The Initial Construction Of The Core Competence Index System Of Neuroscience Nurse Specialist

Objectives:In this study,we propose to construct the core competence index system of neurological nurse specialist through Delphi method and analytic hierarchy process,and provide reference for the curriculum,training methods and authentication of neurological specialist nurses,and to cultivate specialist nursing talents and improve nursing quality of service,to promote the construction and development of neurology specialist care.Methods:In this study,we construct the dimensions and entries of neurological nurse specialists' core competence index system through literature research,questionnaire survey,brainstorming method,semi-structured interview and Delphi method,and calculate the authority coefficient,positive coefficient and expert opinion The degree of concentration and the coordination coefficient,through the analytic hierarchy process to establish the weight coefficient of each index,and ultimately the formation of neurological nurse specialist core competence index system.Results: The core competency target system of neurological specialist nurses constructed by two rounds of expert correspondence letters including six first-level indicators,19 second-level targetes and 74 third-level indicators.The weight coefficient of each target is determined by using analytic hierarchy process(AHP).The enthusiasm of the experts were high,and the recovery of the first round questionnaire was 95.23% the second round was 100%,all of them were> 70%.The expert authority coefficient(Cr)is 0.935,the expert judgment coefficient(Ca)is 0.90,the expert familiarity degree(Cs)is 0.97,and the author thinks that the expert authority coefficient(Cr)?0.7 shows that the expert's reliability is high,so we Invitation of the letter to the authority of a high degree of authority,letter results reliable.The degree of expert opinion concentration is expressed by the mean,standard deviation,full score and coefficient of variation of the target of importance at all levels.The average of the indicators in this research is between 4.2 and 5,and the average of each target is 3.5.The difference is between 0 and 0.83,the full score is 40% ~ 100%,93.75% of the target is over 60%,the coefficient of variation is between 0 and 0.2,the coefficient of variation is <0.25;the expert opinion is concentrated;The analysis of the degree of expert coordination of the indicators at all levels shows that the Kendall W(Kendall W)of the primary,secondary and tertiary indicators is 0.298,0.332,0.201,and the P value is calculated by the chi-square test.Statistical significance.The top three indicators of weight index(Wi)calculated by the analytic hierarchy process are "clinical specialist knowledge,skills","clinical nursing thinking ability","management and execution ability".The top three indicators of weight(Wij)are "master the basic knowledge of neurological diseases basic knowledge: definition,etiology,clinical manifestations,treatment principles","master the symptoms and symptoms of neurological diseases care: assessment,disease observation,Treatment points,nursing measures "," critical thinking ".Conclusion: The research experts have good agreement,expert authority is high,the letter is reliable,which can provide reference for further study of neurological specialist nurse curriculum,training methods and certification.According to the rankings of six primary indicators,we can reflect the importance of "clinical specialist knowledge,skills","clinical nursing thinking ability" and "management and execution ability" in core competence.