收稿日期: 2022-12-30
网络出版日期: 2023-11-17
基金资助
2023年浙江省医药卫生科技计划(2023KY840)
A systematic review of the evaluation tools for core competencies of head nurses based on COSMIN guidelines
目的 总结国内外护士长核心能力评价工具，并系统评价其方法学质量及测量属性质量，以期为护士长的科学选拔、人才培养提供参考。方法 系统检索PubMed、Embase、Web of Science核心合集、CINAHL、中国知网、万方、维普、中国生物医学文献数据库中与护士长核心能力评价工具相关的研究，检索时限为建库至2023年3月31日。应用基于共识的健康测量工具遴选标准（consensus-based standards for the selection of health measurement instruments，COSMIN）偏倚风险评价清单对各工具的方法学质量及测量属性质量进行评价。结果 共纳入11种护士长核心能力评价工具，包括3种综合能力评价工具和8种专项能力评价工具；其中，10种为自评式评价工具。10种自评式评价工具均为B级推荐。结论 相较之下，护士长变革型领导力自评量表相对质量较好，可暂被推荐。目前护士长核心能力的概念尚未统一，尚未发现成熟、具有综合性和针对性的护士长核心能力评价工具。建议未来进一步明确符合我国医院特征的护士长核心能力的概念和内容，开发质量较好的护士长核心能力评价工具。
王锦云 , 杨丽黎 , 俞杰 , 吴琛 , 杨恒 . 护士长核心能力评价工具的方法学质量和测量属性系统评价[J]. 中华护理教育, 2023 , 20(11) : 1347 -1354 . DOI: 10.3761/j.issn.1672-9234.2023.11.011
Objective To comprehensively collect core competencies evaluation tools for head nurses at home and abroad，and systematically evaluate the methodological and psychometric properties quality of them，in order to provide a reference for the scientific selection and training of head nurses. Methods We systematically searched PubMed，Embase，Web of Science Core Collection，CINAHL，CNKI，Wanfang Data，VIP and CBM to collect studies about core competencies evaluation tools for head nurses from the time of database establishment to March 31，2023. The content of each tool was extracted，and Consensus-based Standards for the selection of health Measurement Instruments（COSMIN） was used to evaluate the quality of tools. Results A total of 11 core competence evaluation tools for head nurses were included，including three comprehensive ability evaluation tools and eight specific ability evaluation tools. Among the 11 evaluation tools，there are 10 self-evaluation tools. All of the ten self-evaluation tools were recommended at grade B. Conclusion The head nurses’ transformational leadership self-appraised scale has better quality than other scales，which can be temporarily recommended. At present，the concept of the core competencies of head nurses has not been unified. A mature，comprehensive and targeted core competence evaluation tool for head nurses has not been found. We suggest that in the future，we should further clarify the concept and content of the core competencies of head nurses in line with the characteristics of Chinese hospitals，and develop a related high-quality evaluation tool.
Key words： Head nurses; Core competencies; Evaluation tools; Systematic review
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