医学研究与教育 ›› 2022, Vol. 39 ›› Issue (5): 53-61.DOI: 10.3969/j.issn.1674-490X.2022.05.009

• 安宁疗护 • 上一篇    下一篇

医护人员预立医疗照护计划培训需求评估工具的编制

董粜霞,何春菊,谭瑾,阳珊,邓仁丽   

  1. 遵义医科大学护理学院, 贵州 遵义 563000
  • 收稿日期:2022-08-23 出版日期:2022-10-25 发布日期:2022-10-25
  • 通讯作者: 邓仁丽(1970—),女,贵州遵义人,主任护师,博士,硕士生导师,主要从事老年护理和安宁疗护研究。E-mail: 690891192@qq.com
  • 作者简介:董粜霞(1997—),女,甘肃天水人,护士,在读硕士,主要从事老年护理研究。 E-mail: 2540741734@qq.com 通信作者:邓仁丽(1970—),女,贵州遵义人,主任护师,博士,硕士生导师,主要从事老年护理和安宁疗护研究。 E-mail: 690891192@qq.com
  • 基金资助:
    国家自然科学基金资助项目(71663064);贵州省教育科学规划课题(2021B220);遵义医科大学研究生科研基金立项课题(ZYK86);遵义医科大学研究生教育教学改革课题(ZYK90)

Development of a training needs assessment tool for advance care planning for health care professionals

DONG Tiaoxia, HE Chunju, TAN Jin, YANG Shan, DENG Renli   

  1. School of Nursing, Zunyi Medical University, Zunyi 563000, China
  • Received:2022-08-23 Online:2022-10-25 Published:2022-10-25

摘要: 目的 以培训需求分析(training needs analysis,TNA)理论中绩效分析模式为指导框架,编制医护人员预立医疗照护计划(advance care planning,ACP)培训需求评估工具条目池,为下一步培训需求调查工作提供研究基础。方法 先是以文献分析法及资料查阅初步构建ACP培训需求评估工具条目池,再依据Brislin翻译模型对初步构建的英文条目进行翻译及汉化调试,通过德尔菲专家咨询法及预调查对条目进行修订。结果 经文献分析及资料查阅,评估工具内容确定为23个条目,涉及三个主题,分别是基础知识、专科知识及沟通技能。翻译及回译后的量表整体语义评价较高,条目语义等价程度是78.6%~100.0%,量表语义等价程度是82.6%~100.0%。两轮咨询后专家积极性为100%,专家权威程度为0.87,专家咨询协调系数分别是0.271和0.353,各条目重要性均值4.29~5.00,变异系数0.05~0.11。40位进行量表表面效度评价的医护人员对量表各条目问法的认可度为87.5%~100.0%。结论 本研究培训需求评估工具编制过程科学严谨,编制结果良好,为进一步开展培训需求调查工作提供了参考。

关键词: 医护人员, 预立医疗照护计划, 培训, 评估工具

Abstract: Objective To provide the research basis for the next step of training needs investigation. Methods The item pool of advance care planning training needs assessment tool was initially constructed by literature analysis and data review. Then the English items were translated and adjusted according to the Brislin translation model, and the items were revised by Delphi expert consultation and pre-survey. Results After literature analysis and data review, 23 items were identified, involving three themes: basic knowledge, specialized knowledge and communication skills. After translation and back translation, the overall semantic evaluation of the scale was high, the semantic equivalence of the items was 78.6% to 100.0%, and the semantic equivalence of the scale was 82.6% to 100.0%. After two rounds of consultation, the enthusiasm of experts was 100%, the degree of expert authority was 0.87, the coordination coefficient of expert consultation was 0.271 and 0.353, the mean importance of each item ranged from 4.29 to 5.00, and the coefficient of variation ranged from 0.05 to 0.11. Among the 40 medical staff who evaluated the face validity of the scale, the recognition of each item of the scale was 87.5% to 100.0%. Conclusion The developed training needs assessment tool of advance care planning for medical workers is reasonable as a whole. The Chinese-translated items can provide a research basis for the next step of training needs investigation.

Key words: medical workers, advance care planning, training, evaluation tool

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