵌入医院护理管理系统。于2025年对浙江省某三级甲等综合医院348名专科护士进行年度评价，分析其评价结果，并调查其对该评价指标和评价过程的满意度及其激励作用。结果 2轮专家函询问卷有效回收率为100%（n=16），专家函询权威系数为0.900，第2轮专家函询一、二级指标的肯德尔和谐系数分别为0.320、0.518（均P<0.05）。最终构建的评价指标包含专科临床实践、教学实践、管理实践、研究实践、专业拓展5个维度。参评专科护士实践能力评价得分为78（71，85）分，对评价指标和评价过程的总体满意度为95.78%，实践行为激励强度条目均分为（4.32±0.76）分。结论 构建的综合医院专科护士实践能力评价指标具有较好的科学性与实用性，能够引导专科护士提升实践能力，为专科护士的精细化管理提供有效工具。

关键词: 专科护士, 实践能力, 评价指标, 信息化

Abstract:

Objective To establish evaluation indicators for practical competency of specialty nurses in general hospitals and to evaluate its scientific validity and practicality. Methods The practical competency evaluation indicators for specialty nurses were constructed through literature review，expert panel discussions，and Delphi expert surveys. An information-based evaluation system was then developed and integrated into the hospital nursing management system. In 2025，an annual evaluation was conducted among 348 specialized nurses in a tertiary Grade A general hospital in Zhejiang Province. The evaluation results were analyzed，and their satisfaction with the evaluation indicators and process，as well as the motivational effects of the indicators，were investigated. Results The effective recovery rate of the two rounds of expert consultation questionnaires were both 100%（n=16）. The authority coefficient of expert consultation was 0.900，and the Kendall harmony coefficients for the first-level and second-level indicators in the second round of expert consultation were 0.320 and 0.518，respectively（P<0.05）. The final evaluation indicator system was ultimately established，encompassing five dimensions：specialized clinical practice，teaching practice，management practice，research practice，and professional expansion. The 2025 evaluation scores of the participating specialty nurses were 78（71，85） points，with an overall satisfaction rate of 95.78% for the evaluation indicators and process. The average score for professional behavior incentive intensity was 4.32±0.76 points. Conclusion The practical competency evaluation indicators of specialty nurses demonstrates good scientific validity and practicality. It can guide specialty nurses to improve their practice competencies and serves as an effective tool for their refined management.

Key words: Specialty Nurses, Practical Competency, Evaluation Indicator, Informatization