Establishment of an indicator system for evaluation of entrustable professional activity of PICC specialist nurses
10.3969/j.issn.1671-8283.2024.12.007
- VernacularTitle:PICC专科护士置信职业行为评价指标体系的构建
- Author:
Xiaoqian ZHOU
1
;
Fen WANG
;
Suyun LI
;
Fangli LIU
;
Lianlian QU
;
Xiao XIONG
Author Information
1. 华中科技大学同济医学院附属协和医院呼吸与危重症医学科,湖北 武汉,430000
- Publication Type:Journal Article
- Keywords:
peripherally inserted central catheter;
specialist nurse;
entrustable professional activity;
competency;
Delphi method
- From:
Modern Clinical Nursing
2024;23(12):41-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish an indicator system for evaluation of entrustable professional activity(EPA)of PICC specialist nurses hence to provide a reference in evaluation of the post competency.Methods Through literature review and expert correspondence,two rounds of expert consultations were conducted with 18 PICC specialist nurses to determine the indicators for EPA evaluation.Results The effective recovery rate of the consultation questionnaires was 100.00%from the 2 rounds of expert consultations with the 18 PICC specialist nurses.In the second round of consultation,the expert authority coefficient was 0.94.The Kendall harmony coefficients for first-level secord-level and tertiary indicator were 0.388,0.257 and 0.159,respectively(all P<0.001).Four primary evaluative indicators were extracted,covering health assessment,professional skills operation,clinical nursing and teaching and research.In addition,4 first-level indicators(health assessment,professional skill operation,clinical nursing and teaching and scientific research),a total of 11 second-level indicators(mortal history collection,puncture site and catheter selection,occupational protection,specialist nursing operation technology,PICC venous safety assessment and management,first aid nursing skills,health guidance,educational consultation,communication and collaboration,teaching guidance,nursing scientific research application and professional development)and 47 tertiary indicators were included.All indicators scored between 4.56～5.00 for importance in the second round of consultation,between 4.50～4.94 for observability,and between 4.61～5.00 for reflecting the corresponding core competencies.Conclusion The EPA indicator system for evaluation of PICC specialist nurses is scientifically reliable and comprehensive.It can serve as an objective quantitative tool in evaluation of the post competency of PICC specialist nurses.
