Construction Of Core Competency System And Promotion Plan For Respiratory Therapy Specialist Nurses

BackgroundIn the past decade,with the development of nursing discipline and the refinement of professional fields,the demand for specialized nurses has gradually increased.The National Nursing Development Plan(2016-2020)proposes the requirements of continuing to "develop the team of specialized nurses"," establishing a management system for specialized nurse"s,and "improving and promoting themanagement system for hospital nursing positions".During the 12th Five Year Plan period,the country has trained 25000 clinical specialty nurses,and it is expected that the total number of clinical specialty nurses trained in China will more than 60000 by the end of 2025.Respiratory specialist nurses are an important force in the management of respiratory diseases and are also one of the urgently needed specialist nurses for clinical development.With the increasing number of respiratory specialized nurses trained by the country year by year,issues such as unclear hierarchical division of respiratory specialized nurses and lack of career development goals are becoming increasingly prominent.Clinical managers are unable to objectively evaluate the work value of respiratory specialist nurses at different levels due to the lack of relevant promotion plans.At the same time,there is currently a special nursing population engaged in respiratory therapy part-time in clinical practice,facing difficulties in career development due to the lack of clear admission conditions,job scope,job responsibilities,and role functions.Respiratory specialized nurses are unable to highlight their specialized characteristics in clinical nursing work,their career development path is unclear,and their sense of professional identity is not strong,which affects the development and stability of the respiratory specialized nursing team.Therefore,it is urgent to clarify the core competency evaluation system for respiratory therapy specialty nurses,construct a Promotion Plan,in order to avoid the brain drain of specialized nurses and promote the development of respiratory nursing profession.Objective1.Define the concept of respiratory treatment specialist nurse and Discuss the feasibility of respiratory therapy specialist nurses as high-level respiratory specialist nurses.2.Build the core competence system of respiratory treatment specialist nurses.3.Build a promotion plan for respiratory specialist nurses with the goal of respiratory therapy specialist nurses.Provide direction for professional development of respiratory specialist nurses.4.Explore the feasibility of promotion schemeMethod1.Semi-structured interview:Using the snowball sampling method,10 experts in the field of respiratory therapy were selected for interview.The content of the interview is to invite experts to express their opinions on the training direction of respiratory specialty nurses in China,discuss the admission conditions of respiratory specialty nurses,and the feasibility of taking them as the training objectives of respiratory Specialist nurses2.Delphi and AHP:20 experts in the field of respiratory therapy and nursing educators were invited to conduct two rounds of expert consultation.They defined the concept of respiratory treatment specialist nurses and constructed the core competence system of respiratory treatment specialist nurses.In the next two rounds of expert correspondence,Delphi method and analytic hierarchy process were used to construct indicators and calculate weights.The final draft of the promotion plan for respiratory specialist nurses was formed3.Cross-sectional survey method:Six experts were invited to predict the lowest score of the Promotion Plan for Respiratory Nurses.The paper version of the promotion plan was distributed as a questionnaire to the respiratory specialist nurses in two hospitals in South China,with the purpose of conducting a small-scale empirical study to analyze the feasibility and practicability of the promotion plan.Result1.Results of Qualitative interview:The concept of respiratory treatment specialist nurse has not been unified in China.It is feasible and significant to adopt the promotion plan of respiratory treatment specialist nurses as the training goal of respiratory specialist nurses.However,before formulating the promotion plan,the concept and admission requirements of respiratory treatment specialist nurses must be clarified.Secondly,to build the framework of the promotion plan for respiratory specialist nurses,it is also necessary to compare the core competence differences between respiratory specialist nurses and respiratory specialist nurses.2.Results of Delphi and AHP:20 experts completed two rounds of correspondence on the two studies.The constructed core competence system of respiratory treatment specialist nurses has determined 90 core competence evaluation indicators from five aspects:professional attitude,professional ability,comprehensive management ability,scientific research ability and teaching ability.In the promotion plan of respiratory specialist nurses,98 indicators and weights of 7 evaluation dimensions including basic information,assessment and evaluation,clinical work evaluation,teaching and training evaluation,scientific research ability evaluation,comprehensive evaluation and academic ability evaluation were established.The experts participating in the inquiry are highly motivated and cooperative.The expert authority coefficients of the two projects are 0.88 and 0.92 respectively,which are highly authoritative.Kendall’s W coordination coefficient showed an increasing trend,and the statistical test was P<0.001,and the experts agreed.3.Results of survey:In the small-scale empirical research,the highest score is 57.00,the lowest score is 26.20,and the average score is 45.24.This result is higher than the lowest score of 43.74 calculated by experts’ opinions,which is basically consistent with the expert prediction result.According to the results,we suggest that on the basis of meeting the basic conditions for the promotion of respiratory treatment specialist nurses,the time period of the promotion evaluation should be determined as the annual evaluation.If the annual score is ≥45 points for three consecutive years,it is recommended to be promoted to the respiratory treatment specialist nurse.The total score of the year is less than 20 points or 40%of the total number of people.It is recommended not to upgrade or maintain.If the annual score for three consecutive years is less than 20 points or 40%of the total number of people,it is recommended to demote or cancel the certification of specialist nurses in the hospital.Maintain the original level in other situations.ConclusionThis study defined the concept of respiratory therapy specialist nurses based on qualitative interviews and Delphi expert consultation.The core competency system of respiratory therapy specialty nurses has been constructed,and based on this,a career advancement plan for respiratory specialty nurses has been constructed.The final result can serve as a reference for the development of the respiratory specialist nurse profession.