中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
36期
61-67
,共7页
顾春怡%丁焱%周英凤%朱新丽%张铮%朱春香
顧春怡%丁焱%週英鳳%硃新麗%張錚%硃春香
고춘이%정염%주영봉%주신려%장쟁%주춘향
低年资%助产士%助产专业%在职培训%德尔菲法
低年資%助產士%助產專業%在職培訓%德爾菲法
저년자%조산사%조산전업%재직배훈%덕이비법
Junior midwives%Midwifery%Midwifery profession%In-service training%Delphi technique
目的 构建一套系统性临床助产士规范化在职培训架构体系,为提高临床教学质量提供借鉴依据.方法 在文献分析的基础上应用Delphi法对29名专家进行2轮专家函询问卷,以构建低年资助产士在职规范化培训架构体系.结果 2轮专家咨询结束后,问卷的有效回收率分别为96.7％和100.0％;专家的权威系数为0.873;培训内容一、二、三级指标的重要性赋值算数均数分别为4.10～4.97,4.07～4.97和4.00～5.00,3项指标的变异系数分别为0.037～0.119,0.037～0.130和0～0.141.最终形成了低年资助产士规范化培训架构体系,总体包括职业素养与安全意识、专科基础知识、专科实践技能、应急处理与抢救能力以及临床教学科研基础5项一级指标(即5个培训模块),以阶段累进制方式分配,并划分为3个年限;其中,第1阶段涵盖3项一级指标,9项二级指标,46项三级指标;第2阶段涵盖4项一级指标,11项二级指标,66项三级指标;第3阶段涵盖5项一级指标,13项二级指标,77项三级指标;并确定了培训及考评方式各4种,85个总学时.结论 专家对低年资助产士在职规范化培训架构体系的积极性和代表性较好,结果可靠,可作为培养临床低年资助产士、提供助产专科系统化在职培训的理论依据和策略方案.
目的 構建一套繫統性臨床助產士規範化在職培訓架構體繫,為提高臨床教學質量提供藉鑒依據.方法 在文獻分析的基礎上應用Delphi法對29名專傢進行2輪專傢函詢問捲,以構建低年資助產士在職規範化培訓架構體繫.結果 2輪專傢咨詢結束後,問捲的有效迴收率分彆為96.7％和100.0％;專傢的權威繫數為0.873;培訓內容一、二、三級指標的重要性賦值算數均數分彆為4.10～4.97,4.07～4.97和4.00～5.00,3項指標的變異繫數分彆為0.037～0.119,0.037～0.130和0～0.141.最終形成瞭低年資助產士規範化培訓架構體繫,總體包括職業素養與安全意識、專科基礎知識、專科實踐技能、應急處理與搶救能力以及臨床教學科研基礎5項一級指標(即5箇培訓模塊),以階段纍進製方式分配,併劃分為3箇年限;其中,第1階段涵蓋3項一級指標,9項二級指標,46項三級指標;第2階段涵蓋4項一級指標,11項二級指標,66項三級指標;第3階段涵蓋5項一級指標,13項二級指標,77項三級指標;併確定瞭培訓及攷評方式各4種,85箇總學時.結論 專傢對低年資助產士在職規範化培訓架構體繫的積極性和代錶性較好,結果可靠,可作為培養臨床低年資助產士、提供助產專科繫統化在職培訓的理論依據和策略方案.
목적 구건일투계통성림상조산사규범화재직배훈가구체계,위제고림상교학질량제공차감의거.방법 재문헌분석적기출상응용Delphi법대29명전가진행2륜전가함순문권,이구건저년자조산사재직규범화배훈가구체계.결과 2륜전가자순결속후,문권적유효회수솔분별위96.7％화100.0％;전가적권위계수위0.873;배훈내용일、이、삼급지표적중요성부치산수균수분별위4.10～4.97,4.07～4.97화4.00～5.00,3항지표적변이계수분별위0.037～0.119,0.037～0.130화0～0.141.최종형성료저년자조산사규범화배훈가구체계,총체포괄직업소양여안전의식、전과기출지식、전과실천기능、응급처리여창구능력이급림상교학과연기출5항일급지표(즉5개배훈모괴),이계단루진제방식분배,병화분위3개년한;기중,제1계단함개3항일급지표,9항이급지표,46항삼급지표;제2계단함개4항일급지표,11항이급지표,66항삼급지표;제3계단함개5항일급지표,13항이급지표,77항삼급지표;병학정료배훈급고평방식각4충,85개총학시.결론 전가대저년자조산사재직규범화배훈가구체계적적겁성화대표성교호,결과가고,가작위배양림상저년자조산사、제공조산전과계통화재직배훈적이론의거화책략방안.
Objective To develop a three-stage standardized and systematic training program framework and indicator systems for clinical midwives.Methods Based upon literature review,Delphi technique was used to formulate index system and indicators for midwives' training program through tworound expert consultation among 29 experts.Results After two-round expert consultation,the response rates were 96.7％ and 100.0％,respectively.Experts' authority coefficient was 0.874.The training program framework consisted of a three-level index system.Average importance scores of the three-level indexes were 4.10 to 4.97,4.07 to 4.97,and 4.00 to 5.00,respectively.And their variance coefficients were 0.037 to 0.119,0.037 to 0.130,and 0 to 0.141,respectively.Then a progressive and integrated three-year standardized training framework and index system for clinical midwives was finally formed,which totally contained 5 first-level indicators or training modules,including professional competence and safety awareness,specialized and basic knowledge,specialized practical skills,emergency management,and basic capacity for teaching and research.Conclusions The three-level framework and indicators for clinical midwives' training program has been proved to be acceptable,reliable and scientific,thus providing a theoretical and referential basis for training clinical midwives and improving teaching quality.
