目的 构建手术室新入职护士置信职业行为指标。方法 于2021年9至12月采用改良德尔菲法对北京、广西、河南、陕西、黑龙江、山东、广东和四川等8个省市的21名专家进行两轮咨询。结果 专家权威系数达到0.835;两轮咨询专家积极系数分别为91.3%、100.0%,肯德尔和谐系数分别为0.206和0.288(均P＜0.05)。构建了11项手术室新入职护士置信职业行为指标及其内容说明,确定了各项指标在不同时间节点的预期置信级别。结论 初步构建了质量较高的手术室新入职护士置信职业行为指标及在不同时间节点的预期置信级别,为手术室新入职护士的胜任力培养提供科学指导依据。
穆莉
,
王琤
,
齐心
,
付庆新
,
姬书瑶
,
马薇
,
于越
,
杨晓菲
,
路潜
. 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
, 43(3)
: 226
-230
.
DOI: 10.3760/cma.j.cn115259-20220620-00805
Objective To develop entrustable professional activities of newly recruited nurses in the operating room. Methods From September to December 2021, the modified Delphi method was used to conduct two rounds of consultations with 21 experts from 8 provinces and cities including Beijing, Guangxi, Henan, Shaanxi, Heilongjiang, Shandong, Guangdong and Sichuan. Results The authoritative coefficient of experts reached 0.835; the positive coefficients of the two rounds of consulting experts were 91.3% and 100.0%, respectively, and the Kendall harmony coefficients were 0.206 and 0.288, respectively (P<0.05). A total of 11 entrustable professional activities and their content descriptions for newly recruited nurses in the operating room were constructed, and the expected confidence levels of each indicator at different time points were determined. Conclusions A high-quality entrustable professional activities for newly recruited nurses in the operating room and the expected confidence level at different time points are preliminarily developed, which can inform future competency-based training of newly recruited nurses in the operating room.
[1] 张抒扬. 临床胜任力评价实用指南.2版.北京北京大学医学出版社,2021:1-3.
[2] 齐心. 置信职业行为与住院医师胜任力关系探讨[J]. 中华医学教育杂志, 2020, 40(4):306-310. DOI: 10.3760/cma.j.cn115259-20191008-00827.
[3] ten Cate O. 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] 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.
[5] 李珊, 齐建光, 齐心, 等. 基于置信职业行为的儿科住院医师形成性评价体系的构建探索[J]. 中国毕业后医学教育, 2021, 5(3):193-196,201. DOI: 10.3969/j.issn.2096-4293.2021.03.001.
[6] Meyer EG, Chen HC, Uijtdehaage S, et al. Scoping review of entrustable professional activities in undergraduate medical education[J]. Acad Med, 2019, 94(7):1040-1049. DOI: 10.1097/ACM.0000000000002735.
[7] O'Dowd E, Lydon S, O'Connor P, et al. A systematic review of 7 years of research on entrustable professional activities in graduate medical education, 2011-2018[J]. Med Educ, 2019, 53(3):234-249. DOI: 10.1111/medu.13792.
[8] 顾秋茜, 嵇艳. 可信赖专业活动在护理领域的应用研究进展[J]. 护理学杂志, 2020, 35(11):105-109. DOI: 10.3870/j.issn.1001-4152.2020.11.105.
[9] 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.
[10] 袁金蓉, 刘义兰, 杨赛. 叙事教育在实习护生人文关怀能力培养中的应用[J]. 护理学杂志, 2016, 31(1):14-16. DOI: 10.3870/j.issn.1001-4152.2016.01.014.
[11] Association of American Medical Colleges ( AAMC) .Core entrustable professional activities for entering residency: curriculum developers guide [EB/OL].[2019-09-10]. https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas.
[12] The Association of Faculties of Medicine of Canada(AFMC). Entrustable professional activities for transition from medical school to residency [EB/OL]. [2020-10-01]. https://www.afmc.ca/wp-content/uploads/2022/10/2022_National_Transfer_Guidelines.pdf.
[13] Post JA, Wittich CM, Thomas KG, et al. Rating the quality of entrustable professional activities: content validation and associations with the clinical context[J]. J Gen Intern Med, 2016, 31(5):518-523. DOI: 10.1007/s11606-016-3611-8.
[14] 梁瑞婷, 冯凤, 李平, 等. 中医护理质量敏感指标的构建[J]. 中华护理杂志, 2021, 56(10):1522-1527. DOI: 10.3761/j.issn.0254-1769.2021.10.013.
[15] Pangaro L, ten Cate O. Frameworks for learner assessment in medicine: AMEE Guide No. 78[J]. Med Teach, 2013,35(6):e1197-1210. DOI: 10.3109/0142159X.2013.788789.
