Table 5 The third-level indicator of the core competency evaluation indicator system for pediatric asthma specialist nurses

I-1-1 The position, form, and anatomical structure of the upper and lower respiratory tract.

4.50 ± 0.59

0.13

0.079

I-1-2 The morphology and function of airway epithelial cells.

4.00 ± 0.74

0.18

0.048

△I-1-3 Classification, common causes and induction factors of pediatric asthma.

4.75 ± 0.43

0.09

0.094

I-1-4 Epidemiology, pathogenesis and pathological characteristics of pediatric asthma.

4.60 ± 0.58

0.13

0.085

I-1-5 Diagnosis and identification diagnosis of pediatric asthma

4.45 ± 0.67

0.15

0.076

I-1-6 Features and clinical manifestations of pediatric asthma.

4.75 ± 0.43

0.09

0.096

I-1-7 Period and grade of pediatric asthma.

4.70 ± 0.56

0.12

0.091

I-1-8 Methods and significance of monitoring pediatric asthma condition (e.g. lung function, allergen detection, FENO detection).

4.60 ± 0.49

0.11

0.081

I-1-9 Long -term treatment methods, goals and treatment principles of pediatric asthma.

4.70 ± 0.46

0.10

0.091

☆I-1-10 Classification of controlled drugs and alleviating drug, indications, pharmacological effects, medication pathways, adverse reactions and treatment methods of pediatric asthma.

4.85 ± 0.36

0.07

0.106

I-1-11 Methods, indications, and contraindications of pediatric specific immune therapy.

4.45 ± 0.67

0.15

0.076

I-1-12 Methods, indications, contraindications of anti -IGE targeted treatment.

4.40 ± 0.80

0.18

0.075

I-2-1 With the measurement and physical examination skills of children’s life signs.

4.70 ± 0.64

0.14

0.116

I-2-2 Knowing the applicable scope and methods of using inhalation device in long -term treatment of pediatric asthma (e.g., spray inhalator, pressure quantitative aerosol, pressure quantitative aerosol combined with fog reservoir storage device, dry powder quantitative inhalation agent).

5.00 ± 0.00

0.00

0.149

I-2-3 Recognition and rescue cooperation of the acute attack of pediatric asthma.

4.90 ± 0.30

0.06

0.134

☆I-2-4 Method of self -monitoring: how to use the peak flow velocity meter, asthma diary, the mobile version and paper version of the China children asthma action plan.

4.90 ± 0.30

0.06

0.133

I-2-5 Clinical nursing for children with asthma and allergic rhinitis.

4.75 ± 0.43

0.09

0.115

I-2-6 Clinical nursing for children with asthma and allergic dermatitis/urticaria.

4.45 ± 0.59

0.13

0.086

I-2-7 Clinical nursing for children with asthma and allergic conjunctivitis.

4.50 ± 0.50

0.11

0.089

☆I-2-8 Diet and exercise guidance for children with asthma and obesity.

4.45 ± 0.67

0.15

0.088

I-2-9 Psychological dredging methods for common psychological problems in children with asthma and their caregivers.

4.45 ± 0.67

0.15

0.089

II-1-1 Evaluate and judge the severity of asthma, comorbidities and the effects on children with asthma.

4.65 ± 0.57

0.12

0.125

☆II-1-2 Find out the allergens by evaluation of asthma children’s living environment, clinical detection of allergens and parents’ observation in daily life, and avoid allergens as much as possible, in order to prevent asthma attack and aggravation of symptoms.

4.85 ± 0.36

0.07

0.113

II-1-3 Choose suitable clinical assessment tools to evaluate the asthma control of children according to the age and the condition.

4.80 ± 0.40

0.08

0.118

△II-1-4 Calculate the predicted PEF value, understand the significance of personal best value, assess the condition of asthma children according to the ratio of measured PEF value and the predicted value or the ratio of measured PEF value and personal best value.

4.65 ± 0.65

0.14

0.119

△II-1-5 Identify the zone (green/yellow/red) of asthma child in the Children Asthma Action Plan, and take measures to manage asthma according to the the corresponding zone.

4.75 ± 0.43

0.09

0.111

II-1-6 Evaluate the awareness and treatment compliance of asthma children and their caregivers.

4.80 ± 0.51

0.11

0.094

II-1-7 Evaluate the problems in the treatment process of asthma children by collecting the information related to health behavior.

4.60 ± 0.66

0.14

0.092

II-1-8 Recognize the psychological characteristics and needs of asthma children and their caregivers.

4.50 ± 0.67

0.15

0.112

II-1-9 Evaluate and foresee the potential health risks of asthma children.

4.45 ± 0.74

0.17

0.116

II-2-1 Jointly make practical long -term treatment and nursing plan with the medical team according to the evaluation results.

4.75 ± 0.54

0.11

0.504

☆II-2-2 Participate in making asthma action plans for asthma children with doctors, children and their caregivers, and instruct children and caregivers to correctly perform the asthma action plan.

4.70 ± 0.64

0.14

0.496

☆II-3-1 Based on the outpatient clinic of pediatric asthma, establish an asthma home, or a asthma club, or an asthma association to establish a partnership with asthma children and their caregivers.

4.45 ± 0.74

0.17

0.111

II-3-2 Establish a specialized medical record file for each asthma children, and timely improve the follow -up information management in time.

4.75 ± 0.43

0.09

0.136

△II-3-3 Instruct asthma children and their caregivers to prevent predisposing factors, such as upper respiratory infections, climate change, air pollution, irritating odor, and cigarette exposure, etc.

4.80 ± 0.40

0.08

0.143

△II-3-4 Instruct asthma children and their caregivers to deal with allergens (such as dust mites, pollen, mold, animal dandruff, cockroaches) and improve the home environment.

4.90 ± 0.30

0.06

0.154

II-3-5 Regularly check asthma children’s operation and compliance of drug inhalation treatment, and timely correct the improper operation.

4.90 ± 0.30

0.06

0.154

II-3-6 Remind asthma children to do regular follow-up checks, supervise asthma children and their caregivers to execute asthma action plan.

4.80 ± 0.51

0.11

0.149

△II-3-7 Instruct caregivers to prepare first-aid drugs for asthma attack at homes or with asthma children.

4.90 ± 0.30

0.06

0.156

II-4-1 Evaluate and make feedback on the nursing quality of pediatric asthma nurses, and assist managers to continuously improve the quality.

4.60 ± 0.58

0.13

0.525

II-4-2 Evaluate the effect of asthma treatment, optimize and adjust nursing measures according to the actual situation.

4.50 ± 0.67

0.15

0.475

III-1-1 Have a strong sense of occupational identity, realize the serious affects of asthma on the physical and mental health of children, and be willing to make health education for asthma children and their caregivers to improve the self -management of asthma and maintain long -term control of asthma.

4.45 ± 0.67

0.15

1.000

III-2-1 Have enthusiasm for pediatric asthma care work, have a strong sense of nursing career responsibility for pediatric asthma, and put it into action with great energy.

4.50 ± 0.59

0.13

1.000

IV-1-1 Have good abilities of verbal and written expression, actively communicate with the medical team of the pediatric asthma, and jointly do a good job of long -term management of pediatric asthma.

4.55 ± 0.67

0.15

0.550

IV-1-2 Can communicate with doctors of other departments, such as otolaryngology, dermatology, and immunology, etc., and correctly refer asthma children to other departments when they have corresponding symptoms.

4.35 ± 0.79

0.18

0.450

IV-2-1 Can use easy -to -understand language and choose the right methods and tools or to explain the knowledge of asthma to children and their caregivers.

4.70 ± 0.56

0.12

0.368

IV-2-2 Master some communication skills, such as listening, non-language communication skills, etc., to encourage children and their caregivers to express their thoughts, give appropriate emotional support, and maintain good relationship with them.

4.55 ± 0.67

0.15

0.315

△IV-2-3 Can evaluate the effect of communication with patients, understand and improve the mastery degree of asthma -related knowledge of children and caregivers.

4.60 ± 0.66

0.14

0.319

IV-3-1 Make full use of professional theoretical knowledge and practical experience to jointly determine health education content and materials with pediatric asthma medical team.

4.60 ± 0.66

0.14

0.281

IV-3-2 Provide health education about early prevention and treatment of asthma prevention through a variety of methods, such as outpatient education, centralized education, media propaganda, online education and other forms.

4.55 ± 0.59

0.13

0.258

IV-3-3 Provide personalized health education and guidance for asthma children and their caregivers according to their needs, education level, and the mastery degree of asthma management knowledge.

4.55 ± 0.50

0.11

0.262

IV-3-4 Carry out fixed-site health education about pediatric asthma for children and public by cooperating with schools and community health institutions in a planned way.

4.25 ± 0.70

0.16

0.199

V-1-1 Actively learn and master new dynamics, new knowledge, and new technologies related to pediatric asthma.

4.70 ± 0.56

0.12

0.525

V-1-2 Plan for personal career development, actively seize the opportunities of learning, participate in continuing education, and continuously improve professional ability.

4.60 ± 0.58

0.13

0.475

V-2-1 The ability to provide counseling on asthma-related knowledge.

4.65 ± 0.48

0.10

0.550

V-2-2 Can use multiple teaching methods to organize teaching activities for nursing students and other nursing personnel, and effectively evaluate the teaching effects.

4.45 ± 0.74

0.17

0.450

☆V-3-1 Can perform evidence-based method searching literature and using novel and reliable nursing methods to solve practical nursing problems related to pediatric asthma.

4.50 ± 0.59

0.13

0.638

△V-3-2 Have a certain writing ability, spread nursing research results on domestic and foreign journals or academic conference.

4.00 ± 0.77

0.19

0.362

VI-1-1 Can lead team members, effectively complete nursing tasks in clinical practice, set up an example in the field of pediatric asthma nursing, and furnish an example to other nurses.

4.45 ± 0.80

0.18

0.521

VI-1-2 Supervise and make feedback on the nursing work, and timely take effective measures to correct the errors.

4.40 ± 0.86

0.20

0.479

VI-2-1 Manage benefits: make budget for controllable costs (such as the time that nurses provide nursing for asthma children, labor and consumables), estimate the corresponding benefits.

4.20 ± 0.81

0.19

0.297

VI-2-2 Quality control and evaluation: train asthma specialist nurses, identify suitable nursing plans for asthma children, and evaluate the negative results of asthma children.

4.35 ± 0.73

0.17

0.349

△VI-2-3 Make health education plan and feedback: make a complete plan for health education, evaluate the children and their caregivers’ feedback, clearly evaluate the effects of health education.

4.35 ± 0.79

0.18

0.354