A practical index system forevaluating the core competence of specialized nurses in digestive endoscopy

A practical index system forevaluating the core competence of specialized nurses in digestive endoscopy | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article A practical index system forevaluating the core competence of specialized nurses in digestive endoscopy Chao Li, Xufang Du, Xiangyan Tian, Jia Yao, Shuchuan Tian This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4681427/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Aim To construct the evaluation index system of the core competence of digestive endoscopy nurses and provide reference for the training and evaluation of endoscopy nurses. Background Digestive endoscopy nurses play a crucial role in the process of endoscopic diagnosis and treatment, and specially trained nurses can improve the safety of digestive endoscopy surgery. Methods Following a thorough review of pertinent guidelines, expert opinions, and literature pertaining to the diagnosis and treatment of digestive endoscopy, a preliminary set of core competency evaluation indicators for digestive endoscopy nurses was established through group deliberation. Subsequent refinement of these indicators and their respective weights was achieved through two rounds of delphi expert consultation and the application of the analytic hierarchy process, resulting in the finalization of the evaluation index system. Results In the two rounds of letter inquiry, the authority coefficient of experts was 0.865 and 0.875 respectively, and the coordination coefficient of Kendall of the second round was 0.152,0.243 and 0.334 ( P <0.05).The final core competence evaluation indexes included 5 first-level indexes, 11 second-level indexes and 48 third-level indexes. Conclusion The core competence evaluation index system is characterized by a high degree of scientific rigor and reliability, effectively capturing the essential competencies necessary for the role of digestive endoscopy nurses. This system serves as a valuable tool for enhancing post-competence and elevating the overall quality of nursing care, offering a sound basis for improvement in clinical practice. digestive endoscopy talent training specialist nurse core competence Background The trend of specialized nursing development globally is towards a more specialized and skilled workforce, as the complexity of healthcare needs increases and the need for highly trained nurses becomes ever more crucial. Additionally, with the rise of technology and the integration of digital health tools, the role of specialty nurses is evolving to embrace new competencies and deliver patient-centered care efficiently and effectively[ 1 ].With the continuous expansion and innovation of endoscopic diagnosis and treatment technology, and gradually advancing to the goal of comprehensive development, innovative development and standardized development, higher requirements are put forward for the theoretical knowledge and operation skills of nursing staff [ 2 ]. Several studies have pointed out that digestive endoscopy nurses play a vital role in the process of endoscopic diagnosis and treatment, and specialized trained nurses can improve the safety of digestive endoscopy operation[ 3 , 4 ].If the core competencies of specialized nurses in digestive endoscopy are inadequate, it can lead to a range of risks.These include decreased diagnostic accuracy, poor patient outcomes, increased complication rates during endoscopic procedures, and a potential for legal liability[ 5 ]. Currently, the core competency evaluation indicator systems for specialized nurses exist in various fields such as critical care, geriatrics, pediatrics, oncology, mental health, and emergency nursing[ 6 ]. These systems aim to assess nurses' clinical skills, patient outcomes, professional development, and interdisciplinary collaboration.Specialized nurses in digestive endoscopy differ significantly from those in other fields, as they focus on the unique challenges and complexities of endoscopic procedures, including patient preparation, equipment handling, intraoperative assistance, and post-procedure care. This specialization requires a nuanced understanding of anatomy, physiology, and endoscopy-specific pathophysiology[ 5 ].The emphasis for digestive endoscopy nurses lies in their proficiency in endoscopic techniques, their ability to manage intraoperative risks and complications, and their expertise in patient education and support throughout the endoscopic procedure[ 7 ].Therefore, it is very necessary to formulate the core competence evaluation system of digestive endoscopy specialized nurses and standardize the training of specialized nurses. At present, all provinces and cities in China have trained digestive endoscopy nurses[ 8 – 10 ], But it lacks a unified core competence evaluation index. Through literature review, semi-structured interview and Delphi expert letter inquiry, this study constructed the index system of core competence, and defined the weights of all levels, in order to provide reliable basis for the cultivation and evaluation of core competence of digestive endoscopy nurses. Methods Design The Delphi method is frequently employed in gathering expert opinions on practical issues, utilizing the technique to address issues of replication by aggregating the opinions or judgments of individual experts [ 11 ]. This process involves multiple rounds of questionnaires distributed to a panel of experts [ 12 ].This study consists of two phases: (1) preresearch: Following a thorough review of pertinent guidelines, expert opinions, and literature pertaining to the diagnosis and treatment of digestive endoscopy, a preliminary set of core competency evaluation indicators for digestive endoscopy nurses was established through group deliberation. (2) Delphi stage: On the basis of the first draft, the Delphi expert letter questionnaire was designed, and two rounds of Delphi expert letter consultation were conducted to reach an agreement within the group. The first draft of the evaluation index system for the core competence of nurses specialized in digestive endoscopy To understand the current research status and refine the competency components for digestive endoscopy specialist nurses, we searched PubMed, Medline, Web of Science, Cochrane Library, CNKI, and Wangfang databases from inception to September 2023. We focused on relevant systematic evaluations, meta-analyses, and original papers published in English or Chinese. Using the iceberg model as a theoretical basis, we extracted five main dimensions of competency: clinical nursing, judgmental thinking, professional development, communication and management, and clinical teaching and scientific research. Four primary indicators, eleven secondary indicators, and forty-seven tertiary indicators comprised the first draft of the competency indicators for digestive endoscopy specialist nurse, which was compiled using the information obtained from the literature review. Delphi process The expert panel The expert panels participating in the Delphi survey were from different regions and organizations in China. Inclusion criteria included ① education background: Bachelor’s degree and above; ②professional title: intermediate and above;③ work experience and years:engaged in clinical nursing, digestive endoscopsic nursing,nursing management in hospitals for 10 years or more in a department with digestive endoscopic or work experience as a digestive endoscopic nurse;④ All experts agreed to participate in this study voluntarily. Data collection Based on the preliminary draft, a questionnaire was designed to assess the digestive endoscopy competencies of nurses from the perspective of experts. The questionnaire encompassed three sections: general information about the experts, the main body of the survey, and a self-evaluation form specifically for experts. Each indicator's importance was rated using a 5-point Likert Scale, ranging from 5 (very important) to 1 (very unimportant)[ 13 ]. Additionally, a column was included for experts to provide their revision opinions and suggestions for additional indicators. To ensure anonymity, experts did not meet or know each other; communication was limited to the investigator. Each expert had the freedom to propose additions, deletions, modifications, or suggest new indicators that were not included in the original questionnaire. In July and August 2023, two rounds of Delphi expert correspondence were conducted via email, with the consent of the experts. After distributing the questionnaire, we engaged in extensive communication with the experts, explaining the purpose and requirements of the survey, clarifying any questionable entries, and requesting a response via email within two weeks. The competency indicator index weights were calculated using the Delphi method, with indicators scoring a mean value of 4 or higher considered significant. A coefficient of variation of 25% or less and at least 75% consistency among experts were established as screening criteria[ 12 ]. To prevent the deletion of crucial indicators, only one indicator meeting the deletion criteria was removed after consultation with the research team. We took into account expert opinions and made appropriate additions, mergers, and revisions to the items, ultimately developing a comprehensive evaluation index for nurses' digestive endoscopy competencies. Data analysis Statistical analysis was conducted utilizing SPSS 27.0 software, with descriptive analysis incorporating mean values, standard deviation, coefficient of variation, and proportion. The level of experts' engagement was quantified through the effective return rate of the questionnaire[ 14 – 15 ].. Expert authority was evaluated based on judgment and familiarity with the questions, while Kendall's coefficient of concordance was employed to gauge the alignment of expert opinions. The study included indicators scoring an average of 4 or higher from a minimum of 80% of the experts[ 16 ]. Ethical considerations The ethics Committee of Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences) granted approval for this study, with ethics number YXLL-2023-042. The participants have provided their consent to participate, and they have been assured that their data will be kept anonymous and confidential. Results Basic information of experts A total of 20 experts were ultimately included. Among them, 8 were engaged in nursing management, accounting for 40% of experts, 6 were engaged in clinical nursing, accounting for 30.00% of experts, and 7 was engaged in hospital digestive endoscopic nursing, accounting for 35.0% of experts. The average age was 46.40 ± 5.40years, and the average work experience was 23.65 ± 6.26years. The Delphi expert panel demographics(Table 1 ). Table 1 Demographic data of expert panel Characteristics Round 1(n = 20) n (%) Round 2(n = 19) n (%) Gender Male 3(15.00) 2(10.53) Female 17(85.00) 17(89.47) Age(years) 50 7(35.00) 7(36.84) Educational background Bachelor’s degree 12(60.00) 11(57.89) Master’s degree 8(40.00) 8(42.11) Profession titles Senior 11(55.00) 11(57.89) Associate senior 7(35.00) 6(31.58) Intermediate 2(10.00) 2(10.53) Professional experience(years) 10- 30 4(20.00) 4(21.05) Mentor type Master supervisor 17(85.00) 16(84.21) Others 3(15.00) 3(15.79) Reliability of expert questionnaire results Degree of activeness of experts In this study, a total of 21 questionnaires were disbursed to expert panels in each round, yielding 21 valid responses in the first round and 20 in the second. The respective effective return rates for these rounds were 100% and 95.24.00%, resulting in an overall return rate of 97.62%. Specifically, in the first round, 16 experts (constituting 76.19% of the total expert pool) offered their detailed opinions, while 12 experts (representing 60.00% of the total experts) did the same in the second round. Authority coefficient of experts The authority coefficient (Cr) of experts was determined by combining their ability to make informed judgments (Ca) and their familiarity with the surveyed indicators (Cs) according to the formula: Cr = (Ca + Cs) / 2[ 17 ]. In our study, the Cas scores for the expert panels in the two rounds of surveys were 0.854 and 0.846, respectively, and the Css scores were 0.876 and 0.904, respectively. Consequently, the authority coefficients (Cr) were calculated to be 0.865 and 0.875. Coordination degree of expert opinions The degree of consensus among expert opinions was measured through the coefficient of variation (CV) and the coordination coefficient. In the two rounds of surveys, the CVs ranged from 0.08–0.20 and 0.00-0.28, respectively. The coordination coefficient was assessed using Kendall's coefficient of concordance, which indicated values ranging from 0.130–0.252 and 0.152–0.334 for the indicators in both survey rounds. Furthermore, based on Kendall's coefficient of concordance, the p-values for the second, and third-level indicators were all calculated as 0.000, indicating statistical significance. These findings suggest a high level of agreement among the experts' opinions (Table 2 ). Table 2 Expert coordination coefficients Items Indicators Kendall’s coefficient of concordance Chi-square P values First round First level indicators 5 0.130 10.437 0.034 Second level indicators 11 0.252 50.411 0.000 Third level indicators 46 0.180 161.946 0.000 Second round First level indicators 5 0.152 11.531 0.021 Second level indicators 11 0.243 46.189 0.000 Third level indicators 48 0.334 297.825 0.000 Results of the Delphi survey Results of the first round of the Delphi survey In the initial Delphi survey, nurses' digestive endoscopy competency indicators underwent an initial rating by experts, encompassing 5 first-level indicators, 15 second-level indicators, and 43 third-level indicators. The survey's initial round elicited forty comments, suggesting additions, deletions, subdivisions, consolidations, and first-level wording modifications to the competency indicators. The research team meticulously evaluated and debated the experts' feedback, subsequently revising and refining the indicators accordingly.Three tertiary indicators were added,namely,Use method and precautions of endoscopic accessories, biological monitoring method of digestive endoscopy and cause analysis of nosocomial infection and intervention measures.Two tertiary indicators were deleted: endoscopic ultrasound image recognition and nursing coordination of confocal microendoscopy.Four tertiary indicators are modified: "endoscopic diagnosis and treatment of common diseases of digestive system" is modified to "image recognition of endoscopic diagnosis and treatment of common diseases of digestive system"; "self-protection of endoscopic radiation" is modified to "self-protection knowledge of endoscopic radiation"; "preoperative preparation, nursing cooperation and postoperative precautions" is modified to "preoperative preparation, nursing cooperation and relevant knowledge of digestive endoscopic diagnosis and treatment"; "gastroenterology, capsule endoscopy, amplification and pigment endoscopy" is modified to "nursing cooperation of endoscopy and colonoscopy, capsule endoscopy, small oscopy and duodenoscope". All reserved indicators were included in the second round of the expert survey. Results of the second round of the Delphi survey In the second round of the survey, two tertiary indicators indicators were modified: "ability to start emergency response procedures quickly when a patient has complications" was changed to "ability to start emergency plan quickly when a patient has complications"; "endoscopic cleaning, disinfection and sterilization process" was changed to "knowledge of endoscopic cleaning, disinfection and sterilization". Finally, 5 first-level indicators, 11 second-level indicators, and 48 third-level indicators were determined (Table 3 ). Table 3 Results of the second round of the Delphi survey Subjects Mean ± SD CV Proportion scored ≥ 4(%) weight 1 Clinical nursing practice ability 4.79 ± 0.52 0.11 94.74 0.3926 1.1 Master the theoretical knowledge of specialized nursing care for endoscopic diagnosis and treatment 4.95 ± 0.22 0.05 100.00 0.2162 1.1.1 Knowledge of the digestive system anatomy 3.84 ± 0.74 0.19 63.16 0.0097 1.1.2 Image recognition of endoscopic diagnosis and treatment of common diseases of the digestive system 4.26 ± 0.55 0.13 94.74 0.0294 1.1.3 Knowledge of endoscopic cleaning, disinfection and sterilization 4.37 ± 0.48 0.11 100.00 0.0432 1.1.4 Maintenance and precautions of endoscopic instruments and equipment 3.89 ± 0.72 0.18 94.74 0.0115 1.1.5 Use Methods and precautions of endoscopic accessories 4.16 ± 0.67 0.16 94.74 0.0216 1.1.6 Commonused drugs and methods of digestive endoscopy 4.05 ± 0.51 0.13 89.47 0.0155 1.1.7 Knowledge of preoperative preparation, nursing cooperation and matters needing attention for various digestive endoscopy diagnosis and treatment 3.74 ± 0.85 0.23 68.42 0.0075 1.1.8 Knowledge of self-protection of endoscopic radiation 4.21 ± 0.69 0.16 84.21 0.0248 1.1.9 Postoperative precautions for digestive endoscopy and treatment 4.58 ± 0.49 0.11 100.00 0.0633 1.1.10 Biological monitoring method of digestive endoscopy, cause analysis of nosocomial infection, and intervention measures 4.32 ± 0.65 0.15 89.47 0.0351 1.2 Master the specialized nursing skills of endoscopic diagnosis and treatment 4.79 ± 0.41 0.09 100.00 0.1555 1.2.1 Nursing coordination of gastroenteroscopy, capsule endoscopy, small enteroscopy, duodenoscopy and other endoscopes 4.53 ± 0.68 0.15 89.47 0.0126 1.2.2 Endoscopic biopsy techniques and standardized specimen management 4.11 ± 0.64 0.16 84.21 0.0050 1.2.3 For endoscopic gastrointestinal bleeding and hemostasis, preoperative preparation and intraoperative nursing coordination 4.63 ± 0.48 0.10 100.00 0.0186 1.2.4 Preoperative preparation and intraoperative nursing coordination of esophageal and gastric fundus varices 4.53 ± 0.60 0.13 94.74 0.0126 1.2.5 Preoperative preparation and intraoperative nursing coordination for endoscopic foreign body retrieval 4.05 ± 1.15 0.28 89.47 0.0041 1.2.6. Preoperative preparation and intraoperative nursing coordination of endoscopic catheterization 4.32 ± 0.80 0.18 78.95 0.0076 1.2.7 Preoperative preparation and intraoperative care coordination for digestive tract mucosal and submucosal treatment 4.47 ± 0.50 0.11 100.00 0.0100 1.2.8 Preoperative preparation and intraoperative nursing coordination for endoscopic ultrasound treatment operations 4.89 ± 0.31 0.06 100.00 0.0343 1.2.9 Preoperative preparation and intraoperative nursing coordination of ERCP related therapy 4.79 ± 0.41 0.09 100.00 0.0259 2 Judmental thinking ability 4.42 ± 0.59 0.13 94.74 0.1419 2.1 Evaluation and foresight ability 4.68 ± 0.65 0.14 89.47 0.1123 2.1.1 It can accurately predict the risk of endoscopy-related complications 4.79 ± 0.61 0.13 89.47 0.0220 2.1.2 The early identification or timely detection of complications related to endoscopic operation 4.89 ± 0.31 0.06 100.00 0.0370 2.1.3 Ability to initiate emergency plan when patients have complications 4.42 ± 0.49 0.11 100.00 0.0104 2.1.4 Make a scientific judgment on the work plan 4.89 ± 0.45 0.09 94.74 0.0370 2.2 Clinical nursing decision-making ability 4.37 ± 0.48 0.11 100.00 0.0412 2.2.1 Can determine the best strategy to solve the problems related to endoscopic treatment and nursing according to the actual situation of the patients 4.84 ± 0.49 0.10 94.74 0.0069 2.2.2 Can make the endoscopic diagnosis and treatment and nursing plan of patients according to the results of endoscopic diagnosis and treatment 4.95 ± 0.22 0.05 100.00 0.0175 2.2.3 Can apply quality improvement tools to improve quality of care 4.89 ± 0.31 0.06 100.00 0.0110 3 Professional development ability 4.74 ± 0.64 0.13 89.47 0.2809 3.1 Independent learning ability 4.42 ± 0.49 0.11 100.00 0.0521 3.1.1 Constantly explore the new knowledge and new theories of endoscopic diagnosis, treatment and nursing 5.00 ± 0.00 0.00 100.00 0.0380 3.1.2 Study to consult domestic and foreign literature to obtain cutting-edge information 4.32 ± 0.73 0.17 84.21 0.0075 3.1.3 Participate in continuing education / academic exchanges at home and abroad to improve your professional ability 4.42 ± 0.59 0.13 94.74 0.0120 3.2 Professional quality 4.16 ± 0.49 0.12 94.74 0.0276 3.2.1 Have a healthy professional personality and professional identity 4.16 ± 0.49 0.12 94.74 0.0045 3.2.2 Have a cautious spirit, a strong sense of responsibility, positive and optimistic 5.00 ± 0.00 0.00 100.00 0.0226 3.3 Innovation ability 4.58 ± 0.49 0.11 100.00 0.0769 3.3.1 Innovation expands the role and practice scope 4.95 ± 0.22 0.05 100.00 0.0767 3.3.2 Innovation of professional nursing technology and appliances of digestive endoscopy 4.89 ± 0.31 0.06 100.00 0.0383 3.4 Career planning ability 4.47 ± 0.60 0.13 94.74% 0.063 3.4.1 Comprehensive self-evaluation in the field of digestive endoscopy specialty 4.47 ± 0.50 0.11 100.00% 0.0194 3.4.2 Formulate practical long-term and short-term goals based on their own situation 4.89 ± 0.31 0.06 100.00 0.0508 3.4.3 Correct career positioning and reasonable assessment of the impact of the environment on their own career development 4.26 ± 0.71 0.17 84.21 0.0111 4 Communication and management skills 4.37 ± 0.58 0.13 94.74 0.1076 4.1 Ability to coordinate and communicate with patients 4.74 ± 0.64 0.13 89.47 0.1371 4.1.1 Conduct health education related to endoscopic diagnosis, treatment and nursing to patients 4.21 ± 0.52 0.12 94.74 0.0215 4.1.2 Ability to communicate between patients and doctors on issues related to endoscopic diagnosis and treatment 4.89 ± 0.45 0.09 94.74 0.0861 5 Clinical teaching and scientific research ability 4.26 ± 0.91 0.21 89.47 0.077 5.1 Clinical teaching ability 4.16 ± 0.49 0.12 94.74 0.0276 5.1.1 Be able to formulate learning objectives and plans for endoscopic diagnosis and treatment 4.89 ± 0.31 0.06 100.00 0.0067 5.1.2 Ability to conduct theoretical teaching and clinical practice 4.32 ± 0.57 0.13 94.74 0.0018 5.1.3 Can apply and disseminate new businesses and technologies related to endoscopic diagnosis and nursing specialty through various ways 4.21 ± 0.41 0.10 100.00 0.0014 5.1.4 Ability to master various teaching methods and implement specialized nursing teaching / training 4.89 ± 0.31 0.06 100.00 0.0067 5.1.5 Accurately guide nurses with low seniority to master the theory and operation of endoscopic diagnosis and treatment 4.42 ± 0.67 0.15 89.47 0.0026 5.2 Clinical scientific research ability 4.63 ± 0.58 0.13 94.74 0.0905 5.2.1 Summarize and analyze the existing literature and evidence to find the best evidence summary 4.42 ± 0.59 0.13 94.74 0.0212 5.2.2 It can effectively analyze the clinical data of endoscopic diagnosis and treatment, and explore the scientific research problems 4.37 ± 0.58 0.13 94.74 0.0136 5.2.3 Be able to design scientific research projects and solve clinical problems scientifically 4.26 ± 0.55 0.13 94.74 0.0103 5.2.4 Be able to implement scientific research and objectively deal with various problems in the research 4.16 ± 0.49 0.12 94.74 0.0063 5.2.5 Be able to write relevant research results into academic papers and apply them to clinical practice 4.16 ± 0.49 0.12 94.74 0.0063 Discussion Reliability of research results The training of specialized nursing talents is an important direction for the development of nursing in the new era, which requires good clinical professional skills and solid professional knowledge of digestive endoscopy[ 1 ]. This study draws on the theoretical framework of nurses' core competence, and adopts various research methods, including literature research, semi-structured interview, Delphi method and hierarchical analysis method, to construct the core competence evaluation index system[ 18 ]. The application of hierarchical analysis helps to determine the weight of core competence indicators and improve the scientificity of research results[ 19 ]. The effectiveness of the Delphi method mainly depends on the representativeness, enthusiasm and authority of the consulting experts: In this study, 15 experts were selected, who are from 10 provinces and cities, with a certain regional representation. The main research fields of experts include clinical medicine, nursing management, clinical nursing, etc[ 20 – 22 ]. Experts are associate senior or above, and more than half of experts have worked in the field of digestive endoscopy for more than 15 years and have rich working experience in this field. The positive coefficient of experts in the two rounds of letter inquiry was 100%, and 12 and 6 experts proposed suggestions in the two rounds, which had high enthusiasm of experts. Expert authority coefficient (Cr) 0.700 can be considered as high expert opinion, The mean coefficient of authority of the two rounds of expert inquiry was 0.870 and the coefficient of variation was 0.094, indicating that the results of the inquiry were reliable.Furthermore, we employed consensus-based percentages to strengthen the reliability of the findings. Specialty characteristics of constructing competency indicators for digestive endoscopy nurse The evaluation index system of core competence of digestive endoscopy nurses includes the evaluation of five core abilities of nursing practice ability, judging thinking ability, professional development ability, communication and management ability, and clinical teaching and scientific research. The core competence of specialized nurses in digestive endoscopy is formulated on the basis of the core competence framework of specialized nurses combined with the current development status and future requirements of the department[ 23 ], The endoscopic equipment maintenance, digestive endoscopy and treatment postoperative precautions, endoscopic biopsy techniques and normative specimen management, endoscopic preoperative preparation and intraoperative nursing cooperation, according to the patient's actual situation to determine endoscopic treatment nursing related problems to solve the best strategy, can accurately predict the risk of endoscopic related complications, can early identification or timely find endoscopic operation related complications, etc, More focused on the cultivation of specialist nurses in digestive endoscopy, More professional, More inclined to cultivate senior clinical nursing specialists, It fully reflects the core competence characteristics of digestive endoscopy nurses. This core competence evaluation index system is helpful for the comprehensive evaluation of digestive endoscopy specialist nurses, and provides reasonable evaluation tools for their selection, training, assessment and management. Content analysis of the developed competency indicators for digestive endoscopy nurse The current work developed a set of core competency indicators for digestive endoscopy nurses in China on the basis of the “iceberg model” and defined a series of knowledge, skills, and personal traits essential for digestive endoscopic nursing competency[ 24 ].Foreign research believes that Specialized nurses play multiple roles in the clinical practice, and the ability evaluation of specialized nurses is of great significance for patients and specialized nurses themselves, specialized nursing practice, and specialized nursing management[ 25 , 26 ]. In the evaluation of the core index system, the top three weights are clinical nursing practice ability (0.453), professional development ability (0.168), judging thinking ability (0.142), and the weights are the theoretical knowledge (0.244), master the endoscopic specialist nursing skills operation (0.209), and the ability to communicate and coordinate with patients (0.084). Among the first level indicators, clinical nursing practice competence has the highest weight, which indicates that clinical nursing practice ability is the core competence of the most important work, which compares with the results of other types of specialized nurses unanimous. The weight of the specialized nursing theoretical knowledge of endoscopic diagnosis and treatment ranks first, further highlighting the importance of nurses' professional ability and accomplishment in the post competence. According to the evaluation index system, digestive endoscopy specialist nurses can analyze their own shortcomings and determine the direction of improvement. Nursing managers or teachers can use the evaluation system to dynamically evaluate the core competence level of digestive endoscopy specialist nurses, and give classified guidance based on individual differences. Limitations Owing to challenges like limited research funding and time restrictions, we were able to distribute the questionnaire to merely 15 experts hailing from diverse regions of China. Although the panel of experts demonstrated exceptional authority, reliability, and representation, their opinions might not accurately reflect the general consensus. Furthermore, the competency indicators for digestive endoscopy, which were developed in this study, need to undergo further clinical trials to confirm their practical utility. Conclusion The current research has established scientific and reliable competency assessment metrics for nurses specializing in digestive endoscopy, drawing inspiration from the iceberg model. These metrics encompass five primary indicators, eleven secondary indicators, and forty-eight tertiary indicators. The implementation of these metrics is expected to significantly impact the selection, training, assessment, and evaluation of nurses in this domain. Declarations Acknowledgements We express our gratitude to all the respondents who participated in this study by completing the questionnaire. Author Contribution Chao Li: Formal analysis, investigation, data curation, writing—original draft preparation; Xufang Du and Xiangyan Tian: investigation, methodology, writing—review and editing; Jia Yao and shuchuan Tian: Conceptualization, project administration, supervision, writing—review and editing; All authors have read and agreed to the published version of the manuscript. Funding The study was funded by National Natural Science Foundation of China Youth Program (No.:81700562). Data Availability All data generated or analyzed during this study are included in this published article. Ethics approval and consent to participate The study was approved by Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences Institutional Review Board in accordance with the Declaration of Helsinki. All methods were carried out in accordance with relevant guidelines and regulations. Written informed consent was obtained from all individual patients included in the study. Consent for publication Not applicable. Competing interests The authors declare that they have no competing interests. References Boniol M, Kunjumen T, Nair TS, Siyam A, Campbell J, Diallo K. The global health workforce stock and distribution in 2020 and 2030: a threat to equity and 'universal' health coverage? BMJ Glob Health. 2022 Jun;7(6):e009316. Bitar V, Martel M, Restellini S, Barkun A, Kherad O. Checklist feasibility and impact in gastrointestinal endoscopy: a systematic review and narrative synthesis. Endosc Int Open. 2021;9(3):E453-E460. Mahawongkajit P, Techagumpuch A, Auksornchat K. Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics. Endosc Int Open. 2022;10(1):E56-E61. Chaikajornwat J, Pittayanon R, Ananchuensook P, Kongwibulwut M, Rerknimitr R. The comparison of aerosol exposures to endoscopy personnel performing diagnostic upper gastrointestinal endoscopy in patients with and without head box: A randomized control trial. J Gastroenterol Hepatol. 2023;38(2):233-240. Mahawongkajit P, Techagumpuch A, Auksornchat K. Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics. Endosc Int Open. 2022 Jan 14;10(1):E56-E61. Wan F, Yang L, Zhou N, He Y. Construction of learning objectives and content for newly graduated nurses in tertiary teaching hospitals: A Delphi study. Nurse Educ Today. 2023 Feb;121:105716. Duffield C, Chapman S, Rowbotham S, Blay N. Nurse-Performed Endoscopy: Implications for the Nursing Profession in Australia. Policy Polit Nurs Pract. 2017 Feb;18(1):36-43. Arslanca G, Aygün M. Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality. Rev Lat Am Enfermagem. 2022;30:e3626. Southard ME. Professional Nurse Coach Supervision: Relationships, Responsibilities, and Requirements. J Holist Nurs. 2023;26:8980101231163675. He YH, Wang F. PDCA nursing in improving quality management efficacy in endoscopic submucosal dissection. World J Clin Cases. 2022;10(27):9611-9618. McPherson S, Reese C, Wendler MC. Methodology update: Delphi Studies.Nurs Res. 2018;67(5):404–10. Makhmutov R. The Delphi method at a glance. Pflege. 2021;34(4):221. Zhao XS,Ma YJ.Construction and application of central venous catheter-related thrombosis prevention in critically ill children.Chin J Nurs. 2023;58(10): 1157-1165. Zhuang YT,Wang ZJ,Li JH.Summary of the best evidence for the management of restless leg syndrome in pregnant women.J Nurs.2023;30(13): 47-52. Gou ZN,Zhou YF,Wang J.Construction of evidence-based discharge preparation service plan for ovarian cancer patients after surgery.J Nurs Train.2023;58(24):2957-2963. Zhang MY,Shi YH,Zhang XX.Construction of an intervention program for diabetic retinopathy patients undergoingsurgery based on the theory of 'Timing lt Right'.Chin J Nurs.2023;30(04): 29-32. Wei PL,Chen XY,Jin LP.Construction of evaluation index system for core competence of nursing specialists of pediatric infectious diseases.J Nurs.2023;30(04): 29-32. Liu J, Qiu H, Zhang X, Zhang C, He F, Yan P. Development of billing post competency evaluation index system for nurses in China: a Delphi study. BMC Nurs. 2023;22(1):136. Ing EB. A Survey-Weighted Analytic Hierarchy Process to Quantify Authorship. Adv Med Educ Pract. 2021;12:1021-1031. Sato M, Horiuchi A, Tamaki M, Ichise Y, Kajiyama M, Yamamoto Y, Tanaka N. Safety and Effectiveness of Nurse-Administered Propofol Sedation in Outpatients Undergoing Gastrointestinal Endoscopy. Clin Gastroenterol Hepatol. 2019;17(6):1098-1104. Dossa F, Megetto O, Yakubu M, Zhang DDQ, Baxter NN. Sedation practices for routine gastrointestinal endoscopy: a systematic review of recommendations. BMC Gastroenterol. 2021;21(1):22. Wu Z, Huang W, Ding Y, Jiang L, Zhao Y, Zhu X, Huang J. Construction of an evaluation index system of core competencies for critical care blood purification nurses in China: A Delphi study. Nurse Educ Pract.2023;72:103751. Liu J, Qiu H, Zhang X, Zhang C, He F, Yan P. Development of billing post competency evaluation index system for nurses in China: a Delphi study. BMC Nurs. 2023 Apr 25;22(1):136. Zhao C, Yu M, Wang A, Xu X, Zheng X. Construction of an evaluation system for medical staff's occupational protection ability based on knowledge, attitude, and practice theory, and a cross-sectional survey of current conditions. BMC Nurs. 2023;22(1):78. Robbrecht M, Norga K, Van Winckel M, Valcke M, Embo M. Development of an integrated competency framework for postgraduate paediatric training: a Delphi study. Eur J Pediatr. 2022;181(2):637-646. Li X, Ding L, Ning P, Li Y, Wei H, Meng Q. Construction of a nurses' interpersonal communication knowledge system: A Delphi study. Nurse Educ Today. 2023;120:105630. Additional Declarations No competing interests reported. Supplementary Files Annex1.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4681427","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":326379010,"identity":"17d3ae12-23fb-4977-8e65-55c79761f32a","order_by":0,"name":"Chao Li","email":"","orcid":"","institution":"Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University","correspondingAuthor":false,"prefix":"","firstName":"Chao","middleName":"","lastName":"Li","suffix":""},{"id":326379011,"identity":"faccf230-2173-4dcf-99a3-3873bfee7de2","order_by":1,"name":"Xufang Du","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAyUlEQVRIiWNgGAWjYBACfvbGhgMf/0jU7z/eQKQWyZ7DjQdnNlgwNpw5QKQWgxvpzYd5GyoYG24kEGtLQ2LDwZk7JJgZZz7eeIOhxiaaoBZ+hoNAv5yRYGOWTiu2YDiWlttA0JbGxoaDM9gkeNikc8wkGBsOE9ZicBiojIdNQoJH8gyxWo4BlfG2SRgANRGpRbKHEeiwMxIJBjxAvyQQ4xd++eePP3yoqEswYD+88caHGhvCWlAcKZFAinKIFlJ1jIJRMApGwcgAAMy3RXK+pf9GAAAAAElFTkSuQmCC","orcid":"","institution":"Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University","correspondingAuthor":true,"prefix":"","firstName":"Xufang","middleName":"","lastName":"Du","suffix":""},{"id":326379012,"identity":"d72d1b27-39dc-43b2-84e9-a245a012c9c8","order_by":2,"name":"Xiangyan Tian","email":"","orcid":"","institution":"the Second Hospital of Shanxi Medical University","correspondingAuthor":false,"prefix":"","firstName":"Xiangyan","middleName":"","lastName":"Tian","suffix":""},{"id":326379013,"identity":"a76475de-65dc-4f84-ab4c-83fd1c330112","order_by":3,"name":"Jia Yao","email":"","orcid":"","institution":"Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University","correspondingAuthor":false,"prefix":"","firstName":"Jia","middleName":"","lastName":"Yao","suffix":""},{"id":326379014,"identity":"2db64415-142e-482c-8e1b-44e1122ea51c","order_by":4,"name":"Shuchuan Tian","email":"","orcid":"","institution":"Shanxi Medical Universityy","correspondingAuthor":false,"prefix":"","firstName":"Shuchuan","middleName":"","lastName":"Tian","suffix":""}],"badges":[],"createdAt":"2024-07-03 15:23:06","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4681427/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4681427/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":62231553,"identity":"38648169-20bc-43ba-9732-acb9f5c95ccc","added_by":"auto","created_at":"2024-08-11 19:10:20","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":836369,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4681427/v1/90f6b6ed-b604-4917-b944-76a396fab8c0.pdf"},{"id":61405767,"identity":"71779b67-0613-4f62-a378-3f3399c35161","added_by":"auto","created_at":"2024-07-30 10:59:06","extension":"docx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":22047,"visible":true,"origin":"","legend":"","description":"","filename":"Annex1.docx","url":"https://assets-eu.researchsquare.com/files/rs-4681427/v1/5a9094c4bace42786b6870df.docx"}],"financialInterests":"No competing interests reported.","formattedTitle":"A practical index system forevaluating the core competence of specialized nurses in digestive endoscopy","fulltext":[{"header":"Background","content":"\u003cp\u003eThe trend of specialized nursing development globally is towards a more specialized and skilled workforce, as the complexity of healthcare needs increases and the need for highly trained nurses becomes ever more crucial. Additionally, with the rise of technology and the integration of digital health tools, the role of specialty nurses is evolving to embrace new competencies and deliver patient-centered care efficiently and effectively[\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e].With the continuous expansion and innovation of endoscopic diagnosis and treatment technology, and gradually advancing to the goal of comprehensive development, innovative development and standardized development, higher requirements are put forward for the theoretical knowledge and operation skills of nursing staff [\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. Several studies have pointed out that digestive endoscopy nurses play a vital role in the process of endoscopic diagnosis and treatment, and specialized trained nurses can improve the safety of digestive endoscopy operation[\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e, \u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e].If the core competencies of specialized nurses in digestive endoscopy are inadequate, it can lead to a range of risks.These include decreased diagnostic accuracy, poor patient outcomes, increased complication rates during endoscopic procedures, and a potential for legal liability[\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eCurrently, the core competency evaluation indicator systems for specialized nurses exist in various fields such as critical care, geriatrics, pediatrics, oncology, mental health, and emergency nursing[\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e]. These systems aim to assess nurses' clinical skills, patient outcomes, professional development, and interdisciplinary collaboration.Specialized nurses in digestive endoscopy differ significantly from those in other fields, as they focus on the unique challenges and complexities of endoscopic procedures, including patient preparation, equipment handling, intraoperative assistance, and post-procedure care. This specialization requires a nuanced understanding of anatomy, physiology, and endoscopy-specific pathophysiology[\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e].The emphasis for digestive endoscopy nurses lies in their proficiency in endoscopic techniques, their ability to manage intraoperative risks and complications, and their expertise in patient education and support throughout the endoscopic procedure[\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e].Therefore, it is very necessary to formulate the core competence evaluation system of digestive endoscopy specialized nurses and standardize the training of specialized nurses. At present, all provinces and cities in China have trained digestive endoscopy nurses[\u003cspan additionalcitationids=\"CR9\" citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e], But it lacks a unified core competence evaluation index. Through literature review, semi-structured interview and Delphi expert letter inquiry, this study constructed the index system of core competence, and defined the weights of all levels, in order to provide reliable basis for the cultivation and evaluation of core competence of digestive endoscopy nurses.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eDesign\u003c/h2\u003e \u003cp\u003eThe Delphi method is frequently employed in gathering expert opinions on practical issues, utilizing the technique to address issues of replication by aggregating the opinions or judgments of individual experts [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]. This process involves multiple rounds of questionnaires distributed to a panel of experts [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e].This study consists of two phases: (1) preresearch: Following a thorough review of pertinent guidelines, expert opinions, and literature pertaining to the diagnosis and treatment of digestive endoscopy, a preliminary set of core competency evaluation indicators for digestive endoscopy nurses was established through group deliberation. (2) Delphi stage: On the basis of the first draft, the Delphi expert letter questionnaire was designed, and two rounds of Delphi expert letter consultation were conducted to reach an agreement within the group.\u003c/p\u003e \u003cp\u003e \u003cb\u003eThe first draft of the evaluation index system for the core competence of nurses specialized in digestive endoscopy\u003c/b\u003e \u003c/p\u003e \u003cp\u003eTo understand the current research status and refine the competency components for digestive endoscopy specialist nurses, we searched PubMed, Medline, Web of Science, Cochrane Library, CNKI, and Wangfang databases from inception to September 2023. We focused on relevant systematic evaluations, meta-analyses, and original papers published in English or Chinese. Using the iceberg model as a theoretical basis, we extracted five main dimensions of competency: clinical nursing, judgmental thinking, professional development, communication and management, and clinical teaching and scientific research.\u003c/p\u003e \u003cp\u003eFour primary indicators, eleven secondary indicators, and forty-seven tertiary indicators comprised the first draft of the competency indicators for digestive endoscopy specialist nurse, which was compiled using the information obtained from the literature review.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eDelphi process\u003c/h2\u003e \u003cdiv id=\"Sec5\" class=\"Section3\"\u003e \u003ch2\u003eThe expert panel\u003c/h2\u003e \u003cp\u003eThe expert panels participating in the Delphi survey were from different regions and organizations in China. Inclusion criteria included ① education background: Bachelor\u0026rsquo;s degree and above; ②professional title: intermediate and above;③ work experience and years:engaged in clinical nursing, digestive endoscopsic nursing,nursing management in hospitals for 10 years or more in a department with digestive endoscopic or work experience as a digestive endoscopic nurse;④ All experts agreed to participate in this study voluntarily.\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eData collection\u003c/h2\u003e \u003cp\u003eBased on the preliminary draft, a questionnaire was designed to assess the digestive endoscopy competencies of nurses from the perspective of experts. The questionnaire encompassed three sections: general information about the experts, the main body of the survey, and a self-evaluation form specifically for experts. Each indicator's importance was rated using a 5-point Likert Scale, ranging from 5 (very important) to 1 (very unimportant)[\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e]. Additionally, a column was included for experts to provide their revision opinions and suggestions for additional indicators. To ensure anonymity, experts did not meet or know each other; communication was limited to the investigator. Each expert had the freedom to propose additions, deletions, modifications, or suggest new indicators that were not included in the original questionnaire. In July and August 2023, two rounds of Delphi expert correspondence were conducted via email, with the consent of the experts. After distributing the questionnaire, we engaged in extensive communication with the experts, explaining the purpose and requirements of the survey, clarifying any questionable entries, and requesting a response via email within two weeks. The competency indicator index weights were calculated using the Delphi method, with indicators scoring a mean value of 4 or higher considered significant. A coefficient of variation of 25% or less and at least 75% consistency among experts were established as screening criteria[\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e]. To prevent the deletion of crucial indicators, only one indicator meeting the deletion criteria was removed after consultation with the research team. We took into account expert opinions and made appropriate additions, mergers, and revisions to the items, ultimately developing a comprehensive evaluation index for nurses' digestive endoscopy competencies.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eData analysis\u003c/h2\u003e \u003cp\u003eStatistical analysis was conducted utilizing SPSS 27.0 software, with descriptive analysis incorporating mean values, standard deviation, coefficient of variation, and proportion. The level of experts' engagement was quantified through the effective return rate of the questionnaire[\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e].. Expert authority was evaluated based on judgment and familiarity with the questions, while Kendall's coefficient of concordance was employed to gauge the alignment of expert opinions. The study included indicators scoring an average of 4 or higher from a minimum of 80% of the experts[\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e].\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eEthical considerations\u003c/h2\u003e \u003cp\u003e The ethics Committee of Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences) granted approval for this study, with ethics number YXLL-2023-042. The participants have provided their consent to participate, and they have been assured that their data will be kept anonymous and confidential.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eBasic information of experts\u003c/h2\u003e \u003cp\u003eA total of 20 experts were ultimately included. Among them, 8 were engaged in nursing management, accounting for 40% of experts, 6 were engaged in clinical nursing, accounting for 30.00% of experts, and 7 was engaged in hospital digestive endoscopic nursing, accounting for 35.0% of experts. The average age was 46.40\u0026thinsp;\u0026plusmn;\u0026thinsp;5.40years, and the average work experience was 23.65\u0026thinsp;\u0026plusmn;\u0026thinsp;6.26years. The Delphi expert panel demographics(Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDemographic data of expert panel\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"3\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCharacteristics\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eRound 1(n\u0026thinsp;=\u0026thinsp;20)\u003c/p\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eRound 2(n\u0026thinsp;=\u0026thinsp;19)\u003c/p\u003e \u003cp\u003en (%)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGender\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3(15.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e2(10.53)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e17(85.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17(89.47)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge(years)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3(15.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e3(15.79)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e40\u0026ndash;50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e10(50.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e9(47.37)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e7(35.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e7(36.84)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eEducational background\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eBachelor\u0026rsquo;s degree\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e12(60.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e11(57.89)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaster\u0026rsquo;s degree\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e8(40.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e8(42.11)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProfession titles\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSenior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e11(55.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e11(57.89)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAssociate senior\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e7(35.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e6(31.58)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIntermediate\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e2(10.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e2(10.53)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eProfessional experience(years)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10-\u0026lt;20\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e6(30.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e5(26.32)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e20\u0026ndash;30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e10(50.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e10(52.63)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e4(20.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4(21.05)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMentor type\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMaster supervisor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e17(85.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e16(84.21)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eOthers\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e3(15.00)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e3(15.79)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eReliability of expert questionnaire results\u003c/h2\u003e \u003cdiv id=\"Sec12\" class=\"Section3\"\u003e \u003ch2\u003eDegree of activeness of experts\u003c/h2\u003e \u003cp\u003eIn this study, a total of 21 questionnaires were disbursed to expert panels in each round, yielding 21 valid responses in the first round and 20 in the second. The respective effective return rates for these rounds were 100% and 95.24.00%, resulting in an overall return rate of 97.62%. Specifically, in the first round, 16 experts (constituting 76.19% of the total expert pool) offered their detailed opinions, while 12 experts (representing 60.00% of the total experts) did the same in the second round. \u003cb\u003eAuthority coefficient of experts\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThe authority coefficient (Cr) of experts was determined by combining their ability to make informed judgments (Ca) and their familiarity with the surveyed indicators (Cs) according to the formula: Cr = (Ca\u0026thinsp;+\u0026thinsp;Cs) / 2[\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e]. In our study, the Cas scores for the expert panels in the two rounds of surveys were 0.854 and 0.846, respectively, and the Css scores were 0.876 and 0.904, respectively. Consequently, the authority coefficients (Cr) were calculated to be 0.865 and 0.875.\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003eCoordination degree of expert opinions\u003c/h2\u003e \u003cp\u003eThe degree of consensus among expert opinions was measured through the coefficient of variation (CV) and the coordination coefficient. In the two rounds of surveys, the CVs ranged from 0.08\u0026ndash;0.20 and 0.00-0.28, respectively. The coordination coefficient was assessed using Kendall's coefficient of concordance, which indicated values ranging from 0.130\u0026ndash;0.252 and 0.152\u0026ndash;0.334 for the indicators in both survey rounds. Furthermore, based on Kendall's coefficient of concordance, the p-values for the second, and third-level indicators were all calculated as 0.000, indicating statistical significance. These findings suggest a high level of agreement among the experts' opinions (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eExpert coordination coefficients\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eItems\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIndicators\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eKendall\u0026rsquo;s coefficient of concordance\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eChi-square\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cem\u003eP\u003c/em\u003e values\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFirst round\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFirst level\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.130\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e10.437\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.034\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSecond level\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.252\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e50.411\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eThird level\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.180\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e161.946\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSecond round\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFirst level\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.152\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e11.531\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.021\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSecond\u003c/p\u003e \u003cp\u003elevel\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.243\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46.189\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eThird level\u003c/p\u003e \u003cp\u003eindicators\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.334\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e297.825\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eResults of the Delphi survey\u003c/h2\u003e \u003cdiv id=\"Sec15\" class=\"Section3\"\u003e \u003ch2\u003eResults of the first round of the Delphi survey\u003c/h2\u003e \u003cp\u003eIn the initial Delphi survey, nurses' digestive endoscopy competency indicators underwent an initial rating by experts, encompassing 5 first-level indicators, 15 second-level indicators, and 43 third-level indicators. The survey's initial round elicited forty comments, suggesting additions, deletions, subdivisions, consolidations, and first-level wording modifications to the competency indicators. The research team meticulously evaluated and debated the experts' feedback, subsequently revising and refining the indicators accordingly.Three tertiary indicators were added,namely,Use method and precautions of endoscopic accessories, biological monitoring method of digestive endoscopy and cause analysis of nosocomial infection and intervention measures.Two tertiary indicators were deleted: endoscopic ultrasound image recognition and nursing coordination of confocal microendoscopy.Four tertiary indicators are modified: \"endoscopic diagnosis and treatment of common diseases of digestive system\" is modified to \"image recognition of endoscopic diagnosis and treatment of common diseases of digestive system\"; \"self-protection of endoscopic radiation\" is modified to \"self-protection knowledge of endoscopic radiation\"; \"preoperative preparation, nursing cooperation and postoperative precautions\" is modified to \"preoperative preparation, nursing cooperation and relevant knowledge of digestive endoscopic diagnosis and treatment\"; \"gastroenterology, capsule endoscopy, amplification and pigment endoscopy\" is modified to \"nursing cooperation of endoscopy and colonoscopy, capsule endoscopy, small oscopy and duodenoscope\". All reserved indicators were included in the second round of the expert survey.\u003c/p\u003e \u003c/div\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003eResults of the second round of the Delphi survey\u003c/h2\u003e \u003cp\u003eIn the second round of the survey, two tertiary indicators indicators were modified: \"ability to start emergency response procedures quickly when a patient has complications\" was changed to \"ability to start emergency plan quickly when a patient has complications\"; \"endoscopic cleaning, disinfection and sterilization process\" was changed to \"knowledge of endoscopic cleaning, disinfection and sterilization\".\u003c/p\u003e \u003cp\u003eFinally, 5 first-level indicators, 11 second-level indicators, and 48 third-level indicators were determined (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eResults of the second round of the Delphi survey\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSubjects\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCV\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eProportion scored\u0026thinsp;\u0026ge;\u0026thinsp;4(%)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eweight\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1 Clinical nursing practice ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.79\u0026thinsp;\u0026plusmn;\u0026thinsp;0.52\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.3926\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1 Master the theoretical knowledge of specialized nursing care for endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.95\u0026thinsp;\u0026plusmn;\u0026thinsp;0.22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.05\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.2162\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.1 Knowledge of the digestive system anatomy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.84\u0026thinsp;\u0026plusmn;\u0026thinsp;0.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.19\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e63.16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0097\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.2 Image recognition of endoscopic diagnosis and treatment of common diseases of the digestive system\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.26\u0026thinsp;\u0026plusmn;\u0026thinsp;0.55\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0294\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.3 Knowledge of endoscopic cleaning, disinfection and sterilization\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.37\u0026thinsp;\u0026plusmn;\u0026thinsp;0.48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0432\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.4 Maintenance and precautions of endoscopic instruments and equipment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0115\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.5 Use Methods and precautions of endoscopic accessories\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.67\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0216\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.6 Commonused drugs and methods of digestive endoscopy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.05\u0026thinsp;\u0026plusmn;\u0026thinsp;0.51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0155\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.7 Knowledge of preoperative preparation, nursing cooperation and matters needing attention for various digestive endoscopy diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.74\u0026thinsp;\u0026plusmn;\u0026thinsp;0.85\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.23\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e68.42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0075\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.8 Knowledge of self-protection of endoscopic radiation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.21\u0026thinsp;\u0026plusmn;\u0026thinsp;0.69\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e84.21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0248\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.9 Postoperative precautions for digestive endoscopy and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.58\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0633\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.1.10 Biological monitoring method of digestive endoscopy, cause analysis of nosocomial infection, and intervention measures\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.65\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0351\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2 Master the specialized nursing skills of endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.79\u0026thinsp;\u0026plusmn;\u0026thinsp;0.41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.09\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.1555\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.1 Nursing coordination of gastroenteroscopy, capsule endoscopy, small enteroscopy, duodenoscopy and other endoscopes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.53\u0026thinsp;\u0026plusmn;\u0026thinsp;0.68\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0126\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.2 Endoscopic biopsy techniques and standardized specimen management\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.11\u0026thinsp;\u0026plusmn;\u0026thinsp;0.64\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e84.21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0050\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.3 For endoscopic gastrointestinal bleeding and hemostasis, preoperative preparation and intraoperative nursing coordination\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.63\u0026thinsp;\u0026plusmn;\u0026thinsp;0.48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0186\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.4 Preoperative preparation and intraoperative nursing coordination of esophageal and gastric fundus varices\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.53\u0026thinsp;\u0026plusmn;\u0026thinsp;0.60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0126\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.5 Preoperative preparation and intraoperative nursing coordination for endoscopic foreign body retrieval\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.05\u0026thinsp;\u0026plusmn;\u0026thinsp;1.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.28\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0041\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.6. Preoperative preparation and intraoperative nursing coordination of endoscopic catheterization\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.80\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e78.95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0076\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.7 Preoperative preparation and intraoperative care coordination for digestive tract mucosal and submucosal treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.47\u0026thinsp;\u0026plusmn;\u0026thinsp;0.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0100\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.8 Preoperative preparation and intraoperative nursing coordination for endoscopic ultrasound treatment operations\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0343\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e1.2.9 Preoperative preparation and intraoperative nursing coordination of ERCP related therapy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.79\u0026thinsp;\u0026plusmn;\u0026thinsp;0.41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.09\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0259\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2 Judmental thinking ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.1419\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.1 Evaluation and foresight ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.68\u0026thinsp;\u0026plusmn;\u0026thinsp;0.65\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.1123\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.1.1 It can accurately predict the risk of endoscopy-related complications\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.79\u0026thinsp;\u0026plusmn;\u0026thinsp;0.61\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0220\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.1.2 The early identification or timely detection of complications related to endoscopic operation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0370\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.1.3 Ability to initiate emergency plan when patients have complications\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0104\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.1.4 Make a scientific judgment on the work plan\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.09\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0370\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.2 Clinical nursing decision-making ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.37\u0026thinsp;\u0026plusmn;\u0026thinsp;0.48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0412\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.2.1 Can determine the best strategy to solve the problems related to endoscopic treatment and nursing according to the actual situation of the patients\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.84\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0069\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.2.2 Can make the endoscopic diagnosis and treatment and nursing plan of patients according to the results of endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.95\u0026thinsp;\u0026plusmn;\u0026thinsp;0.22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.05\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0175\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e2.2.3 Can apply quality improvement tools to improve quality of care\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0110\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3 Professional development ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.74\u0026thinsp;\u0026plusmn;\u0026thinsp;0.64\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.2809\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.1 Independent learning ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0521\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.1.1 Constantly explore the new knowledge and new theories of endoscopic diagnosis, treatment and nursing\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e5.00\u0026thinsp;\u0026plusmn;\u0026thinsp;0.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0380\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.1.2 Study to consult domestic and foreign literature to obtain cutting-edge information\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.73\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e84.21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0075\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.1.3 Participate in continuing education / academic exchanges at home and abroad to improve your professional ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0120\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.2 Professional quality\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0276\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.2.1 Have a healthy professional personality and professional identity\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0045\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.2.2 Have a cautious spirit, a strong sense of responsibility, positive and optimistic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e5.00\u0026thinsp;\u0026plusmn;\u0026thinsp;0.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0226\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.3 Innovation ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.58\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0769\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.3.1 Innovation expands the role and practice scope\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.95\u0026thinsp;\u0026plusmn;\u0026thinsp;0.22\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.05\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0767\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.3.2 Innovation of professional nursing technology and appliances of digestive endoscopy\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0383\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.4 Career planning ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.47\u0026thinsp;\u0026plusmn;\u0026thinsp;0.60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.063\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.4.1 Comprehensive self-evaluation in the field of digestive endoscopy specialty\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.47\u0026thinsp;\u0026plusmn;\u0026thinsp;0.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.11\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0194\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.4.2 Formulate practical long-term and short-term goals based on their own situation\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0508\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e3.4.3 Correct career positioning and reasonable assessment of the impact of the environment on their own career development\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.26\u0026thinsp;\u0026plusmn;\u0026thinsp;0.71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e84.21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0111\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4 Communication and management skills\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.37\u0026thinsp;\u0026plusmn;\u0026thinsp;0.58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.1076\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4.1 Ability to coordinate and communicate with patients\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.74\u0026thinsp;\u0026plusmn;\u0026thinsp;0.64\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.1371\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4.1.1 Conduct health education related to endoscopic diagnosis, treatment and nursing to patients\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.21\u0026thinsp;\u0026plusmn;\u0026thinsp;0.52\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0215\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e4.1.2 Ability to communicate between patients and doctors on issues related to endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.09\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0861\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5 Clinical teaching and scientific research ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.26\u0026thinsp;\u0026plusmn;\u0026thinsp;0.91\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.077\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1 Clinical teaching ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.0276\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1.1 Be able to formulate learning objectives and plans for endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0067\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1.2 Ability to conduct theoretical teaching and clinical practice\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.32\u0026thinsp;\u0026plusmn;\u0026thinsp;0.57\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0018\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1.3 Can apply and disseminate new businesses and technologies related to endoscopic diagnosis and nursing specialty through various ways\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.21\u0026thinsp;\u0026plusmn;\u0026thinsp;0.41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0014\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1.4 Ability to master various teaching methods and implement specialized nursing teaching / training\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.89\u0026thinsp;\u0026plusmn;\u0026thinsp;0.31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.06\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0067\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.1.5 Accurately guide nurses with low seniority to master the theory and operation of endoscopic diagnosis and treatment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.67\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e89.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0026\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2 Clinical scientific research ability\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.63\u0026thinsp;\u0026plusmn;\u0026thinsp;0.58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0905\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2.1 Summarize and analyze the existing literature and evidence to find the best evidence summary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.42\u0026thinsp;\u0026plusmn;\u0026thinsp;0.59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0212\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2.2 It can effectively analyze the clinical data of endoscopic diagnosis and treatment, and explore the scientific research problems\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.37\u0026thinsp;\u0026plusmn;\u0026thinsp;0.58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0136\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2.3 Be able to design scientific research projects and solve clinical problems scientifically\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.26\u0026thinsp;\u0026plusmn;\u0026thinsp;0.55\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0103\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2.4 Be able to implement scientific research and objectively deal with various problems in the research\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0063\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e5.2.5 Be able to write relevant research results into academic papers and apply them to clinical practice\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.16\u0026thinsp;\u0026plusmn;\u0026thinsp;0.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0.12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e94.74\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.0063\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cdiv id=\"Sec18\" class=\"Section2\"\u003e \u003ch2\u003eReliability of research results\u003c/h2\u003e \u003cp\u003eThe training of specialized nursing talents is an important direction for the development of nursing in the new era, which requires good clinical professional skills and solid professional knowledge of digestive endoscopy[\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. This study draws on the theoretical framework of nurses' core competence, and adopts various research methods, including literature research, semi-structured interview, Delphi method and hierarchical analysis method, to construct the core competence evaluation index system[\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e]. The application of hierarchical analysis helps to determine the weight of core competence indicators and improve the scientificity of research results[\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e]. The effectiveness of the Delphi method mainly depends on the representativeness, enthusiasm and authority of the consulting experts: In this study, 15 experts were selected, who are from 10 provinces and cities, with a certain regional representation. The main research fields of experts include clinical medicine, nursing management, clinical nursing, etc[\u003cspan additionalcitationids=\"CR21\" citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e]. Experts are associate senior or above, and more than half of experts have worked in the field of digestive endoscopy for more than 15 years and have rich working experience in this field. The positive coefficient of experts in the two rounds of letter inquiry was 100%, and 12 and 6 experts proposed suggestions in the two rounds, which had high enthusiasm of experts. Expert authority coefficient (Cr) 0.700 can be considered as high expert opinion, The mean coefficient of authority of the two rounds of expert inquiry was 0.870 and the coefficient of variation was 0.094, indicating that the results of the inquiry were reliable.Furthermore, we employed consensus-based percentages to strengthen the reliability of the findings.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003eSpecialty characteristics of constructing competency indicators for digestive endoscopy nurse\u003c/h2\u003e \u003cp\u003eThe evaluation index system of core competence of digestive endoscopy nurses includes the evaluation of five core abilities of nursing practice ability, judging thinking ability, professional development ability, communication and management ability, and clinical teaching and scientific research. The core competence of specialized nurses in digestive endoscopy is formulated on the basis of the core competence framework of specialized nurses combined with the current development status and future requirements of the department[\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e], The endoscopic equipment maintenance, digestive endoscopy and treatment postoperative precautions, endoscopic biopsy techniques and normative specimen management, endoscopic preoperative preparation and intraoperative nursing cooperation, according to the patient's actual situation to determine endoscopic treatment nursing related problems to solve the best strategy, can accurately predict the risk of endoscopic related complications, can early identification or timely find endoscopic operation related complications, etc, More focused on the cultivation of specialist nurses in digestive endoscopy, More professional, More inclined to cultivate senior clinical nursing specialists, It fully reflects the core competence characteristics of digestive endoscopy nurses. This core competence evaluation index system is helpful for the comprehensive evaluation of digestive endoscopy specialist nurses, and provides reasonable evaluation tools for their selection, training, assessment and management.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec20\" class=\"Section2\"\u003e \u003ch2\u003eContent analysis of the developed competency indicators for digestive endoscopy nurse\u003c/h2\u003e \u003cp\u003eThe current work developed a set of core competency indicators for digestive endoscopy nurses in China on the basis of the \u0026ldquo;iceberg model\u0026rdquo; and defined a series of knowledge, skills, and personal traits essential for digestive endoscopic nursing competency[\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e].Foreign research believes that Specialized nurses play multiple roles in the clinical practice, and the ability evaluation of specialized nurses is of great significance for patients and specialized nurses themselves, specialized nursing practice, and specialized nursing management[\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e, \u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e]. In the evaluation of the core index system, the top three weights are clinical nursing practice ability (0.453), professional development ability (0.168), judging thinking ability (0.142), and the weights are the theoretical knowledge (0.244), master the endoscopic specialist nursing skills operation (0.209), and the ability to communicate and coordinate with patients (0.084). Among the first level indicators, clinical nursing practice competence has the highest weight, which indicates that clinical nursing practice ability is the core competence of the most important work, which compares with the results of other types of specialized nurses unanimous. The weight of the specialized nursing theoretical knowledge of endoscopic diagnosis and treatment ranks first, further highlighting the importance of nurses' professional ability and accomplishment in the post competence. According to the evaluation index system, digestive endoscopy specialist nurses can analyze their own shortcomings and determine the direction of improvement. Nursing managers or teachers can use the evaluation system to dynamically evaluate the core competence level of digestive endoscopy specialist nurses, and give classified guidance based on individual differences.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec21\" class=\"Section2\"\u003e \u003ch2\u003eLimitations\u003c/h2\u003e \u003cp\u003eOwing to challenges like limited research funding and time restrictions, we were able to distribute the questionnaire to merely 15 experts hailing from diverse regions of China. Although the panel of experts demonstrated exceptional authority, reliability, and representation, their opinions might not accurately reflect the general consensus. Furthermore, the competency indicators for digestive endoscopy, which were developed in this study, need to undergo further clinical trials to confirm their practical utility.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe current research has established scientific and reliable competency assessment metrics for nurses specializing in digestive endoscopy, drawing inspiration from the iceberg model. These metrics encompass five primary indicators, eleven secondary indicators, and forty-eight tertiary indicators. The implementation of these metrics is expected to significantly impact the selection, training, assessment, and evaluation of nurses in this domain.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe express our gratitude to all the respondents who participated in this study by completing the questionnaire.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor Contribution\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eChao Li: Formal analysis, investigation, data curation, writing\u0026mdash;original draft\u0026nbsp;\u003c/p\u003e\n\u003cp\u003epreparation; Xufang Du and Xiangyan Tian: investigation, methodology, writing\u0026mdash;review and editing; Jia Yao and shuchuan Tian: Conceptualization, project administration, supervision, writing\u0026mdash;review and editing;\u0026nbsp;All authors have read and agreed to the published version of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was funded by National Natural Science Foundation of China Youth Program (No.:81700562).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData Availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data generated or analyzed during this study are included in this published article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was approved by Shanxi Bethune Hospital, Shanxi Academy\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eof Medical Sciences Institutional Review Board in accordance with the\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eDeclaration of Helsinki. All methods were carried out in accordance with\u0026nbsp;\u003c/p\u003e\n\u003cp\u003erelevant guidelines and regulations. Written informed consent was obtained\u0026nbsp;\u003c/p\u003e\n\u003cp\u003efrom all individual patients included in the study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n \u003cli\u003eBoniol M, Kunjumen T, Nair TS, Siyam A, Campbell J, Diallo K. The global health workforce stock and distribution in 2020 and 2030: a threat to equity and \u0026apos;universal\u0026apos; health coverage? BMJ Glob Health. 2022 Jun;7(6):e009316.\u003c/li\u003e\n \u003cli\u003eBitar V, Martel M, Restellini S, Barkun A, Kherad O. Checklist feasibility and impact in gastrointestinal endoscopy: a systematic review and narrative synthesis. Endosc Int Open. 2021;9(3):E453-E460.\u003c/li\u003e\n \u003cli\u003eMahawongkajit P, Techagumpuch A, Auksornchat K. Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics. Endosc Int Open. 2022;10(1):E56-E61.\u003c/li\u003e\n \u003cli\u003eChaikajornwat J, Pittayanon R, Ananchuensook P, Kongwibulwut M, Rerknimitr R. The comparison of aerosol exposures to endoscopy personnel performing diagnostic upper gastrointestinal endoscopy in patients with and without head box: A randomized control trial. J Gastroenterol Hepatol. 2023;38(2):233-240.\u003c/li\u003e\n \u003cli\u003eMahawongkajit P, Techagumpuch A, Auksornchat K. Effects of basic endoscopic handling and care training on gastrointestinal endoscopy logistics. Endosc Int Open. 2022 Jan 14;10(1):E56-E61.\u003c/li\u003e\n \u003cli\u003eWan F, Yang L, Zhou N, He Y. Construction of learning objectives and content for newly graduated nurses in tertiary teaching hospitals: A Delphi study. Nurse Educ Today. 2023 Feb;121:105716.\u003c/li\u003e\n \u003cli\u003eDuffield C, Chapman S, Rowbotham S, Blay N. Nurse-Performed Endoscopy: Implications for the Nursing Profession in Australia. Policy Polit Nurs Pract. 2017 Feb;18(1):36-43.\u003c/li\u003e\n \u003cli\u003eArslanca G, Ayg\u0026uuml;n M. Effect of nurse-performed enhanced patient education on colonoscopy bowel preparation quality. Rev Lat Am Enfermagem. 2022;30:e3626.\u003c/li\u003e\n \u003cli\u003eSouthard ME. Professional Nurse Coach Supervision: Relationships, Responsibilities, and Requirements. J Holist Nurs. 2023;26:8980101231163675.\u003c/li\u003e\n \u003cli\u003eHe YH, Wang F. PDCA nursing in improving quality management efficacy in endoscopic submucosal dissection. World J Clin Cases. 2022;10(27):9611-9618.\u003c/li\u003e\n \u003cli\u003eMcPherson S, Reese C, Wendler MC. Methodology update: Delphi Studies.Nurs Res. 2018;67(5):404\u0026ndash;10.\u003c/li\u003e\n \u003cli\u003eMakhmutov R. The Delphi method at a glance. Pflege. 2021;34(4):221.\u003c/li\u003e\n \u003cli\u003eZhao XS,Ma YJ.Construction and application of central venous catheter-related thrombosis prevention in critically ill children.Chin J Nurs. 2023;58(10): 1157-1165.\u003c/li\u003e\n \u003cli\u003eZhuang YT,Wang ZJ,Li JH.Summary of the best evidence for the management of restless leg syndrome in pregnant women.J Nurs.2023;30(13): 47-52.\u003c/li\u003e\n \u003cli\u003eGou ZN,Zhou YF,Wang J.Construction of evidence-based discharge preparation service plan for ovarian cancer patients after surgery.J Nurs Train.2023;58(24):2957-2963.\u003c/li\u003e\n \u003cli\u003eZhang MY,Shi YH,Zhang XX.Construction of an intervention program for diabetic retinopathy patients undergoingsurgery based on the theory of \u0026apos;Timing lt Right\u0026apos;.Chin J Nurs.2023;30(04): 29-32.\u003c/li\u003e\n \u003cli\u003eWei PL,Chen XY,Jin LP.Construction of evaluation index system for core competence of nursing specialists of pediatric infectious diseases.J Nurs.2023;30(04): 29-32.\u003c/li\u003e\n \u003cli\u003eLiu J, Qiu H, Zhang X, Zhang C, He F, Yan P. Development of billing post competency evaluation index system for nurses in China: a Delphi study. BMC Nurs. 2023;22(1):136.\u003c/li\u003e\n \u003cli\u003eIng EB. A Survey-Weighted Analytic Hierarchy Process to Quantify Authorship. Adv Med Educ Pract. 2021;12:1021-1031.\u003c/li\u003e\n \u003cli\u003eSato M, Horiuchi A, Tamaki M, Ichise Y, Kajiyama M, Yamamoto Y, Tanaka N. Safety and Effectiveness of Nurse-Administered Propofol Sedation in Outpatients Undergoing Gastrointestinal Endoscopy. Clin Gastroenterol Hepatol. 2019;17(6):1098-1104.\u003c/li\u003e\n \u003cli\u003eDossa F, Megetto O, Yakubu M, Zhang DDQ, Baxter NN. Sedation practices for routine gastrointestinal endoscopy: a systematic review of recommendations. BMC Gastroenterol. 2021;21(1):22.\u003c/li\u003e\n \u003cli\u003eWu Z, Huang W, Ding Y, Jiang L, Zhao Y, Zhu X, Huang J. Construction of an evaluation index system of core competencies for critical care blood purification nurses in China: A Delphi study. Nurse Educ Pract.2023;72:103751.\u003c/li\u003e\n \u003cli\u003eLiu J, Qiu H, Zhang X, Zhang C, He F, Yan P. Development of billing post competency evaluation index system for nurses in China: a Delphi study. BMC Nurs. 2023 Apr 25;22(1):136.\u003c/li\u003e\n \u003cli\u003eZhao C, Yu M, Wang A, Xu X, Zheng X. Construction of an evaluation system for medical staff\u0026apos;s occupational protection ability based on knowledge, attitude, and practice theory, and a cross-sectional survey of current conditions. BMC Nurs. 2023;22(1):78.\u003c/li\u003e\n \u003cli\u003eRobbrecht M, Norga K, Van Winckel M, Valcke M, Embo M. Development of an integrated competency framework for postgraduate paediatric training: a Delphi study. Eur J Pediatr. 2022;181(2):637-646.\u003c/li\u003e\n \u003cli\u003eLi X, Ding L, Ning P, Li Y, Wei H, Meng Q. Construction of a nurses\u0026apos; interpersonal communication knowledge system: A Delphi study. Nurse Educ Today. 2023;120:105630.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"digestive endoscopy, talent training, specialist nurse, core competence","lastPublishedDoi":"10.21203/rs.3.rs-4681427/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4681427/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eAim\u003c/strong\u003e To construct the evaluation index system of the core competence of digestive endoscopy nurses and provide reference for the training and evaluation of endoscopy nurses.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e Digestive endoscopy nurses play a crucial role in the process of endoscopic diagnosis and treatment, and specially trained nurses can improve the safety of digestive endoscopy surgery.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e Following a thorough review of pertinent guidelines, expert opinions, and literature pertaining to the diagnosis and treatment of digestive endoscopy, a preliminary set of core competency evaluation indicators for digestive endoscopy nurses was established through group deliberation. Subsequent refinement of these indicators and their respective weights was achieved through two rounds of delphi expert consultation and the application of the analytic hierarchy process, resulting in the finalization of the evaluation index system.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e In the two rounds of letter inquiry, the authority coefficient of experts was 0.865 and 0.875 respectively, and the coordination coefficient of Kendall of the second round was 0.152,0.243 and 0.334 (\u003cem\u003eP\u003c/em\u003e\u0026lt;0.05).The final core competence evaluation indexes included 5 first-level indexes, 11 second-level indexes and 48 third-level indexes.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion \u003c/strong\u003e\u0026nbsp;The core competence evaluation index system is characterized by a high degree of scientific rigor and reliability, effectively capturing the essential competencies necessary for the role of digestive endoscopy nurses. This system serves as a valuable tool for enhancing post-competence and elevating the overall quality of nursing care, offering a sound basis for improvement in clinical practice.\u003c/p\u003e","manuscriptTitle":"A practical index system forevaluating the core competence of specialized nurses in digestive endoscopy","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-07-30 10:59:02","doi":"10.21203/rs.3.rs-4681427/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"8c73eca9-7b52-40bd-bad3-eab8468e384e","owner":[],"postedDate":"July 30th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-08-11T19:02:13+00:00","versionOfRecord":[],"versionCreatedAt":"2024-07-30 10:59:02","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4681427","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4681427","identity":"rs-4681427","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}