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Construction of an evaluation index system of core competence for master of nursing specialists in the operating
Shijiao Lv1, Zhenya Zou1, Guangying Wan1
1Department of Anesthesiology and Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China.
Background:
Postgraduate education in nursing is an important way to cultivate high-level, application-oriented and specialized nursing talents. In China, Master of Nursing Specialists (MNS) play a critical role in surgical settings. However, there is currently no standardized evaluation system to assess their core competencies in the operating room (OR).
Objective:
The purpose of this study was to establish an index system for the evaluation of Chinese operating room Master of Nursing Specialists' core competencies.
Design:
This Delphi study determined the final number of consulting experts based on established inclusion criteria, as well as considerations of authority and representativeness.
Settings:
A university-affiliated hospital in Shandong Province, China, was mainly conducted in this study.
Participants:
Experts (n = 26) with operating room knowledge and practical experience from different regions in China were invited to the Delphi study.
Methods:
Based on literature reviews and semi-structured interviews, an initial evaluation index system was established. Subsequently, from October 2024 to December 2024, a two-round Delphi survey was implemented to consult modification advice with 26 experts about the index for the evaluation of operating room master of nursing specialists' core competencies and rate the significance of each item.
Results:
The effective recovery rates of the two experts consultation rounds were respectively 89.7% and 100% and the average expert authority coefficients were both 0.87. The Kendall's coefficients of concordance for the first, second and third indexes for two rounds of expert consultations were 0.123-0.176 and 0.120-0.163, respectively (P < 0.001). The final evaluation indexes of core competencies for Master of Nursing Specialists in the operating room included 5 first-level indexes, 11 s-level indexes, and 40 third-level indexes.
Conclusions:
The core competency evaluation index system of Master of Nursing Specialist in the operating room are characterized and reliable and can provide theoretical references for the targeted and characteristic training of Master of Nursing Specialist in the operating room in the future.
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