战创伤手术室机动护士胜任力评价指标体系的构建
Construction of Competency Evaluation Index System for Motorized Nurse in War-Trauma Operating Room

目的：构建适用于急诊战创伤手术室机动护士的胜任力评价指标体系。方法：通过文献回顾、设计咨询问卷，选取上海市三甲医院手术室高级护理专家、临床围术期医学专家、医院管理人员等26名专家，进行德尔菲法咨询，确定了该评价体系相关指标以及各指标的权重系数，构建急诊战创伤手术室机动护士胜任力评价指标体系。结果：2轮专家咨询的积极系数分别为100.0%、100.0%；专家权威系数为0.88、0.86；机动护士的胜任力指标包括专业技能、急救能力、职业素质、协调能力、团队合作能力5个一级指标和责任心、积极性等15个二级指标。结论：本研究初步构建适用于战创伤手术室机动护士胜任力的评价指标体系，能够较全面的评估手术室机动护士的工作能力、职业素养及工作态度等，为制定相关培训科目、考核指标以及遴选优秀的急诊战创伤机动护士提供可靠的理论依据。
Objective: To construct a competency evaluation index system applicable to mobile nurses in emergency combat trauma operating rooms. Methods: Through literature review, designing consultation questionnaires, selecting 26 experts such as senior nursing experts in operating rooms of Shanghai's tertiary hospitals, clinical perioperative medicine experts, and hospital administrators, and carrying out Delphi method consultation, we determined the relevant indicators of the evaluation system as well as the weight coefficients of the indicators, and constructed the competency evaluation index system of motorized nurses for emergency combat trauma operating rooms. Results: The positive coefficients of the 2 rounds of expert consultation were 100.0% and 100.0%, respectively; the expert authority coefficients were 0.88 and 0.86; and the competency indicators of the motorized nurses included 5 first-level indicators of professional skills, first aid ability, professional qualities, coordinating ability, and teamwork ability, as well as 15 second-level indicators of sense of responsibility and motivation. Conclusion: This study initially constructed an evaluation index system applicable to the competence of mobile nurses in the operating room of war trauma, which can comprehensively assess the working ability, professional quality and working attitude of mobile nurses in the operating room, and provide a reliable theoretical basis for the development of the relevant training subjects, assessment indexes, and the selection of excellent mobile nurses for emergency war trauma.