急诊专科护士培训指标和定量标准

Man Jiang, Xin Ao
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引用次数: 0

摘要

目的构建急诊专科护士质量评价标准培训体系,保障急诊专科护士质量培训的顺利开展和质量培训。方法首先,根据系统理论和平衡计分卡法设计指标框架结构;同时,通过文献分析和对培训特点的回顾,编制了相应的定量标准指标。其次,通过咨询专家和统计计算收集筛选指标。采用层次分析法(AHP)计算指标权重系数。结果(1)构建了三级指标体系,level-Ⅰ维度有4个指标,level-Ⅱ维度和level-Ⅲ维度分别有13个指标和34个指标;(2)专家判断系数为0.840,熟悉度系数为0.914,权威性系数为0.877,三轮协调系数分别为0.456、0.553、0.715;(3)备选量化标准中至少有56项指标;(4)两种培训课程中指标体系的α信度值无显著差异(P >0.05)。在对同一培训课程的两组护士进行检查时也观察到相同的结果(P >0.05)。结论本研究通过科学的筛选和验证,建立了客观、可靠、易于操作、具有代表性的急诊专科护士质量评价标准培训体系。因此,除了促进健康之外,该系统还可以为ENS培训提供质量评估和有针对性改进的基础。
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Training indicators and quantitative criteria for emergency nurse specialists

Objective

By constructing a training system of quality evaluation standards for emergency nurse specialist (ENS), we can ensure smooth operations and quality training for ENS.

Methods

First, the frame structure of indicators was designed on the basis of system theory and the balanced scorecard method. Meanwhile, corresponding quantitative standard indicators were compiled through literature analysis and a review of training characteristics. Next, screening indicators were collected through consultation with experts and statistical calculations. The indicators weight coefficient was calculated using the analytic hierarchy process (AHP). Finally, indicators were validated in two groups of nurses in two different training courses.

Results

(1) We created a three-level indicator system: level-Ⅰ dimensions have 4 indicators, while level-Ⅱ dimensions and level-Ⅲ dimensions have 13 and 34 indicators, respectively; (2) The coefficient of expert's judgment is 0.840, familiarity is 0.914 and authority is 0.877, and the three rounds of coordination coefficient are 0.456, 0.553 and 0.715, respectively; (3) There are at least 56 indicators in alternative quantitative standards; and (4) The alpha reliability value of the indicator system in the two training course had no significant difference (P > 0.05). The same result was observed when examining two groups of nurses in one training course (P > 0.05).

Conclusions

This study established a training system of quality evaluation standards for emergency nurse specialists that is objective, reliable, easy to operate and representative according to scientific selection and verification. This system can therefore provide a basis for quality evaluation and targeted improvement for ENS training in addition to promoting health.

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