Development and validation of a competency evaluation index system for nurse endoscopists with different stages performing endoscopy nursing in China: A modified Delphi study

IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Nurse Education Today Pub Date : 2024-09-16 DOI:10.1016/j.nedt.2024.106411
Liangyu Fang , Bingbing Wu , Peipei Wang , Laijuan Chen , Yinchuan Xu
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Abstract

Background

The advancement of endoscopic techniques has resulted in an increasing need for comprehensive competency in endoscopy nursing. However, there is currently no unified competency evaluation index system for nurse endoscopists in China.

Aims

To develop and validate of a competency evaluation index system for nurse endoscopists with different stages performing endoscopy nursing in China.

Design

A modified Delphi study.

Settings

Data were collected in a medical university affiliated hospital.

Participants

A total of 569 participants in different fields were included at various phases of this research.

Methods

The preliminary indicators were designed after conducting a literature review, semi-structured interviews and questionnaires. Two rounds of correspondence with 30 experts using the Delphi method were conducted to evaluate the content of the index followed by reliability and validity tests. The competency evaluation index system for nurse endoscopists at different stages was developed through expert meetings based on the Delphi consultation results according to the novice-to-expert model.

Results

After two rounds of Delphi method consultation, we have established 4 first-level indicators (‘Cognitive skill’, ‘Practice professional skills’, ‘Professional development skills’ and ‘Personal characteristics and inner qualities’) and 21 s-level indicators, which are the detailed description of first-level indicators. According to the index weight analysis, the four first-level indicators are ranked from the largest to the smallest as practical professional skills, cognitive skills, professional development skills, personal characteristics and intrinsic qualities. Three different stages of nurse endoscopists competency evaluation forms and criteria were developed: primary stage (New skilled), intermediate stage (Capable) and advanced stage (Expert).

Conclusions

The establishment of a competency evaluation index system based on the novice-to-expert model can accurately assess competency levels and help to effectively train the nurse endoscopists at different stages. Future research should focus on imbedding these competencies in nurse education.

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中国不同阶段内镜护理护士能力评价指标体系的开发与验证:改良德尔菲研究
背景随着内镜技术的发展,对内镜护理人员综合能力的要求也越来越高。方法通过文献综述、半结构式访谈和问卷调查,初步设计指标体系。采用德尔菲法与 30 位专家进行了两轮通信,对指标内容进行了评估,随后进行了信度和效度测试。结果经过两轮德尔菲法咨询,我们建立了4个一级指标("认知技能"、"实践专业技能"、"专业发展技能 "和 "个人特征与内在素质")和21个s级指标,这21个s级指标是对一级指标的详细描述。根据指标权重分析,四个一级指标从大到小依次为实践专业技能、认知技能、专业发展技能、个人特征和内在素质。结论建立基于从新手到专家模型的能力评价指标体系,能准确评价内镜护士的能力水平,有助于有效培养不同阶段的内镜护士。未来的研究应侧重于将这些能力纳入护士教育。
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来源期刊
Nurse Education Today
Nurse Education Today 医学-护理
CiteScore
6.90
自引率
12.80%
发文量
349
审稿时长
58 days
期刊介绍: Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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