基于Strong高级护理实践模式和Benner理论模式的重症专科护士资质管理体系的构建研究

Research on Establishing a Qualification Management System for Critical Care Specialist Nurses Based on the Strong Advanced Nursing Practice Model and Benner’s Theoretical Framework

摘要: 目的：基于Strong高级护理实践模式和Benner理论模式构建重症专科护士资质管理体系。方法：采用文献研究法及访谈法初步确定重症专科护士资质管理体系框架，采用德尔菲法进行了2轮专家函询，确立Strong高级护理实践模式和Benner理论模式的重症专科护士资质管理体系。结果：2轮专家函询问卷有效回收率均为100%，专家权威系数为0.87，第二轮肯德尔协调系数为0.531~0.613，P均<0.001。构建了包括5个一级条目、21个二级条目、104个三级条目的基于Strong高级护理实践模式和Benner理论模式的重症专科护士资质管理体系。结论：基于Strong高级护理实践模式和Benner理论模式的重症专科护士资质管理体系具有良好的科学性与可行性，可为重症专科护士的资质管理体系提供临床参考。

Abstract: Objective: To establish a qualification management system for critical care specialist nurses based on the Strong Advanced Nursing Practice Model and Benner’s Theoretical Framework. Methods: A literature review and interview methodology were employed to preliminarily define the framework for the qualification management system. A two-round expert consultation via the Delphi method was conducted to establish the system integrating the Strong Advanced Nursing Practice Model and Benner’s Theoretical Framework. Results: Both rounds of expert questionnaires achieved a 100% response rate. The expert authority coefficient was 0.87, with Kendall’s coefficient of concordance ranging from 0.531 to 0.613 in the second round (P < 0.001 for all). A qualification management system comprising five primary items, 21 secondary items, and 104 tertiary items was established based on the Strong Advanced Nursing Practice Model and Benner’s Theoretical Framework. Conclusion: This qualification management system demonstrates sound scientific validity and practical feasibility, providing clinical reference for the certification framework of critical care specialist nurses.