后疫情时代急诊预检分诊护士培训方案的构建

Development of a Training Program for Emergency Triage Nurses in the Post-Pandemic Era

摘要: 目的：构建一套适用于后疫情时代的急诊预检分诊护士核心能力培训方案。方法：通过文献回顾和半结构式访谈形成培训方案初稿。采用德尔菲专家咨询法，对12名专家进行两轮函询，根据条目的重要性评分(均数 > 3.5)和变异系数(<0.25)等标准进行筛选和修改，最终确定方案内容。结果：两轮专家函询的积极系数均为100%，权威系数为0.804，肯德尔和谐系数有统计学意义(P < 0.05)。最终构建的培训方案包含4个一级维度(临床实践与精准分诊能力、感染预防与控制实践能力、突发公卫事件应急响应与管理能力、沟通协作与专业发展能力)和15个二级条目。结论：本研究构建的培训方案科学可靠，内容兼具实用性与针对性，能够为后疫情时代培养高素质、复合型急诊预检分诊护士提供系统化框架。然而，方案的适用性需在基层医院进一步验证，其有效性与可行性亦有待后续实证研究评估。

Abstract: Objective: To construct a core competency training program for emergency triage nurses applicable in the post-pandemic era. Methods: A preliminary draft of the training program was developed through literature review and semi-structured interviews. The Delphi method was employed, involving two rounds of correspondence with 12 experts. The final program content was determined by screening and revising entries based on criteria such as importance scores (mean > 3.5) and coefficient of variation (<0.25). Results: The effective response rate for both rounds of expert correspondence was 100%. The authority coefficient of the experts was 0.804, and the Kendall’s coefficient of concordance was statistically significant (P < 0.05). The final constructed training program comprises 4 first-level dimensions (Clinical Practice and Accurate Triage Ability, Infection Prevention and Control Practice Ability, Public Health Emergency Response and Management Ability, Communication and Collaboration and Professional Development Ability) and 15 second-level entries. Conclusion: The training program developed in this study is scientifically sound, with practical and targeted content. It can provide a systematic framework for cultivating high-quality, compound-type emergency triage nurses in the post-pandemic era. However, the program’s applicability needs further verification in primary-level hospitals, and its effectiveness and feasibility require assessment through subsequent empirical research.