目的 基于Donabedian质量理论构建护理硕士专业学位授予质量标准的指标体系。方法 基于Donabedian质量理论,检索国内外护理硕士专业学位授予质量标准的相关研究并进行系统评价及Meta分析构建指标体系初稿,经过2轮德尔菲专家函询确定指标条目,应用层次分析法确定指标权重,编制《护理硕士专业学位授予质量标准的量化评分表》对某校护理硕士专业学位研究生进行测试并检验其信度及区分度。结果 2轮专家函询问卷回收率为83%、100%;专家权威系数为0.800、0.825;肯德尔和谐系数为0.121（χ2=164.217,P<0.001）、0.147（χ2=144.411,P<0.001）;变异系数为0~0.226、0~0.214,最终构建的护理硕士专业学位授予质量标准的量化指标体系包括3个一级指标、9个二级指标、38个三级指标;一级指标权重系数分别为要素质量（W=0.333）、环节质量（W=0.333）、终末质量（W=0.333）。构建的量化指标区分度为0.621,克朗巴赫系数为0.871。结论 构建的护理硕士专业学位授予质量标准的指标体系具有较好的实用性,可科学合理的评价护理硕士专业学位研究生的培养质量。
Abstract
Objective To establish a quality standard indicator system for conferment of master's degree in nursing. Methods Based on the Donabedian model, domestic and international literature on quality standards for conferring master's degree in nursing were retrieved. Systematic review and meta-analysis of the literature were conducted to construct the preliminary indicator system. Two rounds of expert consultation with Delphi method were performed to determine the indicators, and Analytic Hierarchy Process was used to identify indicator weight. A "Scoring Table for Quality Standards in Conferment of Master's Degree in Nursing" was compiled to test its reliability and validity among nursing postgraduates in a specific institution. Results The recovery rate of the two rounds of expert correspondence was 83% and 100%; expert authority coefficient 0.800 and 0.825, and Kendall harmony coefficient 0.121 (χ2=164.217, P<0.001), and 0.147 (χ2=144.411, P<0.001), respectively; The coefficient of variation ranged from 0 to 0.226, and from 0 to 0.214. The final indicator system consisted of 3 first-level, 9 second-level and 38 third-level indexes. The weight coefficients of the first-level index were factor quality (W=0.333), link quality (W=0.333) and outcome quality (W=0.333). The differentiation of the constructed system was 0.621, and the Kronbach coefficient 0.871. Conclusion The quality standard indicator system for conferment of master's degree in nursing is practical, and it help evaluate the cultivation quality of nursing postgraduates scientifically.
关键词
护理硕士专业学位 /
Donabedian质量理论 /
学位授予 /
护理 /
量化指标
Key words
master's degree in nursing /
Donabedian model /
degree awarding /
nursing /
quantitative indicator
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基金
中国学位与研究生教育学会重点课题（2020MSA334）
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