消化内镜护士培训知识体系的构建

发布时间：2018-05-05 05:39

本文选题：内镜护士 + 培训　；参考：《吉林大学》2017年硕士论文

【摘要】：目的:根据文献回顾、经验借鉴及现状调查的结果,尝试构建消化内镜护士培训知识体系并确定各指标权重,为消化内镜护士的培训提供系统的方案和内容,同时为我国消化内镜护士培训知识体系的统一提供参考。方法:1.成立研究小组,对文献进行回顾,并通过访谈2名消化内镜医生、2名消化内镜高年资护士和2名消化内镜护士长了解我国消化内镜护士培训的现状和不足,形成知识条目池,提炼消化内镜护士培训知识模块,调查168名消化内镜护士的培训需求,细化知识条目,形成消化内镜护士培训知识体系初稿。2.应用德尔菲法分别于2016年7月和2016年10月对符合选取条件的15名专家进行两轮专家函询,通过对函询结果进行统计和分析,不断修改和筛选体系条目,最终确定消化内镜护士培训知识体系。3.运用层次分析法构造判断矩阵,计算培训体系中各指标的权重值,并利用概论乘法的原理,计算各指标的组合权重,评价各指标在体系中的重要程度。结果:1.所选取的函询专家共15名,来自于三个不同的省份,分别从事消化内镜临床护理、临床医学、护理管理、医学教育等相关工作,专家的判断系数为0.9333,熟悉系数为0.8963,权威系数为0.9148。2.两轮专家函询的问卷回收率均为100%,提出意见的专家比例分别为66.67%和6.67%,专家意见的协调系数分别为0.356和0.171。3.第一轮专家函询中,`X4的条目有14项,S1的条目有2项,CV20%的条目有15项,专家意见涉及到25项指标。第二轮专家函询中各指标的`X、S以及CV均符合指标纳入条件,专家意见涉及到1项指标。4.最终确立的消化内镜护士培训知识体系包括9个一级指标、39个二级指标、142个三级指标。5.一级指标的权重排序如下:消化内镜检查的护理配合为0.200、消化内镜的清洗消毒为0.200、消化内镜手术的护理配合为0.194、消化内镜护士的职业安全为0.124、消化内镜护理辅助知识为0.076、消化内镜诊疗的护患沟通为0.076、消化内镜护士的职业发展为0.050、消化内镜护理基础为0.050、消化内镜护理概论为0.029。结论:1.本研究所选取的函询专家权威程度高,专家意见的协调程度较好,具有代表性,函询结果具有可靠性和科学性。2.消化内镜护士培训知识体系包括消化内镜护理概论、消化内镜护理基础、消化内镜护理辅助知识、消化内镜检查的护理配合、消化内镜手术的护理配合、消化内镜的清洗消毒、消化内镜护士的职业安全、消化内镜护士的职业发展以及消化内镜诊疗的护患沟通9个方面的内容,权重设置较为合理,具有可行性和系统性。
[Abstract]:Objective: according to the review of literature, experience and the results of current investigation, we try to construct the training knowledge system of endoscopy nurses and determine the weight of each index, so as to provide a systematic scheme and content for the training of endoscopy nurses. At the same time, it provides a reference for the unification of the training knowledge system of digestive endoscopy nurses in China. Method 1: 1. A research group was set up to review the literature, and through interviews with 2 endoscopy doctors and 2 senior nurses and 2 head nurses of digestive endoscopy to understand the current situation and deficiencies of the training of endoscopy nurses in China, a pool of knowledge items was formed. Abstract the training knowledge module of digestive endoscope nurses, investigate the training needs of 168 endoscope nurses, refine the items of knowledge, and form the first draft of the knowledge system of digestive endoscopy nurses training. 2. In July 2016 and October 2016, the Delphi method was used to carry out two rounds of expert letters to 15 experts who met the selection criteria. Through the statistical analysis of the results of the letters, the entries of the system were constantly revised and screened. Finally determine the digestive endoscopy nurses training knowledge system. 3. The judgment matrix is constructed by AHP and the weight of each index in training system is calculated. The combined weight of each index is calculated by using the principle of general multiplication and the importance of each index in the system is evaluated. The result is 1: 1. A total of 15 experts were selected from three different provinces, who were engaged in the clinical nursing of digestive endoscopy, clinical medicine, nursing management, medical education and other related work. The judgment coefficient of experts was 0.9333, the familiarity coefficient was 0.8963, and the authority coefficient was 0.9148.2. The recovery rate of the two rounds of questionnaire is 100, the proportion of experts who give their opinions is 66.67% and 6.67 respectively, and the coordination coefficient of expert opinions is 0.356 and 0.171.3 respectively. In the first round of expert letters, there were 14 items in `X4 / S1, 2 items in CV20% and 15 items in 20% of the items, and the expert opinion related to 25 indicators. In the second round of expert letters, the indicators'Xs and CV are eligible for inclusion, and the expert opinion relates to one indicator. 4. The established knowledge system of endoscopy nurses training includes 9 first class indexes, 39 second class indexes and 142 third level indexes. The weights of the first class index are as follows: nursing cooperation of digestive endoscopy is 0.200, cleaning and disinfection of digestive endoscopy is 0.200, nursing cooperation of digestive endoscopy operation is 0.194, occupational safety of digestive endoscope nurses is 0.124, nursing assistance of digestive endoscopy is 0.194. The knowledge was 0.076, the nurse-patient communication of digestive endoscopy was 0.076, the professional development of digestive endoscope nurses was 0.050, the basis of digestive endoscopy nursing was 0.050, and the general introduction of digestive endoscopy nursing was 0.029. Conclusion 1. The experts selected in this study have a high degree of authority and good coordination of expert opinions. The results of the inquiry are reliable and scientific. 2. The training knowledge system of digestive endoscopy nurses includes the introduction of digestive endoscopy nursing, the basis of digestive endoscope nursing, the assistant knowledge of digestive endoscope nursing, the nursing cooperation of digestive endoscope examination, the nursing cooperation of digestive endoscope operation, the cleaning and disinfection of digestive endoscope. The occupational safety of digestive endoscope nurses, the professional development of digestive endoscope nurses and the communication between patients and nurses in the diagnosis and treatment of digestive endoscopy are reasonable, feasible and systematic.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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