A Delphi study about the certification management of specialty nurses in China_West China Medical Journal

Authors：

CHEN Fengjiao ¹ ,  LI Jiping ²

1. Department of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Nursing Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LI Jiping, Email: JP-Li@163.com

Keywords：

Specialty nurse; Certification; Registration; Delphi method

DOI：

10.7507/1002-0179.201603224

Video：

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Objective To explore the certification management of specialty nurses in China based on the existent problems to provide evidence for practice and decision making for management of the specialty nurses. Methods The modified Delphi technique was applied in this study from July to December 2017. A structured consultation questionnaire based on expert interview and literature review was designed, and modified after preliminary experiment. Then the questionnaires were delivered to 32 nurse experts to complete 3 rounds of Delphi process, which reached consensus gradually. Results The response rates of three round consultations were 96.9% (31/32), 100.0% (31/31), and 96.8% (30/31), respectively. The suggestion rates were 25.8% (8/31), 16.1% (5/31), 0% (0/31), respectively. The familiar coefficient, adjustment coefficient and authority coefficient was 0.82, 0.87 and 0.85, respectively. The experts had the agreement finally for all of the 16 items in the consultation questionnaire, and they formed an expert opinion draft on specialty nurse certification and registration. Conclusion It’s crucial and essential to establish a certification and registration system in China and renew the credentials regularly to promote the management and construction of specialty nurse team.

Citation： CHEN Fengjiao, LI Jiping. A Delphi study about the certification management of specialty nurses in China. West China Medical Journal, 2017, 32(9): 1438-1441. doi: 10.7507/1002-0179.201603224 Copy

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2.	Wilkerson BL. Specialty nurse certification effects patient outcomes. Plast Surg Nurs, 2011, 31(2): 57-59.
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12.	曹彩平. 我國專科護士的現狀與展望. 現代醫院, 2009, 9(6): 130-132.
13.	李夢詩, 周玲君, 顧申. 美國臨終關懷護士資格認證現狀及其啟示. 解放軍護理雜志, 2012, 29(11): 33-34, 37.
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15.	王慕然, 徐桂華. 應用德爾菲法和層次分析法建立養老需求評估體系的研究. 護理研究, 2014, 28(7): 890-892.
16.	Lees NM, Lievaart JJ. Expert opinion on ranking risk factors for subclinical mastitis using a modified Delphi technique. N Z Vet J, 2013, 61(3): 168-173.
17.	Manning KE. A delphi study: exploring faculty perceptions of the best practices influencing student persistence in blended courses. Minneapolis: Capella University, 2010.
18.	王春枝, 斯琴. 德爾菲法中的數據統計處理方法及其應用研究. 內蒙古財經學院學報: 綜合版, 2011, 9(4): 92-96.
19.	張琳. 應用 Delphi 法確定護士災難護理學課程設置內容的研究. 廣州: 南方醫科大學, 2011.
20.	陳娟. 護理專業本科教育改革發展戰略的構建研究. 成都: 四川大學, 2009.
21.	Beitz JM. Specialty practice, advanced practice, and WOC nursing: current professional issues and future opportunities. J Wound Ostomy Continence Nurs, 2000, 27(1): 55-64.
22.	American Nurses Credentialing Center (ANCC). certification through portfolio application requirements. (2014-03-04)[2017-08-23]. http://www.nursecredentialing.org/Certification PortfolioRequirements.
23.	日本看護協會認定部. 認定看護師研修実績及び研究業績等申告表項目一覧. (2017-03-08)[2017-08-23]. http://nintei. nurse.or.jp/nursing/wp-content/uploads/2017/03/CN_kensyu jissekikenkyugyouseki_2017.pdf.
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25.	李亞敏, 李亞潔, 馬曉華, 等. 深圳市重癥監護室專科護士準入標準的調查研究. 護理研究, 2007, 21(14): 1292-1293.
26.	梁新蕊, 張玲娟, 曹潔, 等. 臨床專科護士專職化崗位管理的現狀與思考. 中華護理雜志, 2013, 48(2): 187-189.
27.	趙琳, 華海平, 王新剛, 等. 燒傷病房增設感染控制專科護士崗位的經驗. 中華燒傷雜志, 2013, 29(1): 75-76.
28.	陳懷玉. 小兒普外科專科護士崗位設置研究. 重慶: 重慶醫科大學, 2010.
29.	桑寶珍, 戚薈, 榮麗娟, 等. 院前急救專科護士培養模式的研究與實踐. 護士進修雜志, 2010, 25(4): 308-310.
30.	李華, 黃惠根, 黃蝶卿, 等. 專科護士專職工作崗位的設立及實踐. 中華護理雜志, 2011, 46(4): 364-366.
31.	American Nurses Credentialing Center (ANCC). 2016 Certification renewal requirements. (2016-06-01)[2017-08-23]. http://www.nursecredentialing.org/RenewalRequirements.
32.	楊健, 張元菊, 王靜, 等. 國內外疼痛專科護士資格認證的研究進展. 護理研究, 2010, 24(26): 2362-2364.

1. Kendall-Gallagher D, Aiken LH, Sloane DM, et al. Nurse specialty certification, inpatient mortality, and failure to rescue. J Nurs Scholarsh, 2011, 43(2): 188-194.
2. Wilkerson BL. Specialty nurse certification effects patient outcomes. Plast Surg Nurs, 2011, 31(2): 57-59.
3. 浙江省衛生廳醫政處. 關于印發《浙江省專科護士培訓方案(試行)》的通知. 浙衛發〔2009〕34號. (2009-03-09)[2017-08-23]. http://www.zjwjw.gov.cn/art/2009/3/9/art_ 1202101_852615.html.
4. 四川省護理學會. 四川大學華西醫院四川省專科護士培訓基地 2013 年招生簡章. (2012-12-25)[2017-08-23]. http://schl.scyx. org.cn/NewsHtml.asp?ID=425.
5. 江蘇省衛生廳辦公室. 關于印發《2012 年江蘇省專科護士培訓招生簡章》的通知(蘇衛辦醫(2012)107號). (2012-07-09)[2017-08-23]. http://www.jswst.gov.cn/gb/jsswst/gzdt/bmdt/ yzgl/userobject1ai30596.html.
6. 廣東省衛生廳辦公室. 關于印發 2012 年廣東省臨床專科護士培訓實施方案的通知. 粵衛辦函〔2012〕452號. (2012-11-07)[2017-08-23]. http://www.gdwst.gov.cn/a/zcwj/ 2012110710175.html.
7. 中華護理學會. 2013 年腫瘤專科護士培訓班通知. (2012-12-25)[2017-08-23]. http://www.cna-cast.org.cn/showInfo.asp?id=269.
8. AACN Certification Corporation. CCRN renew handbook (adult, pediatric, neonatal). (2017-05-03)[2017-08-23]. https://www. aacn.org/~/media/aacn-website/certification/cert-renewal/renew-handbooks/ccrnrenewalhandbook.pdf.
9. American Nurses Credentialing Center (ANCC). Certification: general testing and renewal handbook. (2017-04-01)[2017-08-23]. http://nursecredentialing.org/GeneralTestingandRenewalHandbook.
10. 喬安花, 席淑華. 不同國家及地區 ICU 專科護士認證與培養研究進展. 護理學雜志, 2011, 26(2): 90-93.
11. 商臨萍, 徐娟, 薛平. 我國實施專科護士認證制度的理論探討. 護理研究, 2008, 22(36): 3291-3292.
12. 曹彩平. 我國專科護士的現狀與展望. 現代醫院, 2009, 9(6): 130-132.
13. 李夢詩, 周玲君, 顧申. 美國臨終關懷護士資格認證現狀及其啟示. 解放軍護理雜志, 2012, 29(11): 33-34, 37.
14. 王曉杰. 我國護理專科人才的培養及相關問題研究. 北京: 中國協和醫科大學, 北京協和醫學院, 中國醫學科學院, 清華大學醫學部, 2006.
15. 王慕然, 徐桂華. 應用德爾菲法和層次分析法建立養老需求評估體系的研究. 護理研究, 2014, 28(7): 890-892.
16. Lees NM, Lievaart JJ. Expert opinion on ranking risk factors for subclinical mastitis using a modified Delphi technique. N Z Vet J, 2013, 61(3): 168-173.
17. Manning KE. A delphi study: exploring faculty perceptions of the best practices influencing student persistence in blended courses. Minneapolis: Capella University, 2010.
18. 王春枝, 斯琴. 德爾菲法中的數據統計處理方法及其應用研究. 內蒙古財經學院學報: 綜合版, 2011, 9(4): 92-96.
19. 張琳. 應用 Delphi 法確定護士災難護理學課程設置內容的研究. 廣州: 南方醫科大學, 2011.
20. 陳娟. 護理專業本科教育改革發展戰略的構建研究. 成都: 四川大學, 2009.
21. Beitz JM. Specialty practice, advanced practice, and WOC nursing: current professional issues and future opportunities. J Wound Ostomy Continence Nurs, 2000, 27(1): 55-64.
22. American Nurses Credentialing Center (ANCC). certification through portfolio application requirements. (2014-03-04)[2017-08-23]. http://www.nursecredentialing.org/Certification PortfolioRequirements.
23. 日本看護協會認定部. 認定看護師研修実績及び研究業績等申告表項目一覧. (2017-03-08)[2017-08-23]. http://nintei. nurse.or.jp/nursing/wp-content/uploads/2017/03/CN_kensyu jissekikenkyugyouseki_2017.pdf.
24. Japanese Nursing Association. Nursing in Japan, nursing education in Japan, credentialing system. (2013-12-30)[2014-03-02]. http://www.nurse.or.jp/jna/english/nursing/education.html.
25. 李亞敏, 李亞潔, 馬曉華, 等. 深圳市重癥監護室專科護士準入標準的調查研究. 護理研究, 2007, 21(14): 1292-1293.
26. 梁新蕊, 張玲娟, 曹潔, 等. 臨床專科護士專職化崗位管理的現狀與思考. 中華護理雜志, 2013, 48(2): 187-189.
27. 趙琳, 華海平, 王新剛, 等. 燒傷病房增設感染控制專科護士崗位的經驗. 中華燒傷雜志, 2013, 29(1): 75-76.
28. 陳懷玉. 小兒普外科專科護士崗位設置研究. 重慶: 重慶醫科大學, 2010.
29. 桑寶珍, 戚薈, 榮麗娟, 等. 院前急救專科護士培養模式的研究與實踐. 護士進修雜志, 2010, 25(4): 308-310.
30. 李華, 黃惠根, 黃蝶卿, 等. 專科護士專職工作崗位的設立及實踐. 中華護理雜志, 2011, 46(4): 364-366.
31. American Nurses Credentialing Center (ANCC). 2016 Certification renewal requirements. (2016-06-01)[2017-08-23]. http://www.nursecredentialing.org/RenewalRequirements.
32. 楊健, 張元菊, 王靜, 等. 國內外疼痛專科護士資格認證的研究進展. 護理研究, 2010, 24(26): 2362-2364.

West China Medical Journal

A Delphi study about the certification management of specialty nurses in China

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