构建基于岗位胜任力的烧伤科护士分层培训方案，为建立一专多能的烧伤科护理队伍提供培训依据。

2024年8月至9月，通过文献分析和半结构式访谈初步编制基于岗位胜任力的烧伤科护士分层培训方案。2024年10月至12月，选择11所具有独立烧伤专科或创伤专科的三级甲等医院中15名护理专家，采用德尔菲法进行2轮专家函询，确定各能级护士培训内容。2025年1月至3月，选取上海交通大学医学院附属瑞金医院烧伤整形与创面修复科护士作为研究对象，比较培训方案实施前后护士理论与操作考核得分及医生满意度得分，初步评价培训方案的效果。

2轮函询专家积极系数均为100%，专家权威系数分别为0.863和0.860，整体肯德尔和谐系数分别为0.131（χ²=430.900，P<0.001）和0.130（χ²=408.011，P<0.001），变异系数分别为0.089~0.167和0.037~0.122。最终形成基于岗位胜任力的烧伤科护士分层培训方案，包括一级指标5项；二级指标中N0能级护士15项，N1能级护士16项，N2能级护士23项，N3能级护士16项；三级指标中N0能级护士38项，N1能级护士41项，N2能级护士64项，N3能级护士31项。培训后各能级护士的理论与操作考核得分及医生满意度得分均优于培训前（P<0.05）。

基于岗位胜任力的烧伤科护士分层培训方案具有较强的科学性，能够体现烧伤科护士临床综合能力，提升烧伤科护士专业素质及医生满意度，对促进烧伤护理队伍的稳定发展具有一定的意义。

To construct a hierarchical training program for burn unit nurses based on competency，and provide a basis for the training of burn unit nurses.

From August to September 2024，a competency-based hierarchical training program for burn unit nurses was preliminarily developed through literature review and semi-structured interviews. From October to December 2024，15 nursing experts from 11 tertiary Grade A hospitals with independent burn or trauma departments were selected，and the Delphi method was employed for two rounds of expert consultation to determine the training content for nurses at each competency level. From January to March 2025，nurses from the Department of Burn Plastic Surgery and Wound Repair of Ruijin Hospital，Shanghai Jiao Tong University School of Medicine，were selected as the study subjects，and the nurses' theoretical and operational assessment scores and the doctors' satisfaction scores before and after the implementation of the training program were compared.

The expert positive coefficients for both rounds of consultation were 100%，and the expert authority coefficients were 0.863 and 0.860，respectively. The overall Kendall's coefficients of concordance were 0.131（χ²=430.900，P<0.001） and 0.130 （χ²=408.011，P<0.001）, and the coefficients of variation were 0.089 to 0.167 and 0.037 to 0.122，respectively. At last，the training program was established including five first-level indicators，15，16，23，16 second-level indicators and 38，41，64，31 third-level indicators for N0 to N3 nurses. After the training，both the nurse's assessment scores and the doctors' satisfaction scores were better than those before the training（P<0.05）.

The hierarchical training program for burn unit nurses based on competency has strong scientificity，which can reflect the comprehensive clinical ability of burn unit nurses，and improve the professional quality of the burn unit nurses and the satisfaction of doctors. It has certain significance for promoting the stable development of the burn nursing team.