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Table 4 Core competence evaluation index system of infectious disease specialist nurses

From: Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study

Index level 1st, 2nd and 3rd

Significance grade

Variable coefficient

Weighting targets

1. Nursing abilities for infectious diseases

4.90 ± 0.31

0.062

0.169

 1.1 Theoretical knowledge

4.87 ± 0.35

0.071

0.063

  1.1.1 Grasp the pathogenesis of common infectious diseases and the relevant knowledge of diseases including the historical epidemiology, the main nursing points and health education

4.67 ± 0.55

0.117

0.021

  1.1.2 Be familiar with the basics such as the dosage regimen, administration route, side effects and matters needing attention of drugs which are commonly taken by infectious diseases patients

4.50 ± 0.78

0.173

0.020

 1.2 Operational skills

4.83 ± 0.38

0.078

0.063

  1.2.1 Be able to collect different samples such as blood and nasopharyngeal swab from infectious diseases patients

4.87 ± 0.35

0.071

0.022

  1.2.2 Be able to deal with the symptoms and signs of common diseases such as fever, erythra, diarrhea, twitching and seizure

4.87 ± 0.35

0.071

0.022

  1.2.3 Be familiar with the common diagnosis and treatment in infectious disease departments such as compression hemostasis for Sengstaken-Blakemore tube, lactulose enema, and traumatic artetial blood pressure supervision paracentesis.

4.70 ± 0.54

0.114

0.021

  1.2.4 Master the emergence care skills for critical infectious diseases patients

4.83 ± 0.38

0.078

0.022

 1.3 Critical thinking capabilities

4.90 ± 0.31

0.062

0.064

  1.3.1 Be able to assess and observe the state of the infectious diseases patients

4.87 ± 0.35

0.071

0.022

  1.3.2 Be able to predict and figure out the risk of occurrence of the potential complications (such as hepatic encephalopathy, esophagogastric variceal bleeding and suffocation)

4.80 ± 0.41

0.085

0.022

  1.3.3 Be able to draw up nursing plans in accordance with the different state of the different infectious diseases patients

4.87 ± 0.35

0.071

0.022

2. Infection prevention and control abilities

5.00 ± 0.00

0.000

0.172

 2.1 Safety protection capabilities

5.00 ± 0.00

0.000

0.065

  2.1.1 Be familiar with the law on prevention and control of infectious diseases of the People’s Republic of China and the guidance to protective techniques for health care workers

4.27 ± 0.74

0.173

0.019

  2.1.2 Be aware of the protective requirements for different kinds of infectious diseases

4.90 ± 0.31

0.062

0.022

  2.1.3 Master the tactics of standard and extra precautions

5.00 ± 0.00

0.000

0.022

  2.1.4 Master the processes and methods of putting on the protective articles

5.00 ± 0.00

0.000

0.022

  2.1.5 Master the skills and processes coping with professional exposure risks such as skin mucous membrane and sharp instrument injury

4.97 ± 0.18

0.037

0.022

 2.2 Disinfection and quarantine skills

4.97 ± 0.18

0.037

0.065

  2.2.1 Be familiar with common physical and chemical disinfection

4.80 ± 0.41

0.085

0.022

  2.2.2 Be able to correctly dispose of different medical wastes by infectious diseases patients (such as infectious diarrhea, AIDS, COVID-19, etc.)

4.70 ± 0.54

0.114

0.021

  2.2.3 Master the disinfection methods of inpatient ward and instrument and equipment in infectious diseases department

4.77 ± 0.50

0.106

0.021

  2.2.4 Master the common isolation techniques and methods

4.87 ± 0.35

0.071

0.022

  2.2.5 Be aware of the requirements for different isolation techniques (isolation due to airborne transmission, contact transmission and droplet transmission)

4.87 ± 0.35

0.071

0.022

3. Responsiveness to infectious diseases

4.80 ± 0.41

0.085

0.166

 3.1 Emergency drills

4.67 ± 0.61

0.130

0.061

  3.1.1 Be familiar with national emergency plan for medical and health rescue in response to public emergencies

4.27 ± 0.69

0.162

0.019

  3.1.2 Take part in emergency drills for infectious diseases emergencies in regular terms

4.40 ± 0.72

0.165

0.020

 3.2 Prediction and reporting

4.47 ± 0.78

0.174

0.058

  3.2.1 Be able to predict and recognize the infectious diseases emergencies

4.27 ± 0.58

0.137

0.019

  3.2.2 Master the reporting process of the infectious diseases emergencies

4.70 ± 0.47

0.099

0.021

 3.3 Response capabilities

4.87 ± 0.35

0.071

0.063

  3.3.1 Be familiar with the response process of the infectious diseases emergencies

4.60 ± 0.56

0.122

0.021

4. Professional development abilities

4.67 ± 0.55

0.117

0.161

 4.1 Learning abilities

4.87 ± 0.35

0.071

0.063

  4.1.1 Learn the cutting-edge dynamic knowledge on infectious diseases

4.80 ± 0.41

0.085

0.022

  4.1.2 Participate in knowledge training and academic exchanges activities on infectious diseases

4.53 ± 0.51

0.112

0.020

 4.2 Teaching abilities

4.50 ± 0.73

0.162

0.059

  4.2.1 Be able to conduct clinical teaching

4.67 ± 0.53

0.113

0.021

  4.2.2 Be able to conduct lectures

4.57 ± 0.63

0.137

0.021

  4.2.3 Be able to train other nurses in face of emerging infectious diseases emergencies

4.87 ± 0.35

0.071

0.022

 4.3 Abilities in scientific researches and inventions

4.57 ± 0.68

0.149

0.059

  4.3.1 Be able to select and design scientific researches

4.60 ± 0.62

0.135

0.021

  4.3.2 Be able to search and retrieve literature documents by various ways and assess the quality of the literature

4.67 ± 0.55

0.117

0.021

  4.3.3 Be able to collect, analyze and process the relevant data

4.60 ± 0.68

0.147

0.021

  4.3.4 Be able to write papers

4.73 ± 0.45

0.095

0.021

  4.3.5 Be able to improve and innovate on infectious disease nursing process and protective articles

4.87 ± 0.35

0.071

0.022

5. Communication and management abilities

4.80 ± 0.41

0.085

0.166

 5.1 Communication skills

4.83 ± 0.38

0.078

0.063

  5.1.1 Master the communication skills with infectious diseases patients and their families in consideration with the patients’ sensitivity, fear and other psychological characteristics

4.83 ± 0.38

0.078

0.022

  5.1.2 Be able to communicate effectively with other team members so as to improve the treatment

4.80 ± 0.41

0.085

0.022

 5.2 Coordination abilities

4.70 ± 0.60

0.127

0.061

  5.2.1 Be able to cope with disputes between nursing workers and patients

4.67 ± 0.48

0.103

0.021

  5.2.2 Be able to cooperate with other medical workers and have the capability of organization

4.70 ± 0.54

0.114

0.021

  5.2.3 Be able to collaborate with other units and departments and effectively coordinate human and material resources, etc.

4.60 ± 0.62

0.135

0.021

 5.3 Management abilities

4.87 ± 0.35

0.071

0.063

  5.3.1 Be able to distribute, guide, supervise and manage the infectious diseases nurses

4.83 ± 0.38

0.078

0.022

  5.3.2 Be able to manage materials such as drugs, consumable items, documents, instrument and equipment in infectious diseases department

4.50 ± 0.63

0.140

0.020

  5.3.3 Be able to evaluate and improve the quality of infectious diseases nursing issues and interventions

4.83 ± 0.38

0.078

0.022

6. Professionalism and humanistic accomplishment

4.83 ± 0.38

0.078

0.167

 6.1 Professionalism

4.93 ± 0.25

0.052

0.064

  6.1.1 Be passionate about infectious diseases nursing and possess the sense of professional identity of nursing infectious diseases patients

4.90 ± 0.31

0.062

0.022

  6.1.2 Be capable of adjusting oneself and governing the stress in infectious diseases nursing work

4.93 ± 0.25

0.052

0.022

 6.2 Humanistic care

4.97 ± 0.18

0.037

0.065

  6.2.1 Respect the patient and protect patients’ privacy and show no discrimination to the patients

4.90 ± 0.31

0.062

0.022

  6.2.2 Be capable of providing psychological counseling and mental nursing

4.87 ± 0.35

0.071

0.022

  6.2.3 Be capable of providing health education for the infectious diseases patients and the public

4.87 ± 0.35

0.071

0.022

  1. Note: Weighting Targets = Significance Grade/ Sum of index grades of the same item