以质量求发展,以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (23): 18-22.doi: 10.16460/j.issn1008-9969.2023.23.018

• 护理教育 • 上一篇    下一篇

新入职护士置信职业行为指标的构建

陈青青a, 孔玲a, 蒋珊b, 朱求丽c, 王燕d, 苏明霞e, 高丽芳f, 陈晶梅a   

  1. 厦门长庚医院 a.护理部; b.儿科; c.骨科; d.呼吸内科; e.妇产科; f.门诊,福建 厦门 361028
  • 收稿日期:2023-07-17 出版日期:2023-12-10 发布日期:2024-01-09
  • 作者简介:陈青青(1985-),女,福建厦门人,硕士,副主任护师。E-mail:Anniechen1127@163.com
  • 基金资助:
    厦门市自然科学基金项目(联合项目)(3502Z20227372)

Construction of indicators of entrustable professional activities for new nurses

CHEN Qing-qinga, KONG Linga, JIANG Shanb, ZHU Qiu-lic, WANG Yand, SU Ming-xiae, GAO Li-fangf, CHEN Jing-meia   

  1. a. Dept. of Nursing Administration; b. Dept. of Pediatrics; c. Dept. of Orthopedics; d. Dept. of Respiratory Medicine; e. Dept. of Obstetrics and Gynecology; f. Outpatient Clinic, Xiamen Chang Gung Hospital, Xiamen 361028, China
  • Received:2023-07-17 Online:2023-12-10 Published:2024-01-09

摘要: 目的 构建新入职护士置信职业行为指标。方法 本研究通过文献检索及小组讨论初步拟定专家函询问卷,采用德尔菲法于2022年12月-2023年3月对20名护理教育领域专家进行2轮函询。结果 在2轮专家函询中,专家的积极系数分别为90.9%和100%,专家权威系数均为0.883,专家协调系数分别为0.142和0.140(均P<0.05)。最终构建了10个新入职护士置信职业行为指标及其内容说明,并确定了新入职护士在不同阶段的预期置信级别。结论 基于德尔菲法构建的新入职护士置信职业行为指标具有科学性及可靠性,可为评价新入职护士的核心能力提供参考与依据。

关键词: 置信职业行为, 新入职护士, 德尔菲法, 胜任力

Abstract: Objective To construct the indicators of entrustable professional activities (EPAs) for new nurses. Methods In this study, an expert correspondence questionnaire was initially developed through literature review and group discussion, and 2 rounds of expert correspondence were conducted from December 2022 to March 2023 using the Delphi method with 20 experts in the field of nursing education. Results In the 2 rounds of expert correspondence, the positive coefficient of the experts was 90.9% and 100%, the coefficient of expert authority both 0.883, and the coefficient of expert harmonization 0.142 and 0.140, respectively (all P<0.05). Ten indicators of EPAs for new nurses and their content descriptions were constructed, and the expected entrustable levels of new nurses at different stages were determined. Conclusion The indictors of EPAs for new nurses based on the Delphi method are scientific and reliable, and can provide reference for evaluating the competency of new nurses.

Key words: entrustable professional activities, new nurse, Delphi method, competency

中图分类号: 

  • R47
[1] 中华人民共和国国家卫生和计划生育委员会. 国家卫生计生委办公厅关于印发《新入职护士培训大纲(试行)》的通知[J]. 中华人民共和国国家卫生和计划生育委员会公报, 2016(1):25-42.
[2] Richardson D, Kinnear B, Hauer KE, et al.Growth mindset in competency-based medical education[J].Med Teach, 2021,43(7):751-757.DOI:10.1080/0142159X.2021.1928036.
[3] Ten CO.Entrustability of professional activities and competency-based training[J]. Med Educ 2005,39(12):1176-1177.DOI:10.1111/j.1365-2929.2005.02341.x.
[4] Ten Cate O, Chen HC, Hoff RG, et al.Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99[J]. Med Teach, 2015,37(11):983-1002.DOI:10.3109/0142159X.2015.1060308.
[5] Watson A, Leroux T, Ogilvie-Harris D, et al. Entrustable professional activities in orthopaedics[J]. JB JS Open Access, 2021,6(2):e20.00010.DOI:10.2106/JBJS.OA.20.00010.
[6] Ehlinger C,Fernandez N,Strub M.Entrustable professional activities in dental education: a scoping review[J]. Br Dent J, 2023,234(3):171-176.DOI:10.1038/s41415-023-5503-8.
[7] Bramley AL,McKenna L.Entrustable professional activities in entry-level health professional education: a scoping review[J].Med Educ, 2021, 55(9):1011-1032.DOI:10.1111/medu.14539.
[8] Abeyaratne C, Galbraith K. A review of entrustable professional activities in pharmacy Education[J]. Am J Pharm Educ, 2023,87(3):ajpe8872.DOI:10.5688/ajpe8872.
[9] 陈心航,吴红斌,江哲涵,等.国际置信职业行为研究在医学教育中的发展与启示[J].中华医学教育杂志, 2020,40(12):945-950. DOI:10.3760/cma.j.cn115259-20201012-01447.
[10] 闻德亮,李鸿鹤,丁宁.置信专业活动的应用基础和研究进展[J].中华医学教育杂志, 2021,41(2):5.DOI:10.3760/cma.j.cn115259-20200517-00765.
[11] 冯莉莉,陈旭岩,张向阳,等.急诊住院医师置信职业行为指标构建及应用初探[J]. 中国毕业后医学教育, 2021,5(3):197-201.DOI:10.3969/j.issn.2096-4293.2021.03.002.
[12] 刘明,殷磊,马敏燕,等.注册护士核心能力测评量表结构效度验证性因子分析[J]. 中华护理杂志, 2008,3(43):204-206.
[13] Taylor DR, Park YS, Egan R, et al.EQual, a novel rubric to evaluate entrustable professional activities for quality and structure[J]. Acad Med, 2017, 92(11S):S110-S117.DOI:10.1097/ACM.0000000000001908.
[14] Ten Cate O.Nuts and bolts of entrustable professional activities[J]. J Grad Med Educ, 2013,5(1):157-158.DOI:10.4300/JGME-D-12-00380.1.
[15] Humphrey-Murto S, Varpio L, Wood TJ, et al.The Use of the delphi and other consensus group methods in medical education research: a review[J].Academic Medicine, 2017, 92(10):1491-1498.DOI:10.1097/ACM.0000000000001812.
[16] 杨淑芬,肖丽娜,刘佳,等.护理专业案例教学教师胜任力评价指标体系的构建研究[J]. 护理学报, 2023,30(10):11-15.DOI:10.16460/j.issn1008-9969.2023.10.011.
[17] 宁艳娇,徐国辉,冯亚静,等.新入职护士临床实践能力评价指标体系的构建[J]. 护理学报, 2023,30(17):11-15.DOI:10.16460/j.issn1008-9969.2023.17.011.
[18] Francischetti I, Holzhausen Y, Peters H.Entrustable professional activities for junior brazilian medical students in community medicine[J]. BMC Med Educ, 2022,22(1):737.DOI:10.1186/s12909-022-03762-4.
[19] 齐心,金哲,韩晓宁,等.住院医师置信职业行为指标的构建研究[J].中华医学教育杂志, 2021,41(2):104-108.DOI:10.3760/cma.j.cn115259-20201117-01599.
[20] 穆莉,王琤,齐心,等.手术室新入职护士置信职业行为指标的构建研究[J].中华医学教育杂志, 2023, 03:226-230.DOI:10.3760/cma.j.cn115259-20220620-00805.
[21] 黄浩,焦雨晨,嵇艳.三级综合医院急诊科护士置信职业行为指标的构建与验证[J].中华护理杂志, 2023, 58(9):1096-1103. DOI:10.3761/j.issn.0254-1769.2023.09.011.
[22] 屈京楼,朱亚鑫,曲波.德尔菲法在医学教育研究中的应用[J].中华医学教育杂志, 2019,39(3):227-230.DOI:10.3760/cma.j.issn.1673-677X.2019.03.017.
[23] 李雪阳,宋润珞,陈海燕,等.护理领域中可信赖专业活动的范围综述[J].中华护理杂志, 2021,56(7):1098-1104.DOI:10.3761/j.issn.0254-1769.2021.07.024.
[24] 鹿笑寒,宋洁,刘霖,等.本科护理实习生老年护理置信职业行为评价指标体系的构建[J].中华护理教育, 2022, 19(29):779-785.DOI:10.3761/j.issn.1672-9234.2022.09.002.
[1] 郭林芳, 张培莉, 侯晓雅, 李滢, 曹敏, 高超越. 肝癌化疗患者线上线下结合营养干预方案的构建[J]. 护理学报, 2025, 32(4): 1-5.
[2] 田美雨, 王翠玲, 高若男, 田佳, 刘怡. 妇科肿瘤科护士性健康照护培训方案的构建[J]. 护理学报, 2025, 32(4): 18-23.
[3] 陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28.
[4] 全伊萍, 陈霞, 胡琼丹. 脑心健康管理师核心胜任力评价指标体系的构建[J]. 护理学报, 2024, 31(9): 5-9.
[5] 陈芮, 王梅, 唐晓霞, 朱傲雪, 毛惠娜. 基于ERG理论的免疫检查点抑制剂治疗癌症患者护理需求方案的构建[J]. 护理学报, 2024, 31(7): 1-5.
[6] 罗霞, 刘玉萍, 帅平, 关华, 杨华, 姚晓琴. 体检护士能力绩效考核方案的构建[J]. 护理学报, 2024, 31(5): 30-33.
[7] 陈坚, 项丽君, 罗彦嗣, 陈建辉, 崔艳丽, 廖琳, 颜明玉, 张晓梅. 脑卒中后吞咽障碍患者“互联网+”延续性康复管理方案的构建[J]. 护理学报, 2024, 31(24): 1-6.
[8] 李小梅, 陶明, 李茜茜, 李琳琳, 李春. 基于症状管理理论神经源性膀胱患者自我管理干预方案的构建[J]. 护理学报, 2024, 31(22): 61-66.
[9] 关亚萍, 郑薇亮, 孙丽军, 陈媛, 丁洁莹, 许佳佳. 护士主导的心脏直视术后患者早期四级活动方案的构建[J]. 护理学报, 2024, 31(22): 67-72.
[10] 张国春, 李海云, 褚梁梁, 程雪, 王君芝. 产科护士围产期姑息照护知信行量表的编制及信效度检验[J]. 护理学报, 2024, 31(2): 6-11.
[11] 刘慧敏, 姜蕾. 深圳市助产士核心胜任力培训优化策略的质性研究[J]. 护理学报, 2024, 31(2): 40-43.
[12] 邹兆华, 卿伟, 朱茂才, 张继权, 易子涵, 胡秀. 连续性肾脏替代治疗护理敏感质量指标体系的构建[J]. 护理学报, 2024, 31(2): 70-74.
[13] 罗铎麟, 杨春清, 高萍, 胡清文, 徐小群. 2型糖尿病心理痛苦量表的汉化及信效度检验[J]. 护理学报, 2024, 31(19): 24-30.
[14] 张丽, 李付华, 古小改, 郝娜, 王丹丹, 关美琪. 炎症性肠病专科护士培训方案的构建[J]. 护理学报, 2024, 31(19): 31-36.
[15] 刘雨溦, 张培莉, 侯晓雅, 高超越. 健康老龄化视角下护理专业学位研究生多层次培养路径构建[J]. 护理学报, 2024, 31(19): 37-41.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!