Formulation Of Index System On Post Competency For Primary Nurse Of Geriatric Wards

Purpose: This study posits to formulate an assessment index system on postcompetency for primary nurses of elderly wards, an approach subservient toproviding a touchstone for the assessment of primary nurses of elderly wards on postcompetency to deliver a high-quality nursing service, thereby facilitating andactuating the advancement of old-age care paralleled with a view to crystallize theperson-post fitting as well as to set forth directives for the management andstandardization of training of nurses..Methodology：For starters, the framework of an assessment index system on postcompetency for primary nurses of elderly wards brought forth in this study wasconceived through a composite of efforts including reviews on appositedocumentation sets, an analysis of the status quo research on the paradigm ofassessment index system on post competency for primary nurses from home andabroad, consideration of policy dictation coupled by interviews with15administrators, instructors and primary nurses on elderly wards nursing service.Afterwards，based on Delphi method, questionnaires were dispensed to15punditsattached to hospitals of various statures across the country. The ensuing opinionscollected and collated in the first round of consultation on an assessment indexsystem on post competency for primary nurses of elderly wards were adaptedfollowed by second round aimed to stratify and put weight value on target parameters.Results:1.The framework of an assessment index system on post competency forprimary nurses of elderly wards, compressing a target index of five items in the first category, fourteen items in the second category and sixty items in the third category,was posited on the premise of reviews on apposite documentation sets as well asfeedback from questionnaire.2.Drawing on pundits’ feedbacks solicited in the second round of consultationand survey based upon Delphi method, added, trimmed and amalgamated, targetindex was finalized following these adaptation coming to a structure of five items inthe first category, namely post competency for point-of-care, instruction andconsultation, coordination and administration, scientific research and teaching andethics and decision-making, juxtaposed by fifteen items in the second category andsixty-four items in the third category appended with weight value.3.The expert penal engaged were expressly and proactively concerned with thisstudy, responding to15questionnaire each of the first and second round with arecovery rate of100%. Gauged on the authority coefficient underpinned by individualacademic caliber, ground of judgments and familiarity with this motif, the pundits fellin a scale of0.75～0.93, with an average of0.84. The coefficient of variation onconsultation fell between0.00%～31.77%and0.00%～23.67%in the first and secondround respectively, p＜0.001。Valuation mean fell between3.73～5.00and3.73～5.00respectively, well above accepted value adumbrating a high consistence offeedback.Conclusion: The preliminary assessment index system on post competency forprimary nurses of elderly wards formulated encompasses a target index of five itemsin the first category, fourteen items in the second category and sixty-four items in thethird category with weight value distributed accordingly. The assessment indexsystem builds upon national policy and caters to extant exigency of nursing withexplicit and operable reference covering the needs for assessment of post competencyfor primary nurses of elderly wards.As a tentative endeavor to establish an assessment index system on post competencyfor primary nurses of elderly wards, such an effort has yet to be vindicated clinically,pending test in practice and it is difficult to carry out an objective and judiciousappraisals given the status quo of scant distribution of nurses across the country andcharacteristics of their profession.