伤口造口失禁专科护士能级评价方案构建与调查

Construction and Survey of the Competency Evaluation Scheme for Wound, Ostomy, and Continence Specialist Nurses

摘要: 目的：构建伤口造口失禁专科护士能级评价方案，为该领域专科护士的能力评价提供参考。方法：运用文献分析、专家讨论及德尔菲法构建评价方案。于2020年9月随机选取全国213名伤口造口失禁专科护士为研究对象，收集其对评价方案各项指标的认可程度评分及本方案在专业领域中的适用性、可执行性与可推广性的综合评价数据。结果：两轮专家函询的积极系数均达到100%，专家权威系数为0.872，Kendall’s W值分别为0.252和0.331 (P均<0.001)，表明专家意见具有较高的一致性和可靠性。最终构建的伤口造口失禁专科护士能级评价方案涵盖5个维度、3个能级以及52项具体内容。调查发现，该领域专科护士对方案各项指标的认可程度评分普遍较高，且对方案在专业领域内的适用性、可执行性和可推广性给予了积极评价。结论：构建的伤口造口失禁专科护士能级评价方案具有较好的科学性和实用性，可为该领域专科护士的能力评价提供科学参考。

Abstract: Objective: To construct a competency evaluation scheme for wound, ostomy, and continence specialist nurses, providing a reference for the capability assessment of nurses in this field. Methods: The evaluation scheme was constructed using literature analysis, expert discussions, and the Delphi method. In September 2020, 213 wound, ostomy, and continence specialist nurses were randomly selected nationwide as research subjects. Data were collected on their recognition degree scores for each indicator of the evaluation scheme, as well as comprehensive evaluation data on the scheme’s applicability, executability, and promotability in the professional field. Results: The positive coefficients of the two rounds of expert consultations were both 100%, the expert authority coefficient was 0.872, and the Kendall’s W values were 0.252 and 0.331 (both P < 0.001), indicating a high degree of consistency and reliability in expert opinions. The final competency evaluation scheme for wound, ostomy, and continence specialist nurses covers 5 dimensions, 3 competency levels, and 52 specific items. The survey found that the recognition degree scores for the scheme’s indicators were generally high, and the scheme received positive evaluations for its applicability, executability, and promotability in the professional field. Conclusion: The constructed competency evaluation scheme for wound, ostomy, and continence specialist nurses has good scientific and practical value, and can provide a scientific reference for the capability assessment of nurses in this field.