医疗护理员核心能力评价指标体系的构建

目的 构建一套科学、系统的医疗护理员核心能力评价指标，为医疗护理员的培养、考核和能力评价提供参考。方法 通过文献回顾、半结构式访谈，形成医疗护理员核心能力评价指标初稿。2022年9～11月，采用德尔菲专家函询法对7个省份的20名专家进行问卷函询，运用层次分析法确定各级指标权重。结果 共开展2轮函询，问卷有效回收率分别为100.00%和95.24%，第2轮专家权威系数为0.929，肯德尔和谐系数为0.230（P＜0.05）。最终构建理论知识、实践技能、综合能力和人文特质4个一级指标、13个二级指标、50个三级指标。结论 构建的医疗护理员核心能力评价指标体系意见集中，可信度较高，对医疗护理员的培养、考核和能力评价具有指导意义。

Construction and evaluation of a core competence index system for nursing assiatant

Objective To establish a set of scientific and systematic evaluation indexes of core competence for nursing assistants and to provide references for the training, assessment and ability evaluation of nursing assistants. Methods The draft evaluation index of the core competence for nursing assistants was formed through literature review and semi-structured interview. From September to November 2022, 20 experts from 7 provinces were consulted by Delphi method, and the weights of indicators at all levels were determined by analytic hierarchy process. Results Two rounds of expert consultations were conducted,and the effective recovery rates were 100.00% and 95.24%, respectively;the expert authority coefficient was 0.929,and the Kendall concordant coefficient of the second round was 0.230(P<0.05). Finally,4 first-level indicators including theoretical knowledge, practical skills, comprehensive ability and humanistic traits, 13 second-level indicators and 50 third-level indicators were constructed. Conclusion The core competence evaluation index for nursing assistants reaches consensus from experts and enjoys high credibility, which can provide references for the training, assessment and ability evaluation of nursing assistants.