临床护理教师专业标准框架指标的构建研究

发布时间：2018-12-23 13:07

【摘要】：目的：本研究旨在初步构建一套科学、导向明确的临床护理教师专业标准框架指标,以期起到提纲挈领的作用,作为标尺衡量临床护理教师综合水平,规范教师管理秩序,推进临床护理教师专业化发展,且为临床护理教师明确自身发展要求,阶梯式成长提供目标性指导。再者以期为由教育部批准第二军医大学牵头进行“护理本科教育教学评价体系研究”课题在临床护理教师质量控制、专业认证方面提供有益参考。方法： 1、本研究通过理论分析、文献回顾,把握国内外临床护理教师专业标准方面研究现状和发展趋势,由专家协调小组讨论分析初步构建临床护理教师专业标准框架指标。 2、由23位专家经两轮Delphi专家函询确立各指标、内涵结构及权重,最终形成临床护理教师专业标准框架指标,并通过数理统计方法对专家意见的协调度、积极系数、权威系数等指标进行计算,检验专家咨询的可靠性和代表性。结果： 1、通过理论分析、文献回顾、专家协调小组讨论构建的《临床护理教师专业标准框架指标》初稿,包括4个一级指标、11个二级指标、38个三级指标,作为专家咨询第一轮问卷内容。 2、通过两轮Delphi专家咨询,确立临床护理教师专业标准框架指标,包含角色资质、综合质素、培训要求、专业认证4个一级指标、11个二级指标、36个三级指标,运用优序图法和专家赋值法确定了各级指标体系的权重,并以此为基础构建《临床护理教师专业标准框架指标》。 3、德尔菲专家咨询可靠性分析：问卷回收率分别为92%,100%,说明专家对本研究有很高的积极性；专家组个人权威系数在0.70以上,专家群体权威系数值为0.87,结果表明专家组具有较好的权威性；变异系数在0.000-0.168,专家咨询协调系数接近0.5,经卡方检验p值小于0.05,有统计学意义。表明专家组对指标权重赋值意见的一致性协调集中。结论：通过理论分析、文献回顾和德尔菲专家咨询法联合构建的一套包含4个一级指标、11个二级指标、36个三级指标的《临床护理教师专业标准框架指标》是科学、合理、可靠的。可为临床护理教师规范化、标准化管理提供参考依据；为临床护理教师明确自身发展要求,阶梯式成长提供目的性指导意见；为由教育部批准第二军医大学牵头进行“护理本科教育教学评价体系研究”课题在临床护理教师质量控制、专业认证方面提供有益参考。后续研究建议：框架指标体系虽经过了两轮咨询,专家给予严谨科学的指导意见,但部分指标较为抽象,可测量性不够。部分指标内涵界定的合理性和权重还有待在后续研究中不断修订、完善。
[Abstract]:Objective: the purpose of this study was to establish a set of scientific and well-directed professional standard frame indicators for clinical nursing teachers, so as to play an important role in measuring the comprehensive level of clinical nursing teachers as a yardstick. To standardize teachers' management order, to promote the professional development of clinical nursing teachers, and to provide targeted guidance for clinical nursing teachers to clarify their own development requirements and step by step growth. Furthermore, it is expected to provide a useful reference for clinical nursing teachers' quality control and professional certification in the subject of "Research on Teaching Evaluation system of undergraduate Nursing Education", which was led by the second military Medical University approved by the Ministry of Education. Methods: 1. Through theoretical analysis and literature review, the present research situation and development trend of clinical nursing teachers' professional standards at home and abroad were grasped. The expert coordination group discussed and analyzed the preliminary construction of clinical nursing teachers professional standard framework indicators. 2. The indexes, connotation structure and weight were established by 23 experts through two rounds of Delphi expert inquiry. Finally, the professional standard frame index of clinical nursing teachers was formed, and the coordination degree and positive coefficient of expert opinion were obtained through mathematical statistics method. Authority coefficient and other indicators are calculated to test the reliability and representativeness of expert consultation. Results: 1. Through theoretical analysis and literature review, the preliminary draft of the Framework of Professional Standards for Clinical Nursing Teachers was discussed by the expert Coordination Group, including 4 primary indicators, 11 secondary indicators and 38 third-level indicators. As the first round of expert consultation questionnaire content. 2, through two rounds of Delphi expert consultation, the professional standard frame index of clinical nursing teacher was established, including role qualification, comprehensive quality, training requirement, professional certification 4 first class index, 11 second class index, 36 third grade index. The weight of each level index system was determined by using the superior order map method and the expert assignment method, and the professional standard frame index of clinical nursing teachers was constructed on the basis of this method. 3, Delphi expert consultation reliability analysis: the questionnaire recovery rate is 92% 100, indicating that experts have a very high enthusiasm for this study; The personal authority coefficient of the expert group is above 0.70, the authority coefficient of the expert group is 0.87, the result shows that the expert group has better authority; The coefficient of variation is 0.000-0.168, the coordination coefficient of expert consultation is close to 0.5, p value of chi-square test is less than 0.05, which has statistical significance. It shows the consistency and concentration of expert group's opinion on index weight assignment. Conclusion: through theoretical analysis, literature review and Delphi's expert consultation, a set of "Professional Standard frame Indexes for Clinical Nursing Teachers", which includes 4 first-grade indexes, 11 second-class indexes and 36 third-grade indexes, is scientific. Reasonable and reliable. It can provide reference basis for standardization and management of clinical nursing teachers, provide guidance for clinical nursing teachers to clarify their own development requirements and step by step growth. For the purpose of approving the second military Medical University by the Ministry of Education to lead the research on the teaching evaluation system of nursing undergraduate education, this paper provides a useful reference for the quality control and professional certification of clinical nursing teachers. The suggestion of follow-up study: although the frame index system has been consulted twice and experts give rigorous and scientific guidance some indexes are abstract and lack of measurability. The rationality and weight of the connotation of some indicators need to be revised and perfected in the follow-up study.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：G645.1;R47-4

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