Abstract: Objective: To construct a scientific and effectual evaluation index system of position competence in nurses of tuina department, so as to provide reference for standardization of nursing management. Methods: After consulting literature, semi-structured interview method and Delphi method, a competency evaluation index of nurses in tuina department was built. Analytic hierarchy process (AHP) was used to determine the weights of the first and second level indexes, and expert assignment method was used to determine the weights of the third level indexes. Results: 15 copies of the two rounds of expert letter questionnaires were issued, and the response rate was 100%. The expert authority of the two rounds of consultation was 0.87. The coordination coefficients of all levels were statistically significant(P<0.05). Conclusion: The expert opinions for all indicators of the competency evaluation index system are centralized and well-coordinated, and the results are highly reliable. It can be used to guide the evaluation management of clinical nursing staff in similar department.

Key words: Tuina department, Nursing staff, Position competence, Evaluation index system, Delphi technique

摘要： 目的: 构建中医推拿科护理人员岗位胜任力的评价指标体系,为规范化推拿科护理人员管理和提高管理效能提供参考。方法: 通过查阅文献资料、半结构式访谈法及德尔菲（Delphi）法构建推拿科护理人员岗位胜任力评价指标体系,采用层次分析法确定一、二级指标权重,专家赋值评价分配法确定三级指标权重。结果: 两轮专家函询问卷均发放15份,应答率均为100%;两轮函询的专家权威程度均为0.87;各级指标协调系数差异性检验均具有统计学意义（P<0.05）;各级指标重要性赋值的均数为4.27~5.00;推拿科护理人员岗位胜任力评价指标体系包含一级指标4项（专业知识、专业技术、专业能力和综合素质）、二级指标12项、三级指标62项。结论: 推拿科护理人员岗位胜任力评价指标体系中各项指标专家意见集中、协调程度好,结果可信度高,可用于指导推拿科等相关科室的临床护理人员岗位评定管理。

关键词: 推拿科, 护理人员, 岗位胜任力, 指标体系, 德尔菲法