中华医学教育杂志

中华医学教育杂志 >

2026 , Vol. 46 >Issue 3: 230 - 235

DOI: https://doi.org/10.3760/cma.j.cn115259-20240716-00748

医学教育评估

新入职护士置信职业行为指标的构建研究

  • 程海丹 ,
  • 张蒙 ,
  • 田君叶 ,
  • 路潜 ,
  • 齐心 ,
  • 王琤
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  • 1北京大学第一医院护理部, 北京 100034;
    2北京大学护理学院内外科护理学教研室, 北京 100191;
    3北京大学第一医院整形烧伤外科, 北京 100034;
    4北京大学第一医院手术中心, 北京 100034

收稿日期: 2024-07-16

  网络出版日期: 2026-02-28

基金资助

2023年北京大学第一医院教育教学研究课题(2023YJ28)

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Construction of entrustable professional activities index for new nurses

  • Cheng Haidan ,
  • Zhang Meng ,
  • Tian Junye ,
  • Lu Qian ,
  • Qi Xin ,
  • Wang Cheng
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  • 1Department of Nursing, Peking University First Hospital, Beijing 100034, China;
    2Division of Medical ＆ Surgical Nursing, School of Nursing, Peking University, Beijing 100191, China;
    3Department of Plastic Surgery ＆ Burns, Peking University First Hospital, Beijing 100034, China;
    4Department of Operating Room, Peking University First Hospital, Beijing 100034, China

Received date: 2024-07-16

  Online published: 2026-02-28

Supported by

Education and Teaching Research Project of Peking University First Hospital in 2023 (2023YJ28)

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摘要

目的 构建新入职护士置信职业行为指标。方法 2023年6月至2024年3月,基于文献回顾、焦点小组访谈和小组讨论,初步拟定新入职护士置信职业行为指标,采用德尔菲法对20名专家进行2轮函询和1次专家讨论会,确定新入职护士置信职业行为指标。结果 构建了12项新入职护士置信职业行为指标,确定了各项指标在不同阶段的预期置信级别。专家的积极系数均为100%,专家权威系数为0.830和0.821,专家协调系数分别为0.523和0.141(均P＜0.001)。结论 新入职护士置信职业行为指标具有可靠性、科学性和全面性,能够为完善和优化临床新入职护士的培养与考核评价提供参考。

关键词： 置信职业行为; 新入职护士; 德尔菲法; 毕业后教育

本文引用格式

程海丹 , 张蒙 , 田君叶 , 路潜 , 齐心 , 王琤 . 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, 2026 , 46(3) : 230 -235 . DOI: 10.3760/cma.j.cn115259-20240716-00748

Abstract

Objective To construct entrustable professional activity (EPA) indicators for new nurses. Methods From June 2023 to March 2024, preliminary indicators were developed through literature review, focus group interview, and group discussion. Two rounds of Delphi consultations were conducted with 20 experts, followed by an expert panel meeting to finalize the EPA indicators for new nurses. Results Twelve EPA indicators were established, and the expected entrustment levels at different training stages were defined. The experts' response rate was 100%. The authority coefficients were 0.830 and 0.821, and the coordination coefficients for the two rounds of expert consultation were 0.523 and 0.141, respectively (all P<0.001). Conclusions The constructed EPA indicators for new nurses are reliable, scientific, and comprehensive, providing a reference for optimizing their clinical training and assessment.

Key words： Entrustable professional activities; New nurse; Delphi method; Graduation education

参考文献

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