重症监护病房体外膜肺氧合联合连续性肾脏替代疗法护士核心能力评价体系的构建
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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：wangshulin102@126.com
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：构建重症监护病房体外膜肺氧合联合连续性肾替代疗法（ECMO & CRRT）护士核心能力评价体系，为培养专业化护理人才及评价专科护士核心能力提供客观依据。（剩余9730字）