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[1]陈蒙黄萍梅天舒周田田闫振龙王玉川陶俊杰.脓毒症快速反应团队护士核心能力评价指标体系构建[J].中国卫生质量管理,2025,32(11):57-63.[doi:10.13912/j.cnki.chqm.2025.32.11.12]
　CHEN Meng,HUANG Ping,MEI Tianshu.Construction of an Evaluation Index System for the Core Competencies of Nurses in the Sepsis Rapid Response Team[J].Chinese Health Quality Management,2025,32(11):57-63.[doi:10.13912/j.cnki.chqm.2025.32.11.12]

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脓毒症快速反应团队护士核心能力评价指标体系构建

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 57-63 栏目: 护理质量出版日期: 2025-11-15

Title:: Construction of an Evaluation Index System for the Core Competencies of Nurses in the Sepsis Rapid Response Team

作者:: 陈蒙黄萍梅天舒周田田闫振龙王玉川陶俊杰; 南京大学医学院附属鼓楼医院

Author(s):: CHEN Meng; HUANG Ping; MEI Tianshu; Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School ,Nanjing University

关键词:: 脓毒症; 脓毒症快速反应团队; 护士; 核心能力; 评价体系

Keywords:: Sepsis; Sepsis Rapid Response Team; Nurses; Core Competencies; Evaluation System

分类号:: R47；R459.7

DOI:: 10.13912/j.cnki.chqm.2025.32.11.12

文献标志码:: A

摘要:: 目的构建脓毒症快速反应团队（SRRT）护士核心能力评价指标体系，提高脓毒症护理质量。方法基于能力素质冰山模型，通过半结构式访谈、文献回顾、德尔菲法确定SRRT护士核心能力评价指标体系，运用层次分析法计算指标权重。结果构建的SRRT护士核心能力评价指标体系包括6项一级指标17项二级指标69项三级指标，一级指标包括专业知识、专业临床实践能力、评判性思维能力、管理协调能力、专业发展能力、职业素养，权重依次为0.248 5、0.326 0、0.097 3、0.168 8、0.097 3、0.062 2。两轮函询专家积极系数均为100%，专家权威系数为0.918，肯德尔和谐系数分别为0.181～0.263（P<0.001）、0.181～0.259（P<0.001）。结论SRRT护士核心能力评价指标体系具有一定科学性和实用性，可为SRRT护士培养和管理提供参考。

Abstract:: ObjectiveTo construct an evaluation index system for the core competencies of nurses in the sepsis rapid response team (SRRT) and improve the quality of sepsis nursing care.MethodsBased on the Competency Iceberg Model, the evaluation index system for the core competencies of SRRT nurses was established through semi-structured interviews, literature review, and the Delphi method, and the analytic hierarchy process was employed to calculate the weights of the indices. ResultsThe constructed evaluation index system for the core competencies of SRRT nurses comprised 6 primary indices, 17 secondary indices, and 69 tertiary indices. The primary indices included professional knowledge, professional clinical practice ability, critical thinking ability, management and coordination ability, professional development ability, and professional ethics, with weights of 0.248 5, 0.326 0, 0.097 3, 0.168 8, 0.097 3, and 0.062 2, respectively. The positive coefficients of experts in both rounds of consultation were 100%, with an expert authority coefficient of 0.918. The Kendall’s coefficient of concordance ranged from 0.181 to 0.263 and from 0.181 to 0.259 (P<0.001) in the two rounds, respectively.Conclusion The evaluation index system for the core competencies of SRRT nurses demonstrates a certain degree of scientific validity and practicality, providing a reference for the management of SRRT nurses.

参考文献/References:

［1］EVANS L,RHODES A,ALHAZZANI W,et al.Surviving sepsis campaign: international guidelines for management of sepsisand septic shock 2021［J］.Intensive Care Med,2021,47(11):1181-1247.［2］陶秋艳,马旭东,芮曦,等.ICU护理人力资源配置对脓毒症休克集束化治疗完成率的影响［J］.中国卫生质量管理,2021,28(8):43-46.［3］XIE JF,WANG HL,KANG Y,et al.The epidemiology of sepsis in Chinese ICUs:a national cross-sectional survey［J］.Crit Care Med,2020,48(3):209-218.［4］国家卫生健康委办公厅.关于印发2022年国家医疗质量安全改进目标的通知:国卫办医函〔2022〕58号［EB/OL］.(2022-03-02)［2024-08-23］.http://www.nhc.gov.cn/yzygj/s3585/202203/ffed3474b18840 58841a07c144ad094e.shtml.［5］JU T,AL-MASHAT M,RIVAS L,et al.Sepsis rapid response teams［J］.Crit Care Clin,2018,34(2):253-258.［6］胡莉,黄海燕,程维.脓毒症的早期识别及护理研究进展［J］.中华急危重症护理杂志,2021, 2(4):365-369.［7］陈芳,许瑛,蔡国龙.脓毒症快速反应团队的建立与应用［J］.中国护理管理,2018,18(9):1270-1273.［8］MCCLELLAND DC.Testing for competence rather than for "intelligence"［J］.Am Psychol,1973,28(1):1-14.［9］王春枝,斯琴.德尔菲法中的数据统计处理方法及其应用研究［J］.内蒙古财经学院学报(综合版),2011,9(4):92-96.［10］SAATY TL.The analytic hierarchy process:planning, priority setting, resource allocation［M］.New York: McGraw-Hill, 1988：50. ［11］孙晓,龚美芳,朱晓萍,等.危重症患者护理风险动态闭环管理模式的构建与运行［J］.中华现代护理杂志,2016,22(15):2178-2182.［12］吴康飞,黄承洲,郭亚鹏,等.入院-转出时间与急性大血管闭塞性脑卒中患者早期血管内治疗临床预后的关系［J］.中华神经科杂志,2023,56(12):1371-1380.［13］杨利谦,赵海静，王泽阳,等.基于高级临床决策支持系统的AMI单病种质控效果评价［J］. 中国医院管理,2020,40(5):55-57.［14］HARLEY A,MASSEY D,ULLMAN AJ,et al.Final year nursing student’s exposure to education and knowledge about sepsis:a multi-university study［J］.Nurse Educ Today,2021,97:104703.

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更新日期/Last Update: 2025-11-15