通过专家问卷咨询和调查，构建适用于我国骨科专科护士的核心能力评价指标体系。

通过前期文献检索法和专家访谈，初步形成了骨科专科护士核心能力评价指标体系的框架和条目初稿，之后选择北京、天津、上海、山西、四川等6省市三级医院中，从事骨科临床护理、骨科护理教育、护理管理、护理研究等方面的专家，依据德尔菲法经过两轮的专家咨询、调查和探讨，整合专家建议，最终构建了骨科专科护士核心能力评价指标体系和各级指标条目的内容。

运用以上研究方法，最终确立骨科专科护士核心能力评价指标体系具有6个维度的核心能力，既一级指标，其中包括专业态度、专业实践能力、批判性思维能力、护理管理能力、交流沟通能力和专业发展能力。在该体系中的6个一级指标条目下包括21个二级指标条目和65个三级指标条目。两轮咨询的专家积极系数分别为0.90、0.94，专家权威系数0.87、0.86，协调系数为0.247～0.263。通过数据显示专家对指标条目的意见趋于一致且对所设置的指标条目认同程度高。

通过一系列系统和科学的研究方法，建立了骨科专科护士核心能力评价指标体系，该体系可以为骨科专科护士的考核、评价提供全面的、可量化的指标，并对今后骨科专科护士的培养有指导意义。

With expert questionnaire and investigation, this study aimed to build the orthopedic specialized nurses core competence evaluation index system, which was suitable.

At the early stage of this study, literature retrieval method and expert interview were used to build the draft of core competence evaluation index for orthopedic specialized nurse. Then the experts engaged in orthopedic clinical nursing, orthopedic nursing education, nursing management and nursing research, were selected from class a tertiary hospital in Beijing, Tianjin, Shanghai, Shanxi, Sichuan and etc provinces. With two-round of Delphi survey, the authors integrated the experts′ advice, and the core competence evaluation index system and items of each level were determinate ultimately.

By applying the above methods, the authors established the core competence evaluation index system of orthopedics specialized nurse. The evaluation index system includes 6 primary indexes: professional attitude, professional practice ability, critical thinking ability, nursing management ability, communication ability and the professional development ability. The second indicator had 21 items, and the third indicator had 65 items. After two rounds of Delphi method, the expert positive coefficient were 0.90 and 0.94, the authority coefficient were 0.87 and 0.86, the coordination coefficient was 0.247-0.263.Through the data, expert opinion of index entried to converge, they approved the items more.

Through a series of scientific research methods, the core competence evaluation index system of orthopedic specialized nurse was established. This system may provide comprehensive and quantifiable assessment for orthopedic specialized nurses’ evaluation, and has a guiding significance for training orthopedic specialized nurses in the future.