苏婷 唐万珍

[摘要] 目的 探讨护理硕士专业学位（MNS）研究生临床培养目标的初步构建。 方法 在文献回顾、研究小组讨论及专家访谈的基础上初步形成MNS培养目标体系咨询表。采用目的抽样法选择护理专家30名，采用德尔菲法进行两轮咨询论证。 结果 两轮专家咨询后形成专家一致性意见，问卷有效回收率分别为100.00%、93.33%，两轮专家全体权威系数分别为0.87、0.87，专家意见的肯德尔和谐系数分别为0.132、0.235，差异有高度统计学意义（P < 0.01）。最终形成的指标体系包括3项一级指标（思想态度目标、认知目标、技能目标）、25项二级指标。 结论 本研究构建的MNS临床培养目标体系能促进我国高等护理教学的深化，使我国MNS心理素质和思想态度得到提高，且对临床实践技能及理论知识的理解更深入，同时加深对科研的研究，共同促进我国MNS的综合素质的提高。

[关键词] 护理硕士专业学位；培养目标；德尔菲法

[中图分类号] R642 [文献标识码] A [文章编号] 1673-7210（2018）09（a）-0173-05

[Abstract] Objective To explore an effective system for clinical training objectives of graduates with master of nursing specialist （MNS）. Methods On the basis of literature review， group discussion and expert interview， MNS training objective system consultation form was initially formed. 30 patients were selected by purpose sampling， and two rounds of consultation were established by Delphi method. Results In the two rounds of expert consultations， experts′ positive coefficients were 100.00% and 93.33%. The authoritative coefficients of experts were 0.87 and 0.87， respectively. The Kendall′s W coefficients were 0.132 and 0.235 （P < 0.01）. The evaluation system included 3 primary indicators， 25 secondary indicators. Conclusion The higher nursing teaching in China can be deepened by the MNS clinical training target system constructed by this study. The psychological quality and ideological attitude of MNS in our country have been improved， and clinical practice skills and theoretical knowledge can be more deeply understood by MNS. At the same time， scientific research has been deepened by MNS to promote the improvement of the comprehensive quality of MNS in China.

[Key words] Master of nursing specialist； Training goal； Delphi Method

我國护理硕士专业学位（master of nursing specialist，MNS）的培养目标是培养良好的政治思想及职业素养人才，并拥有扎实的理论基础和专业实践技能、较强的临床思维及决策能力等，可独自解决护理专业常见的护理问题，且拥有较强的管理、教学、科研等能力的专科型、应用型护理人才[1]。而我国的MNS的教育相对于学术学位而言才刚起步，由于我国护理专业的大专生和本科生能力有限，而我国护理研究生大部分来自于本科生，且目前还存在培养目标分级、内涵及专科培养方向不明确、缺乏个性化的临床培养模式等薄弱环节。本研究采用德尔菲（Delphi）法进行培养目标体系的初步构建，在借鉴国外护理人才培养目标的基础上，结合国内的特点和实际情况，探索我国MNS在思想态度、认知及技能方面的具体培养要求，以期为指导我国MNS护理教学课程的改革，提高我国护理教学的质量，为我国高等实践护理人才的培养提供参考依据。……