Development of an evaluation system for excellent clinical nurses based on competency theory

Abstract

Objective To construct a scientific, valid evaluation system for excellent clinical nurses. Methods Based on the framework of competency theory, systematic literature reviewing, nursing experts discussion and the Delphi method were used to determine the primary indexes for the evaluation system. The evaluation system was determined from three perspectives, doctors', nurses' and patients'. Analytic Hierarchy Process (AHP) was then used to determine the weight of each index. Results The weight of doctors', nurses' and patients' perspective was 0.2, 0.4, 0.4 respectively. Doctors' and nurses' perspective (hereinafter referred to as staff's perspective) had the same evaluating indexes, which both consisted of 5 first-dimensions, 22 second-dimensions. The patients' perspective contained 3 first-dimensions, 14 second-dimensions. In two-round Delphi technique, the rates of questionnaire retrieve were 91.2% (31/34) , 100.0% (31/31) , respectively; the colleagues' coordination coefficients were 0.784, 0.858, respectively, and the patients' coordination coefficients were 0.05, 0.216, respectively. Conclusions A evaluation system of high reliability and validity for excellent clinical nurseshas been successfully constructed. It may be utilized as a tool to for nursing administrator selection, training, assessment of excellent clinical nurses. Key words: Nursing administration research; Excellent clinical nurses; Competency; Evaluating index