上海交通大学学报(医学版)

• 专题报道(护理实践与管理) • 上一篇    下一篇

麻醉专科护师核心能力课程的构建研究

吴隽彦1,胡嘉乐2,阮 洪3   

  1. 上海交通大学 1.护理学院, 上海 200025; 2.医学院附属第九人民医院麻醉科, 上海 200011; 3.医学院附属第九人民医院护理部, 上海 200011
  • 出版日期:2014-09-28 发布日期:2014-09-26
  • 通讯作者: 阮 洪, 电子信箱: ruanhong2003@hotmail.com。
  • 作者简介:吴隽彦(1990—), 女, 硕士生; 电子信箱: erisewu@126.com。
  • 基金资助:

    上海交通大学医学院科技基金(Jyh1215)

Study on establishment of core competence curriculum for nurse anesthetists

WU Jun-yan1, HU Jia-le2, RUAN Hong3   

  1. 1.School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China; 2.Department of Anesthesia, the Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China; 3.Department of Nursing, the Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2014-09-28 Published:2014-09-26
  • Supported by:

    Science Foundation of Shanghai Jiao Tong University School of Medicine, Jyh1215

摘要:

目的 以胜任力模型为理论依据,构建国内麻醉专科护师核心能力课程,培训专科护理人员胜任临床麻醉护理岗位。方法 通过文献回顾、理论分析、专家访谈等方法构建麻醉专科护师核心能力课程初稿,采用Delphi专家咨询法明确麻醉专科护师核心能力课程。结果 研究共经历两轮Delphi专家咨询,纳入专家15名。两轮专家咨询问卷有效率均为100%,专家权威程度系数为0.77,专家协调系数检验P<0.05。两轮专家共提出59条意见,采纳51条。最终确定的国内麻醉专科护师核心能力课程共包括8门单科,即麻醉药理、气道管理、液体管理和输血、疼痛生理和护理、麻醉理论和麻醉护理、麻醉评估、麻醉监测和护理、麻醉与监测设备;每门单科都包含知识、技能和态度3个维度。结论 首次将麻醉专科护师核心能力以知识、技能和态度3个维度呈现,对于态度维度的关注更适合于护理人才的培养;依据国内外相关文件和政策制定课程具有一定的科学性;麻醉专科护师培训课程的构建为护理专业学位课程的建设提供了借鉴。

关键词: Delphi专家咨询, 麻醉护理, 核心能力, 课程

Abstract:

Objective To establish the core competence curriculum for Chinese nurse anesthetists based on the competence model and to train nurse anesthetists to meet the needs of clinical anesthesia nursing. Methods The draft of core competence curriculum for Chinese nurse anesthetists was prepared by literature review, theoretical analysis, and expert interview. The curriculum was determined by the Delphi method. Results Two rounds of Delphi consultation were conducted and 15 experts were involved. All questionnaires of two rounds of expert consultation were valid (100%). The creditability value was 0.77 and the P value of coordination coefficient test was less than 0.05. Fifty-nine recommendations were raised by the experts and 51 were accepted. Then the core competence curriculum for Chinese nurse anesthetists was determined, which included 8 courses, i.e. anesthesia pharmacology, airway management, liquid management and blood transfusion, physiology and nursing of pain, anesthesia theory and nursing, anesthesia assessment, anesthesia monitoring and nursing, and anesthesia and monitoring equipment. Each course contained three dimensions, i.e. knowledge, skill, and attitude. Conclusion The core competence of nurse anesthetists is presented in three dimensions, i.e. knowledge, skill and attitude for the first time. Attention to the attitude is essential to cultivate nursing talents. It is scientific to establish curriculum based on relevant documents and policies at home and abroad. The core competence curriculum for Chinese nurse anesthetists can provide reference for establishing degree courses of nursing.

Key words: Delphi method, nurse anesthesia, core competence, curriculum