关键词: Miller 金字塔, 动静脉内瘘, 护理培训, 德尔菲法

Abstract: 【Abstract】Objective To construct a training program for the nursing ability of perioperative arteriovenous fistula (AVF) based on the Miller pyramid competency model, so as to promote the nursing ability of perioperative AVF in nurses, improve the nursing quality, and prevent nursing adverse events. Methods Delphi method was used to conduct several rounds of consultation with experts about indicators of the preliminary training program, to construct a complete index system for the nursing ability training program. Results The nursing ability training program, which includes 4 first-class indicators, 12 second-class indicators and 38
third-class indicators, was constructed after two rounds of consultation with experts. The recovery rate of effective questionnaires in two rounds of consultation with experts was more than 97%, and the expert authority coefficient was above 0.85. Conclusion The consultation experts have a better enthusiasm and authority to construct a nursing ability training program for perioperative AVF containing comprehensive topics but with suitable number of items. This program provides a basis for the establishment and application of a nursing training system of internal AVF patients for clinical nurses.

Key words: Miller pyramid, Arteriovenous fistula, Nursing training, Delphi method