护理学报 ›› 2023, Vol. 30 ›› Issue (18): 11-16.doi: 10.16460/j.issn1008-9969.2023.18.011
基于三维结构理论构建安宁疗护专科护士再认证评价体系
吕娜a, 许凤琴b, 孙永梅a, 吴倩c, 洪慧c
- 徐州医科大学附属连云港医院 连云港市第一人民医院 a.肿瘤科; b.护理部; c.安宁疗护,江苏 连云港 222061
摘要： 目的 构建安宁疗护专科护士再认证评价体系,规范安宁疗护专科护士阶段性管理。方法 本研究基于“结构-过程-结果”理论,运用文献回顾法、半结构访谈,形成安宁疗护专科护士再认证评价指标草案。采用德尔菲法对全国24名专家开展2轮函询,构建安宁疗护专科护士再认证评价指标体系,并运用层次分析法确定评价指标权重。结果 安宁疗护专科护士再认证评价体系包括一级指标3项、二级指标11项、三级指标47项。2轮专家函询问卷有效回收率分别为96%、100%,专家权威系数分别为0.881、0.902,肯德尔和谐系数分别为0.204、0.249（均P<0.05）。结论 构建的安宁疗护专科护士再认证评价体系,融入安宁疗护专科特色,并将评价指标量化,具有科学性、可靠性和可操作性,为安宁疗护专科护士再认证提供有效的评价方法。
中图分类号:
- R48
| [1] Lyerly HK, Fawzy MR, Aziz Z,et al.Regional variation in identified cancer care needs of early-career oncologists in China,India, and Pakistan[J]. Oncologist,2015,20(5):532-538. DOI:10.1634/theoncologist.2014-0213. [2] 中华人民共和国国家卫生和计划生育委员会.对十二届全国人大五次会议第1356号建议的答复[EB/OL]. (2017-12-21)[2022-03-21].http://www.nhc.gov.cn/zwgk/jianyi/201712/3a814f3f0ce8469d9719f246dee29e43.shtml. [3] 和芳,何瑞仙.安宁疗护专科护士认证和再认证发展现状[J].中华护理杂志,2021,56(4):623-628.DOI:10.3761/j.issn.0254-1769.2021.04.025. [4] 魏春苗,穆燕.国内专科护士再认证的可行性分析[J].护理学杂志,2014,29(24):76-79.DOI:10.3870/hlxzz.2014.24.076. [5] 顾海平,林征,李薇. 专科护士再认证评价体系的构建研究[J].中华现代护理杂志,2016, 22(33):4763-4768.DOI:10.3760/cma.j.issn.1674-2907.2016.33.007. [6] Ayanian JZ, Markel H.Donabedian's lasting framework for health care quality[J].N Engl J Med,2016,375(3):205-207.DOI:10.1056/NEJMp1605101. [7] 寇京莉,岳敏,马丽娜,等.基于Donabedian模型的护理教学案例库评价指标体系的构建[J].中华现代护理杂志, 2021,27(16):2107-2112.DOI:10.3760/cma.j.cn115682-20200921-05461. [8] International Council Of Nurse.2020-advanced practice nursing (APN) guidelines[EB/OL].(2020-12-31)[2022-03-21]. https://www.icn.ch/nursing-policy/regulation-and-education. [9] Nursing Midwifery Council. Register as a nurse or midwife if you trained outside the UK[EB/OL].(2022-03-16)[2022-04-08]. https://www.nmc.org.uk/registration/joining-the-register/register-nurse-midwife/trained-outside-uk/. [10] Hospice and Palliative Nurses Association. Certified hospice and palliative nurse (CHPN) recertification[EB/OL]. (2022 -03 -31)[2022 -04 -08].https://advancingexpertcare. org/chpn. [11] Australia Nurse Association. Registration standard: endorsement as a nurse practitioner[EB/OL].(2016-06-01) [2021-11-22]. https://www.nursingmidwiferyboard.gov.au/Registration-and-Endorsement.aspx. [12] Canadian Nurses Association.Renewal process [EB/OL].(2022-03-31)[2022-04-08].https://www.cna-aiic.ca/en/certification/renewing-your-certification/renewal-process. [13] 日本护理协会. 专业护士(Certified nurse specialist)[EB/OL].[2021-11-22].https://www.nurse.or.jp/nursing/education/nintei/index.html. [14] Coyne I, Comiskey CM, Lalor JG, et al.An exploration of clinical practice in sites with and without clinical nurse or midwife specialists or advanced nurse practitioners,in Ireland[J].BMC Health Serv Res,2016,26(16):151. DOI:10.1186/s12913-016-1412-8. [15] Kilpatrick K, Tchouaket E, Carter N, et al.Structural and process factors that influence clinical nurse specialist role implementation[J].Clin Nurse Spec,2016, 30(2):89-100. DOI:10.1097/NUR.0000000000000182. [16] Hittle K.Understanding certification, licensure, and credentialing: a guide for the new nurse practitioner[J]. J Pediatr Health Care,2010,24(3):203-206. DOI:10.1016/j.pedhc.2009.09.006. [17] Marzalik PR, Feltham KJ, Jefferson K, et al.Midwifery education in the U.S. - certified nurse-midwife, certified midwife and certified professional midwife[J]. Midwifery,2018(60):9-12. DOI:10.1016/j.midw.2018.01.020. [18] Whitehead L, Ghosh M, Walker DK, et al.The relationship between specialty nurse certification and patient, nurse and organizational outcomes:a systematic review[J]. Int J Nurs Stud,2019(93):1-11.DOI:10.1016/j.ijnurstu.2019.02.001. [19] 刘娇娇,李育玲,于静.静脉治疗专科护士培养与认证管理模式的构建[J].护理学报,2019,26(9):1-5. DOI:10.16460/j.issn1008-9969.2019.09.001. [20] 马红梅,陈湘玉,冯亚婷.专科护士的认证和再认证制度研究现状及思考[J].护理研究,2019,33(14):2449-2452. DOI:10.12102/j.issn.1009-6493.2019.14.018. [21] Kawaguchi T.Certified diabetes expert nurse and nurse educators in Japan[J]. Diabetes Res Clin Pract,2007,77(1):S205-207. DOI:10.1016/j.diabres.2007.01.058. [22] Roberts J, Floyd S, Thompson S.The clinical nurse specialist in New Zealand: how is the role defined?[J]. Nurs Prax N Z,2011,27(2):24-35. [23] Rounds LR, Zych JJ, Mallary LL.The consensus model for regulation of APRNs: implications for nurse practitioners[J]. J Am Assoc Nurse Pract,2013, 25(4):180-185. DOI:10.1111/j.1745-7599.2013.00812.x. [24] Smith LC, Watson H, Fair L, et al.Evidence-based practices in developing and maintaining clinical nurse preceptors: an integrative review[J].Nurse Educ Today,2022,117:105468. DOI:10.1016/j.nedt.2022.105468. [25] 蔡立柏,刘延锦,郭玉茹,等.骨科康复护理质量评价指标的构建[J].中华护理杂志, 2021,56(4):508-514.DOI:10.3761/j.issn.0254-1769.2021.04.005. [26] 王秋婷,魏琳,刘杨晨,等.中医专科护士核心能力评价指标体系的构建[J].护理学报, 2022,29(4):1-6. DOI:10.16460/j.issn1008-9969.2022.04.001. [27] Conway A, Rolley J, Page K, et al.Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory: a modified Delphi study[J]. J Adv Nurs,2014,70(5):1040-1053. DOI:10.1111/jan.12337. [28] Chan TE, Lockhart JS, Schreiber JB, et al.Determining nurse practitioner core competencies using a Delphi approach[J]. J Am Assoc Nurse Pract,2020,32(3):200-217. DOI:10.1097/JXX.0000000000000384. [29] 罗如珍,解文君,刘玉典,等.成年急性白血病化疗患者健康教育效果评价指标体系的构建[J].中华护理杂志,2019,54(10):1482-1487. DOI:10.3761/j.issn.0254-1769.2019.10.007. [30] 刘莹昕,刘飒,王威尧. 层次分析法的权重计算及其应用[J]. 沈阳大学学报(自然科学版),2014,26(5):372-375. DOI:10.3969/j.issn.2095-5456.2014.05.007. [31] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32. DOI:10.16460/j.issn1008-9969.2020.09.027. [32] 谌永毅,成琴琴,刘翔宇,等.护士在安宁疗护中的角色和地位[J].中国护理管理, 2018,18(3):311-315. DOI:10.3969/j.issn.1672-1756.2018.03.006. [33] 唐鹤淑,姚志清,张梅.英国口腔护士的发展对我国口腔专科护理的启示[J].护理研究,2019,33(18):3159-3162. DOI:10.12102/j.issn.1009-6493.2019.18.014. [34] 康洁,张青,杨红,等.消毒供应中心护士岗位胜任力评价指标的构建[J].中华护理杂志,2021,56(6):893-898. DOI:10.3761/j.issn.0254-1769.2021.06.015. [35] Wu C, Wu P,Li P, et al.Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study[J]. BMC Infect Dis,2021,21(1):791. DOI:10.1186/s12879-021-06402-2. |
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