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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11.	商临萍, 徐娟, 薛平. 我国实施专科护士认证制度的理论探讨. 护理研究, 2008, 22(36): 3291-3292.
12.	曹彩平. 我国专科护士的现状与展望. 现代医院, 2009, 9(6): 130-132.
13.	李梦诗, 周玲君, 顾申. 美国临终关怀护士资格认证现状及其启示. 解放军护理杂志, 2012, 29(11): 33-34, 37.
14.	王晓杰. 我国护理专科人才的培养及相关问题研究. 北京: 中国协和医科大学, 北京协和医学院, 中国医学科学院, 清华大学医学部, 2006.
15.	王慕然, 徐桂华. 应用德尔菲法和层次分析法建立养老需求评估体系的研究. 护理研究, 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. 德尔菲法中的数据统计处理方法及其应用研究. 内蒙古财经学院学报: 综合版, 2011, 9(4): 92-96.
19.	张琳. 应用 Delphi 法确定护士灾难护理学课程设置内容的研究. 广州: 南方医科大学, 2011.
20.	陈娟. 护理专业本科教育改革发展战略的构建研究. 成都: 四川大学, 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.	日本看護協会認定部. 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.	李亚敏, 李亚洁, 马晓华, 等. 深圳市重症监护室专科护士准入标准的调查研究. 护理研究, 2007, 21(14): 1292-1293.
26.	梁新蕊, 张玲娟, 曹洁, 等. 临床专科护士专职化岗位管理的现状与思考. 中华护理杂志, 2013, 48(2): 187-189.
27.	赵琳, 华海平, 王新刚, 等. 烧伤病房增设感染控制专科护士岗位的经验. 中华烧伤杂志, 2013, 29(1): 75-76.
28.	陈怀玉. 小儿普外科专科护士岗位设置研究. 重庆: 重庆医科大学, 2010.
29.	桑宝珍, 戚荟, 荣丽娟, 等. 院前急救专科护士培养模式的研究与实践. 护士进修杂志, 2010, 25(4): 308-310.
30.	李华, 黄惠根, 黄蝶卿, 等. 专科护士专职工作岗位的设立及实践. 中华护理杂志, 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.	杨健, 张元菊, 王静, 等. 国内外疼痛专科护士资格认证的研究进展. 护理研究, 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. 浙江省卫生厅医政处. 关于印发《浙江省专科护士培训方案(试行)》的通知. 浙卫发〔2009〕34号. (2009-03-09)[2017-08-23]. http://www.zjwjw.gov.cn/art/2009/3/9/art_ 1202101_852615.html.
4. 四川省护理学会. 四川大学华西医院四川省专科护士培训基地 2013 年招生简章. (2012-12-25)[2017-08-23]. http://schl.scyx. org.cn/NewsHtml.asp?ID=425.
5. 江苏省卫生厅办公室. 关于印发《2012 年江苏省专科护士培训招生简章》的通知(苏卫办医(2012)107号). (2012-07-09)[2017-08-23]. http://www.jswst.gov.cn/gb/jsswst/gzdt/bmdt/ yzgl/userobject1ai30596.html.
6. 广东省卫生厅办公室. 关于印发 2012 年广东省临床专科护士培训实施方案的通知. 粤卫办函〔2012〕452号. (2012-11-07)[2017-08-23]. http://www.gdwst.gov.cn/a/zcwj/ 2012110710175.html.
7. 中华护理学会. 2013 年肿瘤专科护士培训班通知. (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. 乔安花, 席淑华. 不同国家及地区 ICU 专科护士认证与培养研究进展. 护理学杂志, 2011, 26(2): 90-93.
11. 商临萍, 徐娟, 薛平. 我国实施专科护士认证制度的理论探讨. 护理研究, 2008, 22(36): 3291-3292.
12. 曹彩平. 我国专科护士的现状与展望. 现代医院, 2009, 9(6): 130-132.
13. 李梦诗, 周玲君, 顾申. 美国临终关怀护士资格认证现状及其启示. 解放军护理杂志, 2012, 29(11): 33-34, 37.
14. 王晓杰. 我国护理专科人才的培养及相关问题研究. 北京: 中国协和医科大学, 北京协和医学院, 中国医学科学院, 清华大学医学部, 2006.
15. 王慕然, 徐桂华. 应用德尔菲法和层次分析法建立养老需求评估体系的研究. 护理研究, 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. 德尔菲法中的数据统计处理方法及其应用研究. 内蒙古财经学院学报: 综合版, 2011, 9(4): 92-96.
19. 张琳. 应用 Delphi 法确定护士灾难护理学课程设置内容的研究. 广州: 南方医科大学, 2011.
20. 陈娟. 护理专业本科教育改革发展战略的构建研究. 成都: 四川大学, 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. 日本看護協会認定部. 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. 李亚敏, 李亚洁, 马晓华, 等. 深圳市重症监护室专科护士准入标准的调查研究. 护理研究, 2007, 21(14): 1292-1293.
26. 梁新蕊, 张玲娟, 曹洁, 等. 临床专科护士专职化岗位管理的现状与思考. 中华护理杂志, 2013, 48(2): 187-189.
27. 赵琳, 华海平, 王新刚, 等. 烧伤病房增设感染控制专科护士岗位的经验. 中华烧伤杂志, 2013, 29(1): 75-76.
28. 陈怀玉. 小儿普外科专科护士岗位设置研究. 重庆: 重庆医科大学, 2010.
29. 桑宝珍, 戚荟, 荣丽娟, 等. 院前急救专科护士培养模式的研究与实践. 护士进修杂志, 2010, 25(4): 308-310.
30. 李华, 黄惠根, 黄蝶卿, 等. 专科护士专职工作岗位的设立及实践. 中华护理杂志, 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. 杨健, 张元菊, 王静, 等. 国内外疼痛专科护士资格认证的研究进展. 护理研究, 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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