职业与健康 ›› 2025, Vol. 41 ›› Issue (22): 3091-3097.

• 论著 • 上一篇    下一篇

急诊科护士职业安全素养评价指标体系的构建

刘伟亮1a, 吴萍1a, 徐雪茹1b, 刘晔2a, 陈正荣2b, 段志光2c   

  1. 1.山西医科大学 a 人文社会科学学院, b 管理学院, c 医学健康人文研究中心,山西 太原 030001;
    2.西安医学院第一附属医院 a 急诊科, b 护理部,陕西 西安 710077
  • 收稿日期:2025-02-19 修回日期:2025-03-12 发布日期:2025-12-15
  • 通信作者: 段志光,教授,E-mail:dzg528@sxmu.edu.cn
  • 作者简介:刘伟亮,男,护师,在读硕士研究生,研究方向为健康人文。
  • 基金资助:
    教育都首批新文科研究与改革项目(2021020012)

Construction of evaluation index system for occupational safety literacy of nurses in emergency department

LIU Weiliang1a, WU Ping1a, XU Xueru1b, LIU Ye2a, CHEN Zhengrong2b, DUAN Zhiguang2c   

  1. 1. a College of Humanities and Social Sciences,b Management College,c Medical Health Humanities Research Center,Shanxi Medical University,Taiyuan,Shanxi 030001,China;
    2. a Emergency Department,b Department of Nursing,The First Affiliated Hospital of Xi'an Medical University,Xi'an,Shaanxi 710077,China
  • Received:2025-02-19 Revised:2025-03-12 Published:2025-12-15
  • Contact: DUAN Zhiguang,Professor,E-mail:dzg528@sxmu.edu.cn

摘要: 目的 构建急诊科护士职业安全素养评价指标体系,为评价、培养、促进、提高我国急诊科护士职业安全素养提供参考依据。方法 2023年6月—2024年3月,以急诊科护士职业安全素养作为研究对象,通过概念界定、理论支持、文本分析、关键词共现分析和专题小组讨论初步构建评价指标体系;应用德尔菲法和层次分析法确定评价指标体系和各级指标权重。结果 共邀请45名专家进行了3轮咨询,有效回收率分别为88.89%、77.50%、83.87%,专家学术造诣水平为0.935,专家熟悉程度为0.839,专家判断系数为0.903,专家权威系数为0.892;3轮指标体系肯德尔和谐系数分别为0.188、0.224、0.263(均P<0.01)。最终构建了包括职业安全知识、职业安全技能、职业安全品质的3项一级指标、10项二级指标、50项三级指标的急诊科护士职业安全素养评价指标体系。结论 所构建的急诊科护士职业安全素养评价指标体系科学、可靠,具有针对性和实用性,可作为评价、培训和考核急诊科护士职业安全素养的参考依据。

关键词: 急诊科护士, 职业安全素养, 聚类分析, 德尔菲法, 层次分析法

Abstract: Objective To construct the evaluation index system of occupational safety literacy of nurses in emergency department,and to provide reference for evaluating,cultivating,promoting and improving the occupational safety literacy of nurses in emergency department in China. Methods From June 1,2023 to March 10,2024,taking the occupational safety literacy of nurses in emergency department as the research object,and preliminarily constructed the evaluation index system through concept definition,theoretical support,text analysis,keyword co-occurrence analysis and thematic group discussion. Delphi method and analytic hierarchy process were used to determine the evaluation index system and the weight of each index. Results A total of 45 experts were invited for three rounds of consultation,and the effective recovery rates were 88.89%,77.50% and 83.87%,respectively. The academic attainment level of experts was 0.935,the familiarity of experts was 0.839,the expert judgment coefficient was 0.903,and the expert authority coefficient was 0.892. The Kendall’s coefficients of concordance of the three rounds of index system were 0.188,0.224 and 0.263,respectively(all P<0.01). Finally,the evaluation index system of occupational safety literacy of nurses in emergency department was constructed,including 3 first-level indicators,10 second-level indicators and 50 third-level indicators of occupational safety knowledge,occupational safety skills and occupational safety quality. Conclusion The evaluation index system of occupational safety literacy of emergency nurses constructed in this study is scientific,reliable,targeted and practical,and can be used as a reference for evaluating,training and assessing the occupational safety literacy of emergency nurses.

Key words: Emergency nurses, Occupational safety literacy, Cluster analysis, Delphi method, Analytic hierarchy process

中图分类号: