以护士核心能力为基础的儿科护理岗位职责评价标准的构建*

摘要

Objective To construct evaluation standards for pediatric nursing responsibility. Methods With the method of expert enquiry for Delphi, coefficient of variation of each index through expert grading and Kendall W′s coordination coefficient were used to test the coordination degree in opinions among experts. After the coefficient of larger variation and lower weight were removed , the elements of nursing duty were ranked based on the weight by using hierarchy analysis method. Results The established practical pediatric nurses responsibility evaluation standard consisted of 3 modules, with 11 dimensions and 33 items. The Cr expert authority coefficient was between 0.77~0.90, with an average of 0.88. The variation coefficient of each index was low, ranging between 0.013 0.135 (<0.25). The Kendall W′s coordination coefficients of the primary, secondary and tertiary indicators were 0.482, 0.552 and 0.438, respectively, with significant differences in the coordination coefficient (P<0.001). Conclusion The experts are active and authoritative in participating in the standard establishment and they highly agreed on the standard , which indicates that the established the standard is reliable in a higher degree.%目的：探讨构建以护士核心能力为基础的儿科护理岗位职责评价标准。方法采用德尔菲法方法，通过专家对各指标评分的变异系数和Kendall′s W协调系数来检验专家意见的协调程度；去除专家变异系数大及权重低的条目；并通过层级分析法，决定各要素的重要程度进行排序，建立适用于儿科护士岗位职责评价标准。结果儿科护理岗位职责评价标准共分3个项目，11个维度，33个条目的测评量表。专家的权威系数Cr在0．77～0．90，平均为0．88。专家对各项指标的变异系数较小，维持在0．013～0．136（＜0．25）；一级指标、二级指标、三级指标的Kendall′s W协调系数分别为0．482、0．552、0．438，协调系数比较，差异有统计学意义（P＜0．001）。专家一致性高。结论本研究参与的专家积极性、专家权威程度较高，专家对儿科护理岗位职责审核标准结果的一致程度均较高，评价标准体系的可信程度较高，在儿科护理岗位职责评价中具有应用及参考价值。