重癥監(jiān)護(hù)病房體外膜肺氧合聯(lián)合連續(xù)性腎臟替代療法護(hù)士核心能力評價(jià)體系的構(gòu)建

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Construction of core competency evaluation system for ECMO combine CRRT nurses in intensive care unit

WANG Ying，WANG Shulin，ZHONG Bohua，GUO Enhui，LUO Haibin，WEI Mingshang，XU Wei，LI ChunpengThe First Affiliated Hospital of Guangxi Medical University，Guangxi 530021 ChinaCorresponding Author WANG Shulin，E-mail：[email protected]

Abstract Objective：To construct a core competency evaluation system for nurses in intensive care units using extracorporeal membrane oxygenation combined with continuous renal replacement therapy （ECMO & CRRT），providing objective basis for cultivating specialized nursing talents and evaluating the core competency of specialized nurses.Methods：By combining theoretical analysis，Delphi method，and analytic hierarchy process constructed the evaluation system.Theoretical analysis determined the basic framework of the ECMO & CRRT nurse core competency evaluation system.After consulting experts with the Delphi method，it was organized，summarized，and statistically analyzed.The analytic hierarchy process was used to determine the weights of each indicator.Results：Two rounds of inquiry were conducted，with 31 questionnaires distributed.The effective response rates for the two rounds of questionnaires was 87.10% and 90.32%，respectively.The second round of expert judgment had a coefficient of 0.901，a familiarity coefficient of 0.968，and an authority coefficient of 0.935.The Kendall harmony coefficients for the first，second，and third level indicators in the second round of inquiry was 0.084，0.096，and 0.085，respectively，all of which was statistically significant（P<0.05）.The final formation of the ECMO & CRRT nurse core competency evaluation system included 8 primary indicators，28 secondary indicators，and 97 tertiary indicators.Conclusion：The core competency indicators of ECMO & CRRT nurses constructed in this study are scientific and reliable，and can provide reference for the training and assessment of ECMO & CRRT nurses.

Keywords extracorporeal membrane oxygenation，ECMO;continuous renal replacement therapy，CRRT;specialist nurse;core competency;intensive care unit，ICU；nursing

摘要 目的：構(gòu)建重癥監(jiān)護(hù)病房體外膜肺氧合聯(lián)合連續(xù)性腎替代療法（ECMO & CRRT）護(hù)士核心能力評價(jià)體系，為培養(yǎng)專業(yè)化護(hù)理人才及評價(jià)?？谱o(hù)士核心能力提供客觀依據(jù)。（剩余9730字）