社区全科护士岗位胜任力评价指标体系的构建

邓婷 蒋小剑 刘娟 向婷婷

〔摘要〕 目的 構建社区全科护士岗位胜任力评价指标体系，为今后我国社区全科护士的培养、评价和认证提供参考依据。方法 采用文献分析法，初步构建社区全科护士岗位胜任力评价指标体系的初稿。采用德尔菲法对15位来自社区护理领域、从事社区护理、社区护理管理、社区护理教育等领域的专家进行2轮函询。运用层次分析法计算各指标权重。结果 2轮函询的专家积极系数均为100%，专家权威系数分别为0.906和0.933，2轮专家意见协调程度Kendall's W系数分别为0.394和0.401（P>0.05）。建立了一个包括6个一级指标、30个二级指标、99个三级指标的社区全科护士岗位胜任力评价指标体系，一级指标权重为0.152～0.178，二级指标权重为0.012～0.062，三级指标的权重为0.002～0.047。一致性检验值均小于0.1，说明权重值设置有效。结论 本研究构建了社区全科护士岗位胜任力评价指标体系，为社区全科护士的培养、考核以及评价等提供了重要的参考依据。

〔关键词〕 社区全科护士;岗位胜任力;评价指标体系;德尔菲法

〔中图分类号〕R248       〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.05.016

Construction of Competency Evaluation Index System of Community General Nurses

DENG Ting1，2， JIANG Xiaojian1*， LIU Juan3， XIANG Tingting1

（1. School of Nursing， Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. Hunan Women and Children's Hospital， Changsha， Hunan 410000， China; 3. Ningxia Medical University， Yinchuan， Ningxia 750004， China）

〔Abstract〕 Objective To construct the competency evaluation index of community general practice nurses， to provide the basis for the community general practice nurses training， assessment and certification. Methods By using literature analysis， a preliminary draft of competency evaluation index of community general practice nurses was built. The Delphi method was used to carry out two rounds of letters consultation to 15 experts from the field of community nursing， community nursing management and community nursing education. The analytic hierarchy process was chose to calculate the weight of each index. Results After two rounds of expert consultation， the positive coefficient of experts was 100%， the authority coefficient of expert was 0.906 and 0.933， and the coordination coefficient of the Kendall's W indexes of the two rounds of expert were 0.394 and 0.401 respectively （P>0.05）. The evaluation index system of post competency of community general practice nurses was established， including 6 first-level indicators， 30 second-level indicators and 99 third-level indicators. Weight value of first grade indicators fluctuated from 0.152 to 0.178， secondary index weight value fluctuated from 0.012 to 0.062， third index weight value fluctuated from 0.002 to 0.047. The consistency checking values were less than 0.1， which showed that the weight value setting were valid. Conclusion The evaluation index of post competence of community general practice nurses has been constructed， and provide the basis of training， assessment and certification of community general practice nurses.

2 结果

2.1  专家基本情况

本研究2轮函询均为同一批次专家，共邀请15名专家。性别均为女性;平均年龄为29～56（45.3±7.15）岁;工作年限11～39 （25.87±7.85）年;学历为大学本科者7名（46.7%）、硕士3名（20.0%）、博士5名（33.3%）;职务为主任者11名（73.3%）、副院长1名（6.7%），无职称者3名（20.0%）;职称为正高者10名（66.7%）、副高3名（20.0%）、中级2名（13.3%）;硕士研究生导师5名（33.3%）、博士研究生导师3名（20.0%）。

2.2  专家积极系数与权威系数

本研究2轮专家咨询实际回收有效问卷均为15份，回收率均为100%。本研究中第一轮Cr=0.906（Cs=0.857，Ca=0.954），第二轮Cr=0.933（Cs=0.900，Ca=0.966）。