手术室心脏外科亚专科护士培训效果评价指标的构建 [中文引用][英文引用]

目的  构建手术室心脏外科亚专科护士培训效果评价指标，为临床实践教学效果评价与培训管理提供依据。方法  以柯氏模型为理论框架，基于系统文献回顾拟定初稿指标，根据 3 轮专家函询意见修订指标，并采用层次分析法确定各指标权重。结果  纳入 15 名专家进行函询。3 轮函询问卷回收率均为 100.00%。专家权威系数为 0.90，第 1~3 轮专家函询指标的肯德尔和谐系数 W 分别为 0.220、0.433 和 0.625（均 P<0.001）。最终构建的评价指标包括 4 个一级指标、13 个二级指标和53 个三级指标。层次分析法显示，4 个一级指标的权重分别为：反应层为 16.17%、学习层为 31.33%、行为层为 37.17%、结果层为 15.33%。结论  构建的手术室心脏外科亚专科护士培训效果评价指标具有科学性和可靠性，可用于手术室亚专科护士培训效果的评价。

Objective To develop an evaluation indicator for training of specialist nurses in cardiac surgery in operating theatre， and to test its reliability and validity，so as to provide a scientific basis for evaluation of clinical teaching effectiveness and training management. Methods Guided by Kirkpatrick’s model，a systematic literature review was conducted to gather preliminary indicators. Three rounds of Delphi expert consultation were performed to refine the indicators，and the Analytic Hierarchy Process（AHP）was used to determine the weight of indicators. Results Fifteen experts participated in the consultations，with a 100.00% response rate across all three rounds. The expert authority coefficient was 0.90，and Kendall’s W coefficients were 0.220，0.433，and 0.625. The final indicator system was established. It consisted of 4 primary indicators，13 secondary indicators and 53 tertiary indicators. The AHP-derived weights were 16.17% for reaction，31.33% for learning，37.17% for behaviour，and 15.33% for results. Conclusion The established evaluation indicator system for training of specialist nurses in cardiac surgery in an operating theatre is scientifically grounded，structurally comprehensive，and highly practical for a quantitative evaluation of training effectiveness，Delphi method.