背景:临床营养学家在临床实践中负责营养治疗,这显著提高了患者的营养状况。本研究旨在开发和验证能力评估量表,以有效评估临床营养师的能力。方法:基于冰山模型编制临床营养师胜任力评价量表,利用文献综述,半结构化面试,和Delphi方法。采用层次分析法(AHP)计算各指标的权重,并通过问卷调查证实了量表的效度和信度。结果:临床营养师胜任力评价量表包括五项主要指标,十二个二级指标,和六十六项三级指标。主要指标,包括专业理论知识,专业实践技能,人文实践能力,人际沟通能力,和专业发展能力,各自的权重为0.2168、0.2120、0.2042、0.2022和0.1649。量表五个维度的Cronbachα系数分别为0.970、0.978、0.969、0.962和0.947。探索性因子分析的结果表明,满足因子分析的前提条件。此外,Bartlett球形度检验的显著性水平为p<0.001,证实了该量表的信度和效度。结论:本研究编制的临床营养师胜任力评价量表具有较高的科学信度和效度,为临床营养师的培训和评估提供了评估标准。
Background: Clinical
nutritionists are responsible for nutritional therapy in clinical practice, which significantly enhances patients\' nutritional status. This
study aims to develop and validate a competency evaluation scale to effectively assess the abilities of clinical
nutritionists. Methods: The competency evaluation scale for clinical
nutritionists was developed based on the iceberg model, utilizing literature review, semi-structured interviews, and the Delphi method. The weights of each indicator were calculated using the Analytic Hierarchy Process (AHP), and the validity and reliability of the scale were confirmed through questionnaire surveys. Results: The competency evaluation scale of clinical nutritionists comprised five primary indicators, twelve secondary indicators, and sixty-six tertiary indicators. The primary indicators, including professional theoretical knowledge, professional practical skills, humanistic practice ability, interpersonal communication ability, and professional development capability, have respective weights of 0.2168, 0.2120, 0.2042, 0.2022, and 0.1649. The Cronbach\'s α coefficients of the five dimensions of the scale were 0.970, 0.978, 0.969, 0.962, and 0.947, respectively. The results of the Exploratory Factor Analysis showed that the prerequisites for factor analysis were satisfied. Additionally, Bartlett\'s test of sphericity yielded a significance level of p < 0.001, confirming the scale\'s reliability and validity. Conclusions: The competency evaluation scale for clinical
nutritionists developed in this
study is of high scientific reliability and validity, which provides assessment criteria for the training and assessment of clinical
nutritionists.