肝癌电子杂志 ›› 2022, Vol. 9 ›› Issue (2): 28-34.

• 护理园地 • 上一篇    下一篇

肿瘤科安宁疗护从业护士核心能力评价体系的构建

董雪1, 何瑞仙2,*, 韦俭俭3, 隗伟4, 郑薇5, 王黎1, 高墨涵6, 阮楠婷2   

  1. 1.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院特需医疗部,北京 100021;
    2.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院护理部,北京 100021;
    3.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胰胃外科,北京 100021;
    4.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院综合科,北京 100021;
    5.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科,北京 100021;
    6.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院乳腺外科,北京 100021
  • 收稿日期:2021-11-26 发布日期:2022-10-26
  • 通讯作者: *何瑞仙,E-mail:He87787591@126.com
  • 作者简介:董雪,国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,特需医疗部
  • 基金资助:
    中国癌症基金会“北京希望马拉松”专项基金(LC2020D06)

Construction of core competence valuation indicator system for oncology nurses in palliative care

Dong Xue1, He Ruixian2, Wei Jianjian3, Wei Wei4, Zheng Wei5, Wang Li1, Gao Mohan6, Ruan Nanting2   

  1. 1. Department of VIP Medical Services, , National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
    2. Department of Nursing, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
    3. Department of Pancreatic and Gastric Surgery, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
    4. Department of General, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
    5. Department of Thoracic Surgery,, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;
    6. Department of Breast Surgery, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2021-11-26 Published:2022-10-26

摘要: 目的:构建肿瘤科安宁疗护从业护士核心能力评价指标体系,为临床评价肿瘤科安宁疗护护士核心能力提供参考。
方法:2020年10月至2021年6月,课题组通过回顾文献、半结构式访谈制定肿瘤科安宁疗护从业护士核心能力评价指标初稿,采用德尔菲专家函询法对全国6个省、直辖市的12名专家进行问卷函询,并通过层次分析法,确定肿瘤科安宁疗护从业护士核心能力评价指标及其权重。
结果:共开展2轮函询,问卷回收率均为100%,专家权威系数为0.863,一、二、三级指标肯德尔和谐系数分别为0.206、0.143、0.195和0.260、0.186、0.125。各级指标的重要性赋值均数为4.50~5.00,变异系数为0~0.247。最终形成的肿瘤科安宁疗护从业护士核心能力评价体系包括8个一级指标,20个二级指标和43个三级指标的评价体系。
结论:构建的肿瘤科安宁疗护从业护士核心能力评价指标体系内容科学、合理、全面,并且具有针对性,为肿瘤科安宁疗护从业护士的培养及科学性、专业性地评价提供了依据。

关键词: 肿瘤科, 安宁疗护, 护士, 德尔菲技术, 核心能力, 评价

Abstract: Objective:To establish an core competence evaluation indicator system for oncology nurses in palliative care, and to provide references for related clinical evaluation.
Method:From October 2020 to June 2021, the research group established the first draft of palliative care nurse core competence evaluation indicator system based on literature review and semi-structured interviews, and then 12 experts from 6 provinces in China were consulted through Delphi technique. The final evaluation indicator system and index weight were analyzed by analytic hierarchy process.
Result:The recovery rates of 2 rounds of expert consultations were 100%. The authority coefficients were 0.863. The first-level, second-level, third-level Kendall harmony coefficients were 0.206, 0.143, 0.195 and 0.260, 0.186, 0.125 respectively. The average importance value of indexes ranged from 4.50 to 5.00, and variation coefficients of each item ranged from 0 to 0.247. The final core competence evaluation system for oncology nurses in palliative care consisted of 8 first-level indicators, 20 second-level indicators and 43 third-level indicators.
Conclusion:The core competence evaluation indicator system for oncology nurses in palliative care was scientific, reliable, comprehensive and targeted, which can provide scientific references for cultivation, evaluation and ability improvement of oncology nurses in palliative care.

Key words: Department of Oncology, Palliative care, Nurse, Delphi technique, Core competence, Evaluation