發(fā)布時(shí)間：2018-05-05 05:39

  本文選題：內(nèi)鏡護(hù)士 + 培訓(xùn)��； 參考：《吉林大學(xué)》2017年碩士論文

【摘要】：目的:根據(jù)文獻(xiàn)回顧、經(jīng)驗(yàn)借鑒及現(xiàn)狀調(diào)查的結(jié)果,嘗試構(gòu)建消化內(nèi)鏡護(hù)士培訓(xùn)知識體系并確定各指標(biāo)權(quán)重,為消化內(nèi)鏡護(hù)士的培訓(xùn)提供系統(tǒng)的方案和內(nèi)容,同時(shí)為我國消化內(nèi)鏡護(hù)士培訓(xùn)知識體系的統(tǒng)一提供參考。方法:1.成立研究小組,對文獻(xiàn)進(jìn)行回顧,并通過訪談2名消化內(nèi)鏡醫(yī)生、2名消化內(nèi)鏡高年資護(hù)士和2名消化內(nèi)鏡護(hù)士長了解我國消化內(nèi)鏡護(hù)士培訓(xùn)的現(xiàn)狀和不足,形成知識條目池,提煉消化內(nèi)鏡護(hù)士培訓(xùn)知識模塊,調(diào)查168名消化內(nèi)鏡護(hù)士的培訓(xùn)需求,細(xì)化知識條目,形成消化內(nèi)鏡護(hù)士培訓(xùn)知識體系初稿。2.應(yīng)用德爾菲法分別于2016年7月和2016年10月對符合選取條件的15名專家進(jìn)行兩輪專家函詢,通過對函詢結(jié)果進(jìn)行統(tǒng)計(jì)和分析,不斷修改和篩選體系條目,最終確定消化內(nèi)鏡護(hù)士培訓(xùn)知識體系。3.運(yùn)用層次分析法構(gòu)造判斷矩陣,計(jì)算培訓(xùn)體系中各指標(biāo)的權(quán)重值,并利用概論乘法的原理,計(jì)算各指標(biāo)的組合權(quán)重,評價(jià)各指標(biāo)在體系中的重要程度。結(jié)果:1.所選取的函詢專家共15名,來自于三個(gè)不同的省份,分別從事消化內(nèi)鏡臨床護(hù)理、臨床醫(yī)學(xué)、護(hù)理管理、醫(yī)學(xué)教育等相關(guān)工作,專家的判斷系數(shù)為0.9333,熟悉系數(shù)為0.8963,權(quán)威系數(shù)為0.9148。2.兩輪專家函詢的問卷回收率均為100%,提出意見的專家比例分別為66.67%和6.67%,專家意見的協(xié)調(diào)系數(shù)分別為0.356和0.171。3.第一輪專家函詢中,`X4的條目有14項(xiàng),S1的條目有2項(xiàng),CV20%的條目有15項(xiàng),專家意見涉及到25項(xiàng)指標(biāo)。第二輪專家函詢中各指標(biāo)的`X、S以及CV均符合指標(biāo)納入條件,專家意見涉及到1項(xiàng)指標(biāo)。4.最終確立的消化內(nèi)鏡護(hù)士培訓(xùn)知識體系包括9個(gè)一級指標(biāo)、39個(gè)二級指標(biāo)、142個(gè)三級指標(biāo)。5.一級指標(biāo)的權(quán)重排序如下:消化內(nèi)鏡檢查的護(hù)理配合為0.200、消化內(nèi)鏡的清洗消毒為0.200、消化內(nèi)鏡手術(shù)的護(hù)理配合為0.194、消化內(nèi)鏡護(hù)士的職業(yè)安全為0.124、消化內(nèi)鏡護(hù)理輔助知識為0.076、消化內(nèi)鏡診療的護(hù)患溝通為0.076、消化內(nèi)鏡護(hù)士的職業(yè)發(fā)展為0.050、消化內(nèi)鏡護(hù)理基礎(chǔ)為0.050、消化內(nèi)鏡護(hù)理概論為0.029。結(jié)論:1.本研究所選取的函詢專家權(quán)威程度高,專家意見的協(xié)調(diào)程度較好,具有代表性,函詢結(jié)果具有可靠性和科學(xué)性。2.消化內(nèi)鏡護(hù)士培訓(xùn)知識體系包括消化內(nèi)鏡護(hù)理概論、消化內(nèi)鏡護(hù)理基礎(chǔ)、消化內(nèi)鏡護(hù)理輔助知識、消化內(nèi)鏡檢查的護(hù)理配合、消化內(nèi)鏡手術(shù)的護(hù)理配合、消化內(nèi)鏡的清洗消毒、消化內(nèi)鏡護(hù)士的職業(yè)安全、消化內(nèi)鏡護(hù)士的職業(yè)發(fā)展以及消化內(nèi)鏡診療的護(hù)患溝通9個(gè)方面的內(nèi)容,權(quán)重設(shè)置較為合理,具有可行性和系統(tǒng)性。
[Abstract]:Objective: according to the review of literature, experience and the results of current investigation, we try to construct the training knowledge system of endoscopy nurses and determine the weight of each index, so as to provide a systematic scheme and content for the training of endoscopy nurses. At the same time, it provides a reference for the unification of the training knowledge system of digestive endoscopy nurses in China. Method 1: 1. A research group was set up to review the literature, and through interviews with 2 endoscopy doctors and 2 senior nurses and 2 head nurses of digestive endoscopy to understand the current situation and deficiencies of the training of endoscopy nurses in China, a pool of knowledge items was formed. Abstract the training knowledge module of digestive endoscope nurses, investigate the training needs of 168 endoscope nurses, refine the items of knowledge, and form the first draft of the knowledge system of digestive endoscopy nurses training. 2. In July 2016 and October 2016, the Delphi method was used to carry out two rounds of expert letters to 15 experts who met the selection criteria. Through the statistical analysis of the results of the letters, the entries of the system were constantly revised and screened. Finally determine the digestive endoscopy nurses training knowledge system. 3. The judgment matrix is constructed by AHP and the weight of each index in training system is calculated. The combined weight of each index is calculated by using the principle of general multiplication and the importance of each index in the system is evaluated. The result is 1: 1. A total of 15 experts were selected from three different provinces, who were engaged in the clinical nursing of digestive endoscopy, clinical medicine, nursing management, medical education and other related work. The judgment coefficient of experts was 0.9333, the familiarity coefficient was 0.8963, and the authority coefficient was 0.9148.2. The recovery rate of the two rounds of questionnaire is 100, the proportion of experts who give their opinions is 66.67% and 6.67 respectively, and the coordination coefficient of expert opinions is 0.356 and 0.171.3 respectively. In the first round of expert letters, there were 14 items in `X4 / S1, 2 items in CV20% and 15 items in 20% of the items, and the expert opinion related to 25 indicators. In the second round of expert letters, the indicators'Xs and CV are eligible for inclusion, and the expert opinion relates to one indicator. 4. The established knowledge system of endoscopy nurses training includes 9 first class indexes, 39 second class indexes and 142 third level indexes. The weights of the first class index are as follows: nursing cooperation of digestive endoscopy is 0.200, cleaning and disinfection of digestive endoscopy is 0.200, nursing cooperation of digestive endoscopy operation is 0.194, occupational safety of digestive endoscope nurses is 0.124, nursing assistance of digestive endoscopy is 0.194. The knowledge was 0.076, the nurse-patient communication of digestive endoscopy was 0.076, the professional development of digestive endoscope nurses was 0.050, the basis of digestive endoscopy nursing was 0.050, and the general introduction of digestive endoscopy nursing was 0.029. Conclusion 1. The experts selected in this study have a high degree of authority and good coordination of expert opinions. The results of the inquiry are reliable and scientific. 2. The training knowledge system of digestive endoscopy nurses includes the introduction of digestive endoscopy nursing, the basis of digestive endoscope nursing, the assistant knowledge of digestive endoscope nursing, the nursing cooperation of digestive endoscope examination, the nursing cooperation of digestive endoscope operation, the cleaning and disinfection of digestive endoscope. The occupational safety of digestive endoscope nurses, the professional development of digestive endoscope nurses and the communication between patients and nurses in the diagnosis and treatment of digestive endoscopy are reasonable, feasible and systematic.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R47

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本文編號：1846473