基于德尔菲法的护理人员医院感染防控能力评价指标体系构建

 目的 构建护理人员医院感染防控能力评价指标体系，为培养及评价护理人员感染防控能力提供客观标准。方法 通过文献查阅和半结构式访谈法拟定护理人员医院感染防控能力评价指标草案，筛选并邀请全国20名感染防控、护理管理、感染性疾病等领域专家采用德尔菲法对草案进行修改，采取层次分析法确定最终指标权重。结果 两轮咨询专家积极系数均为100%，权威系数分别为0.874、0.882；肯德尔和谐系数在0.139~0.545，两轮专家咨询最终确定了包括一级指标3项、二级指标10项、三级指标28项的护理人员医院感染防控能力评价指标体系。结论 研究构建的护理人员医院感染防控能力评价指标体系，可为护理人员医院感染防控能力培训、评价提供依据。

Establishment of index system evaluating nursing staff's ability in preventing and controlling healthcare-associated infection based on Delphi method

Objective To establish an index system evaluating nursing staffs ability in the prevention and control of healthcare-associated infection (HAI), and provide objective standards for their relevant training and evaluation. Methods Evaluation index draft for the ability of nursing staff in preventing and controlling HAI was drawn up based on literature review and semi-structured interview. After screening and inviting 20 experts in the fields of infection prevention and control, nursing management and infectious diseases, draft was revised using Delphi method,and the final index weight was determined with analytic hierarchy process. Results Consultant positive coefficients from two rounds were both 100%, and authoritative coefficients were 0.874 and 0.882 respectively; Kendall's coefficients of concordance fell in the range of 0.139-0.545. Two rounds of expert consultation finally determined the evaluation index system of nursing staff's ability in preventing and controlling HAI, including three first-level indexes, 10 second-level indexes and 28 third-level indexes. Conclusion Establishment of the evaluation index system of nursing staff's ability in preventing and controlling HAI can provide basis for their training and evaluation.