【摘要】：目的:本研究擬在通過德爾菲法和層次分析法構(gòu)建神經(jīng)內(nèi)科�？谱o士核心能力指標體系,為神經(jīng)內(nèi)科�？谱o士的課程設(shè)置、培養(yǎng)方法及認證等提供參考依據(jù),有針對性培養(yǎng)�？谱o理人才,提高護理服務(wù)質(zhì)量,促進神經(jīng)內(nèi)科�？谱o理的建設(shè)和發(fā)展。方法:本研究通過文獻研究、問卷調(diào)查、頭腦風(fēng)暴法、半結(jié)構(gòu)式訪談、德爾菲法等構(gòu)建神經(jīng)內(nèi)科�？谱o士核心能力指標體系的各級維度和條目,計算函詢專家的權(quán)威系數(shù)、積極系數(shù)、專家意見的集中程度以及協(xié)調(diào)系數(shù),通過層次分析法確立各指標的權(quán)重系數(shù),最終形成神經(jīng)內(nèi)科�？谱o士核心能力指標體系。結(jié)果:通過2輪專家函詢構(gòu)建的神經(jīng)內(nèi)科�？谱o士核心能力指標體系包括6個一級指標、19個二級指標、74個三級指標。第一輪、第二輪問卷回收率分別為95.23%和100%,均70%,專家的積極性高。本研究的專家權(quán)威系數(shù)(Cr)為0.935,專家判斷系數(shù)(Ca)為0.90,專家熟悉程度(Cs)為0.97,研究認為專家權(quán)威系數(shù)(Cr)≥0.7說明專家的信度較高,因此我們邀請的函詢專家權(quán)威程度高,函詢結(jié)果可靠。專家意見集中程度用各級指標重要性賦值的均數(shù)、標準差、滿分比和變異系數(shù)來表示,本研究各指標均數(shù)在4.2~5之間,每個指標的均數(shù)均3.5;標準差在0~0.83之間,滿分比在40%~100%,有93.75%的指標滿分比超過60%,變異系數(shù)在0~0.2之間,變異系數(shù)均0.25;專家意見集中程度較高;各級指標的專家協(xié)調(diào)程度分析顯示,一級、二級、三級指標的肯德爾和諧系數(shù)(Kendall W)分別為0.298、0.352、0.201,經(jīng)卡方檢驗計算出P值均0.05,表明具有統(tǒng)計學(xué)意義。經(jīng)層次分析法計算出的一級指標權(quán)重值(Wi)前三位分別是“臨床�？浦R、技能”、“臨床護理思維能力”、“管理與執(zhí)行能力”。二級指標組合權(quán)重值(Wij)前三位分別是“掌握神經(jīng)內(nèi)科常見疾病基礎(chǔ)醫(yī)學(xué)知識:定義、病因、臨床表現(xiàn)、治療原則”、“掌握神經(jīng)內(nèi)科疾病的癥狀體征的護理:評估、病情觀察、治療要點、護理措施”、“評判性思維”。結(jié)論:本研究專家一致性好、專家權(quán)威程度高,函詢結(jié)果可靠,可以為進一步研究神經(jīng)內(nèi)科�？谱o士課程設(shè)置、培養(yǎng)方法及認證等提供參考依據(jù)。對一級指標權(quán)重賦值排序可見�？谱o士核心能力中“臨床�？浦R、技能”、“臨床護理思維能力”以及“管理與執(zhí)行能力”是重點。
[Abstract]:Objective: to construct the core competence index system of nurses in neurology department by Delphi method and analytic hierarchy process (AHP), so as to provide reference for curriculum design, training method and certification of nurses in neurology department. Training specialized nursing talents, improving the quality of nursing service and promoting the construction and development of specialized nursing in neurology department. Methods: through literature research, questionnaire investigation, brainstorming, semi-structured interview, Delphi's method, the dimensions and items of core competence index system of nurses in neurology department were constructed, and the authority coefficient of inquiring experts was calculated. Positive coefficient, concentration degree of expert opinion and coordination coefficient, the weight coefficient of each index was established by analytic hierarchy process, and finally the index system of core competence of nurses in neurology department was formed. Results: the core competence index system of nurses in neurology department was constructed by two rounds of expert inquiry. The index system included 6 first-grade indexes, 19 second-class indexes and 74 third-grade indexes. In the first round and the second round, the recovery rates were 95.23% and 100, respectively. The expert authority coefficient (Cr) is 0.935, the expert judgement coefficient (Ca) is 0.90, and the expert familiarity degree (Cs) is 0.97. The study shows that the expert authority coefficient (Cr) 鈮，

本文編號：2159788