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| 基于泰勒模式的成人重症监护室护理缺失预防培训方案的构建 |
| A study on the construction of a training program for the prevention of missed nursing care in adult intensive care units |
| 投稿时间：2025-03-27 修订日期：2025-07-01 |
| DOI： |
| 中文关键词: 护理缺失；成人重症监护室；德尔菲法；培训方案 |
| 英文关键词: Missed nursing care; Adult intensive care unit; Delphi method; Training program |
| 基金项目:安徽省教育厅高校自然科学研究项目（KJ2021ZD0020）;安徽省卫生健康科研项目[皖卫传（2023）515号] |
| 作者 | 单位 | 邮编 | | 杨燕 | 安徽医科大学护理学院；安庆市立医院 | 246003 | | 胡少华* | 安徽医科大学第一附属医院；安徽医科大学护理学院 | 230000 |
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| 中文摘要: |
| 摘要 目的 构建成人重症监护室护理缺失预防培训方案。方法 以泰勒模式为理论依据，基于文献回顾、横断面调查及焦点小组讨论，初步拟订培训方案，采用德尔菲法对20名专家进行两轮专家函询，构建成人重症监护室护理缺失预防培训方案。结果 两轮函询专家积极系数分别为95.24%、100%，专家权威系数均为0.870，肯德尔和谐系数分别为0.278、0.296（P<0.05）。最终确立的培训方案包括培训目标、培训内容、培训方式及考核评价四个方面共76个指标条目。其中培训目标含“降低ICU护理缺失发生率”等16项指标，培训内容含“护理缺失概述”等32项指标，培训方式含“培训形式”等17项指标，考核评价含“主观评价”等7项指标。结论 构建的成人重症监护室护理缺失预防培训方案科学实用，可为医院开展成人重症监护室护理缺失预防培训提供参考依据和实践思路。 |
| 英文摘要: |
| Abstract ：Objective To construct a training program for the prevention of missed nursing care in adult ICU. Method Based on the Taylor model as the theoretical basis, through literature review, cross-sectional survey and focus group discussion, a preliminary training program was drafted. The Delphi method was used to conduct two rounds of expert inquiries with 20 experts to construct a training program for the prevention of missed nursing care. Result The positive coefficients of the experts in the two rounds of expert consultations were 95.24% and 100% , the expert authority coefficients were both 0.870, and the Kendall'W were 0.278 and 0.296 (P<0.05). The final determined training plan includes a total of 76 indicator items in 4 aspects: training objectives, contents, methods and assessment and evaluation. Among them, the training objectives include 16 indicators such as "reducing the incidence of ICU missed nursing care ", the training contents include 32 indicators such as "Overview of Missed Nursing Care ", the training methods include 17 indicators such as "training forms", and the assessment and evaluation include 7 indicators such as "subjective evaluation". Conclusion The constructed training program for the prevention of nursing deficiencies in adult ICU is scientific and practical, which can provide reference basis and practical ideas for hospitals to carry out training on the prevention of missed nursing care in adult ICU. |
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