目的 构建适合我国的肿瘤化疗专科护士核心能力的评价指标体系,为肿瘤化疗专科护士的培养提供标准.方法 通过文献研究、专家会议确定指标体系初稿,并编制咨询问卷,采用德尔菲法对全国23名专家进行2轮咨询.运用层次分析法确定各级指标权重.结果 2轮专家咨询的问卷有效回收率分别为100％和73.91％.第1轮与2轮咨询中,专家权威系数分别为0.855和0.867.第2轮咨询一、二级指标专家意见协调系数分别为0.693、0.371(P＜0.001).最终形成的化疗专科护士核心能力评价指标体系包括一级指标5项(积极的职业态度,熟练的临床实践能力,较强的教育咨询能力,基本的临床科研及循证实践的能力和基本的管理能力),二级指标16项,三级指标59项.结论 经专家咨询确定的基于核心能力的化疗专科护士评价指标体系科学、合理,能为培养合格的化疗专科护士提供依据.%Objective To construct an evaluation index system for the core competence of tumor chemotherapy specialist nurses in China and to provide standards for training of tumor chemotherapy specialist nurses.Methods Through literature research and expert meeting,the first draft of index system was established,and consultation questionnaire was compiled.Two rounds of consultation were conducted with 23 experts in China using Delphi method.AHP method was used to determine the weights of indicators at all levels.Results The effective rates of 2 rounds of expert consultation were 100％ and 73.91％,respectively.In the 2 rounds of consultation,the expert authority coefficients were 0.855 and 0.867,respectively.The coordination coefficient of first and second level indexes and expert opinions were 0.693 and 0.371 (P＜0.001),respectively.The final evaluation index system for the core competence of tumor chemotherapy specialist nurses included 5 first-level indexes (positive professional attitude,sufficient clinical practice ability,strong educational counseling ability,basic clinical research and evidencebased practice ability,and basic management ability),16 second-level indexes,and 59 third-level indexes.Conclusion The evaluation index system for chemotherapy specialist nurses based on core competence determined by expert consultation is scientific and reasonable,and can provide a powerful basis for training qualified chemotherapy specialist nurses.
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