安宁疗护专科护士培训内容的构建

doi:10.3761/j.issn.1672-9234.2020.09.002

摘要/Abstract

摘要：

目的构建安宁疗护专科护士培训内容,为国内安宁疗护专科护士的培训和考核提供依据。方法在文献回顾和访谈的基础上初步拟定培训大纲,采用德尔菲法对15名安宁疗护专家进行2轮咨询,根据专家的意见及建议进行修改,最终构建了安宁疗护专科护士培训内容。结果 2轮函询问卷有效回收率均为100%,专家的权威系数为0.92,2轮函询后各级条目协调系数分别为0.250、0.315、0.395。最终确定的安宁疗护专科护士培训内容包括6个模块、34个项目、81个分项目;总学时为360学时,其中理论培训77学时,情境模拟练习56学时,临床实践227学时。结论安宁疗护专科护士培训内容完善,构建科学合理,可靠性和权威性较高。

关键词: 临终关怀医疗, 在职培训, 德尔菲技术, 专科护士

Abstract:

Objective To construct standardized and systematic training contents for hospice specialist nurses,so as to provide basis for professional training and assessment in China. Methods The framework of training courses was preliminarily developed on the basis of literature review and interviews. Two rounds of Delphi method were then conducted with 15 hospice nursing experts. According to the experts opinions and suggestions,the training contents of hospice specialist nurses were finally completed. Results The effective response rates of two-round consultation were both 100%.The expert’s authority coefficient was 0.92,and the Kendall’s coordination coefficient of various indicators after two rounds of consultation were 0.250,0.315 and 0.395,respectively.The training contents finally included 6 first-level items,34 second-level items and 81 third-level items. The time for theoretical training,scenario simulation,and clinical practice were 77 hours,56 hours,and 227 hours,respectively with a total number of 360 hours. Conclusion The contents of nursing training course are complete,scientific and reasonable,reliable and authoritative.

Key words: Hospice Care, Inservice Training, Delphi Technique, Specialty nurse

樊溶榕,李旭英,黄新娟,李金花,谭艳. 安宁疗护专科护士培训内容的构建[J]. 中华护理教育, 2020, 17(9): 779-784.

FAN Rong-rong,LI Xu-ying,HUANG Xin-juan,LI Jin-hua,TAN Yan. Establishment of training system for hospice care nurses[J]. Chinese Journal of Nursing Education, 2020, 17(9): 779-784.

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参考文献 18

[1]	许湘华, 李旭英, 沈波涌, 等. 安宁疗护专科护士培训的实践[J]. 中国护理管理, 2019,19(10):1513-1517.
[2]	中国日报网. 国家卫健委:今年将安宁疗护试点工作扩大到71个市区[EB/OL]. ( 2019-06-12)[2019-12-17]. https://baijiahao.baidu.com/s?id=1636110244995626717&wfr=spider&for=pc.
[3]	National Hospice and Palliative Care Organization.Hospice care[EB/OL]. [2019-12-17]. https://www.nhpco.org/about/hospice-care.
[4]	National Cancer Institute. Hospicecare[EB/OL]. [2019-12-17].https://www.cancer.gov/about-cancer/advanced-cancer/care-choices/hospice-fact-sheet.
[5]	国家卫生计生委办公厅. 国家卫生计生委办公厅关于印发安宁疗护实践指南（试行）的通知[EB/OL]. (2017-02-08)[2019-12-17]. http://www.nhc.gov.cn/yzygj/s3593/201702/3ec857f8c4a244e69b233ce2f5f270b3.shtml.

[6]	老龄健康司. 国家卫生健康委办公厅关于开展第二批安宁疗护试点工作的通知[EB/OL]. (2019-12-05)[2019-12-17]. http://www.nhc.gov.cn/lljks/s7785/201912/efe3ed3d9dce4f519bc7bba7997b59d8.shtml.
[7]	谌永毅, 成琴琴, 刘翔宇, 等. 护士在安宁疗护中的角色和地位[J]. 中国护理管理, 2018,18(3):311-315.
[8]	Sekse RJT, Hunskår I, Ellingsen S. The nurse’s role in palliative care:a qualitative meta-synjournal[J]. J Clin Nurs, 2018,27(1/2):e21-e38. DOI: 10.1111/jocn.13912. doi: 10.1111/jocn.2018.27.issue-1pt2
[9]	韩鸽鸽, 陈长英, 史岩, 等. 国外安宁疗护护士核心能力研究及培训现状对我国的启示[J]. 中国护理管理, 2019,19(5):796-800.
[10]	王婧婷, 吴傅蕾, 张颖婷, 等. 2017版NCCN肿瘤患者安宁疗护临床实践指南要点解读[J]. 上海护理, 2017,17(5):9-12.
[11]	黄钰清, 陈国连, 王自梅, 等. 某医院肿瘤科护士对安宁疗护的认知现状及影响因素分析[J]. 中国护理管理, 2019,19(3):368-372.
[12]	李雪, 彭青, 苏建萍, 等. 安宁疗护护士核心能力评价指标体系的构建[J]. 中国医药导报, 2019,16(8):161-164.
[13]	李维瑜, 刘静, 余桂林, 等. 知信行理论模式在护理工作中的应用现状与展望[J]. 护理学杂志, 2015,30(6):107-110.
[14]	Warnke J, Thirlwell S. End-of-life experiential learning for newly licensed nurses[J]. J Contin Educ Nurs, 2014,45(3):106-107. doi: 10.3928/00220124-20140224-12
[15]	Wilson O, Avalos G, Dowling M. Knowledge of palliative care and attitudes towards nursing the dying patient[J]. Br J Nurs, 2016,25(11):600-605. doi: 10.12968/bjon.2016.25.11.600 pmid: 27281593
[16]	王世伟, 李潇, 任思姚, 等. 长春市医务人员对患者安宁疗护的态度调查[J]. 医学与社会, 2019,32(4):95-97,109.
[17]	吴燕铭, 张巩轶, 李惠玲. 死亡观念转变与安宁疗护事业发展的辩证思考[J]. 护士进修杂志, 2019,34(14):1337-1341.
[18]	唐鲁, 周玲君, 李玉香, 等. 死亡教育课程方案的设计及实施[J]. 中华护理杂志, 2015,50(2):223-229.