摘要
目的 构建一套系统性临床助产士规范化在职培训架构体系,为提高临床教学质量提供借鉴依据.方法 在文献分析的基础上应用Delphi法对29名专家进行2轮专家函询问卷,以构建低年资助产士在职规范化培训架构体系.结果 2轮专家咨询结束后,问卷的有效回收率分别为96.7％和100.0％;专家的权威系数为0.873;培训内容一、二、三级指标的重要性赋值算数均数分别为4.10～4.97,4.07～4.97和4.00～5.00,3项指标的变异系数分别为0.037～0.119,0.037～0.130和0～0.141.最终形成了低年资助产士规范化培训架构体系,总体包括职业素养与安全意识、专科基础知识、专科实践技能、应急处理与抢救能力以及临床教学科研基础5项一级指标（即5个培训模块）,以阶段累进制方式分配,并划分为3个年限;其中,第1阶段涵盖3项一级指标,9项二级指标,46项三级指标;第2阶段涵盖4项一级指标,11项二级指标,66项三级指标;第3阶段涵盖5项一级指标,13项二级指标,77项三级指标;并确定了培训及考评方式各4种,85个总学时.结论 专家对低年资助产士在职规范化培训架构体系的积极性和代表性较好,结果可靠,可作为培养临床低年资助产士、提供助产专科系统化在职培训的理论依据和策略方案.
Objective To develop a three-stage standardized and systematic training program framework and indicator systems for clinical midwives.Methods Based upon literature review,Delphi technique was used to formulate index system and indicators for midwives＇ training program through tworound expert consultation among 29 experts.Results After two-round expert consultation,the response rates were 96.7％ and 100.0％,respectively.Experts＇ authority coefficient was 0.874.The training program framework consisted of a three-level index system.Average importance scores of the three-level indexes were 4.10 to 4.97,4.07 to 4.97,and 4.00 to 5.00,respectively.And their variance coefficients were 0.037 to 0.119,0.037 to 0.130,and 0 to 0.141,respectively.Then a progressive and integrated three-year standardized training framework and index system for clinical midwives was finally formed,which totally contained 5 first-level indicators or training modules,including professional competence and safety awareness,specialized and basic knowledge,specialized practical skills,emergency management,and basic capacity for teaching and research.Conclusions The three-level framework and indicators for clinical midwives＇ training program has been proved to be acceptable,reliable and scientific,thus providing a theoretical and referential basis for training clinical midwives and improving teaching quality.
出处
《中国实用护理杂志》
北大核心
2014年第36期61-67,共7页
Chinese Journal of Practical Nursing
基金
复旦大学护理科研基金（FNF201237）
关键词
低年资
助产士
助产专业
在职培训
德尔菲法
Junior midwives
Midwifery
Midwifery profession
In-service training
Delphi technique
