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[1]时远红盖琼艳陈雨泽陈雁袁玲.我国医疗护理员核心能力评估工具的系统综述[J].中国卫生质量管理,2026,33(6):18-23.[doi:10.13912/j.cnki.chqm.2026.33.6.04]
　SHI Yuanhong,GAI Qiongyan,CHEN Yuze.A Systematic Review of Core Competency Assessment Tools for Medical Nursing Assistants in China[J].Chinese Health Quality Management,2026,33(6):18-23.[doi:10.13912/j.cnki.chqm.2026.33.6.04]

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我国医疗护理员核心能力评估工具的系统综述

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年6期页码: 18-23 栏目: 特别关注出版日期: 2026-06-15

Title:: A Systematic Review of Core Competency Assessment Tools for Medical Nursing Assistants in China

作者:: 时远红盖琼艳陈雨泽陈雁袁玲; 江苏大学鼓楼临床医学院

Author(s):: SHI Yuanhong; GAI Qiongyan; CHEN Yuze; Nanjing Drum Tower Hospital Clinical College of Jiangsu University

关键词:: 医疗护理员; 核心能力; 评估工具; 免陪照护服务; 系统综述

Keywords:: Medical Nursing Assistants; Core Competency; Assessment Tools; Unaccompanied Care Services; Systematic Review

分类号:: R47

DOI:: 10.13912/j.cnki.chqm.2026.33.6.04

文献标志码:: A

摘要:: 目的系统分析我国医疗护理员核心能力评估工具的内容、方法学质量及测量学属性，为我国相关工具的选用与开发提供依据。方法检索中国知网、万方、维普、PubMed、Embase、CINAHL及Web of Science数据库建库至2025年12月31日收录的相关文献，对评估工具的条目内容进行主题提取与归纳。采用健康测量工具选择的共识标准对纳入评估工具的方法学质量和测量属性质量进行评价。结果共纳入11篇文献，涉及11个评估工具。多数为自评量表，含2～7个维度，多采用Likert 5级评分法。提炼出专业知识、实践技能、综合能力和个人特质4个核心主题及24个亚主题。11个评估工具中，仅1个报告了效标效度，5个报告了重测信度。结论我国现有评估工具存在内容覆盖不全、对不同人群和情境的适配性不足等问题，且缺乏统一的评估标准，方法学质量尚需进一步提升。未来应依据测量学规范，结合专科特异性与等级化需求，开发具有分层结构、内容全面的科学化评估工具。

Abstract:: ObjectiveTo systematically analyze the content, methodological quality, and measurement properties of core competency assessment tools for healthcare attendants in China, providing a basis for the selection and development of relevant tools in the country.?倓MethodsRelevant literature published from the inception of databases to December 31, 2025, was searched in CNKI, Wanfang, VIP, PubMed, Embase, CINAHL, and Web of Science. Thematic extraction and summarization were conducted on the item content of the assessment tools. The Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) were used to evaluate the methodological quality and measurement property quality of the included assessment tools.ResultsA total of 11 studies involving 11 assessment tools were included. Most were self-reported scales with 2 to 7 dimensions, commonly using a 5-point Likert scale. Four core themes (professional knowledge, practical skills, comprehensive abilities, and personal traits) and 24 sub-themes were identified. Among the 11 assessment tools, only one reported criterion validity, and five reported test-retest reliability.Conclusion Existing assessment tools in China have issues such as incomplete content coverage and insufficient adaptability to different populations and contexts, and they lack unified assessment standards, with methodological quality needing further improvement. Future development should adhere to measurement norms, incorporate specialty-specific and hierarchical needs, and create scientifically structured assessment tools with stratified frameworks and comprehensive content.

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更新日期/Last Update: 2026-06-15