Construction and reflection on the competency milestone evaluation system for surgical internship positions for undergraduate nursing students

doi:10.3760/cma.j.cn115259-20230830-00183

Abstract

Abstract: Objective To construct a milestone evaluation system for nursing undergraduates' competency in surgical internship positions. Methods From May to July 2022, the first draft of the evaluation system was formulated through literature review and expert meeting method; from August to October 2022, 2 rounds of correspondence inquiry were conducted by Delphi method, and the evaluation was conducted through the positive coefficient of experts, the authority coefficient of experts, the degree of coordination of experts' opinions and the degree of concentration, so as to finalize the evaluation system. Results A total of 18 experts were selected from Level 3A comprehensive teaching hospitals in Beijing, Shanghai, Sichuan, Hubei, and Guangdong to conduct the correspondence inquiry. the expert authority coefficient of the 2 rounds of expert correspondence inquiry was 0.90, the positive coefficient of the experts was 100%, and the Kendall's harmony coefficients were 0.194 and 0.474, respectively. the final evaluation system of the milestone of the competency of the undergraduates surgical internship positions in the nursing program included 6 primary indicators, 28 secondary indicators. Conclusions The evaluation system constructed in this study is authoritative, and the index system has good reliability and validity, is scientific, reliable and operable, and can provide a reference for comprehensive and Objective evaluation of the comprehensive competence of undergraduate nursing students' surgical internship.

Key words: Nursing, Delphi technology, Undergraduate Surgerynursing interns, Post competency, Evaluation system

CLC Number:

Huang Tianwen, Deng Lijun, Liu Yuanyuan, Zhang Weiling, Huang Xiaomin, Li Na. Construction and reflection on the competency milestone evaluation system for surgical internship positions for undergraduate nursing students[J]. Chinese Journal of Medical Education, 2024, 44(6): 421-425.

References

[1] Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. Lancet, 2010,376(9756):1923-1958. DOI: 10.1016/S0140-6736(10)61854-5.
[2] LeVan DJ, Plizga LA, Wiley A, et al. The Journey to ACGME Accreditation: aprogram's perspectives and practical guidance from the ACGME[J]. J Grad Med Educ, 2016,8(3):473-477. DOI: 10.4300/JGME-D-15-00773.1.
[3] ERIC S,HOLMBOE LE,HAMSTRA S. The milestones guidebook[EB/OL](2017-04-12)[2020-03-12].http://www.acgme.org/Portals/0/PDFs/Milestones/MilestonesAnnualReport2016.pdf.
[4] Weiss KB, Bagian JP, Nasca TJ. The clinical learning environment: the foundation of graduate medical education[J]. JAMA, 2013,309(16):1687-1688. DOI: 10.1001/jama.2013.1931.
[5] Lau ST, Ang E, Samarasekera DD, et al. Development of undergraduate nursing entrustable professional activities to enhance clinical care and practice[J]. Nurse Educ Today, 2020,87:104347. DOI: 10.1016/j.nedt.2020.104347.
[6] 蒲永莉, 易航, 钟立, 等. 里程碑式教学法在内镜逆行胰胆管造影术培训中的应用[J].医学教育管理,2023,9(3):354-359. DOI: 10.3969/j.issn.2096-045X.2023.03.015.
[7] 刘珅,陈云丰,杨庆诚,等.美国骨科住院医师胜任力评价系统Milestones2.0的解读与思考[J].中国毕业后医学教育,2023,7(1):107-112.DOI:10.3969/j.issn.2096-4293.2023.01.022
[8] 中国精英教学医院联盟. 中国精英教学医院联盟住院医师核心胜任力里程碑评价体系[J].协和医学杂志,2023,14(5):978-982. DOI: 10.12290/xhyxzz.2022-0543.
[9] 吴金梅, 王健, 陈放. 美国眼科学住院医师Milestones评价系统解读与思考[J].中国继续医学教育,2022,14(14):180-184. DOI: 10.3969/j.issn.1674-9308.2022.14.046.
[10] 胡明熙, 毕怀梅, 王涛, 等. 护理硕士专业学位研究生教育里程碑计划体系构建[J].护理研究,2021,35(8):1488-1491. DOI: 10.12102/j.issn.1009-6493.2021.08.033.
[11] Philbrick V. Johns Hopkins nursing evidence-based practice: model and guidelines,2nd edition[J]. Aorn Journal,2013,97(1):157-158.DOI:10.1016/j.aorn.2012.10.004.
[12] 郭秀花.医学现场调查技术与统计分析[M].北京:人民卫生出版社,2009:273-276.
[13] 孙振球.医学统计学[M].2版.北京:人民卫生出版社,2006:510-514.
[14] 黄天雯, 杨云英, 钟盈, 等. 全日制本科护理实习生岗位胜任力评价指标的构建[J].现代临床护理,2019,18(12):59-64. DOI: 10.3969/j.issn.1671-8283.2019.12.011.
[15] 中华人民共和国国家卫生健康委员会,国家中医药管理局.关于印发进一步改善护理服务行动计划(2023—2025年)的通知国卫医政发[2023]16号.[EB/OL].(2023-06-20)[2023-08-16].http://www.nhc.gov.cn/yzygj/s7659/202306/1ba5e5b3291044cb8aa0a1bd2999c967.shtml.
[16] 刘华平, 王青, 刘桂英. 国内外护理安全教育发展现状与思考[J].中国护理管理,2018,18(10):1316-1320. DOI: 10.3969/j.issn.1672-1756.2018.10.005.
[17] 程婷, 涂惠, 李雪芹, 等. 护理本科生循证实践能力现状与障碍因素研究[J].循证护理,2023,9(4):716-721. DOI: 10.12102/j.issn.2095-8668.2023.04.030.
[18] 杨奕婷, 朱雪娇. 护理本科生循证实践能力现状及教学对策[J].护理研究,2020,34(11):1944-1948. DOI: 10.12102/j.issn.1009-6493.2020.11.015.