目的 探讨基于德尔菲法构建专科护士能力分层管理模式。方法 通过查阅文献，并结合半结构式访谈，初步梳理出评价指标的条目集合。随机抽取20名权威护理临床实践专家，运用德尔菲专家函询法，依据专家反馈，确定评价指标体系。结果 共进行2轮专家函询，积极系数均为100%。专家权威系数分别为 0.83、 0.85。专家意见肯德尔系数分别为0.350、0.340。最终构建专科护士临床实践能力的分层级评价管理模式包括3项一级指标，8项二级指标，23项三级指标。结论 基于德尔菲法构建的专科护士能力分层管理模式，对于提升护理服务质量、推动护理学科发展具有积极的指导意义。

      Objective To explore the construction of a hierarchical management model for the clinical practice ability of specialist nurses based on the Delphi method．Methods By reviewing literature and conducting semi-structured interviews，we initially sorted out a collection of evaluation indicator items．Twenty authoritative nursing clinical practice experts were randomly selected．The Delphi expert consultation method was employed，and based on the experts’ feedback，the evaluation indicator system was determined．Results A total of two rounds of expert consultations were conducted，with a 100% positive response rate in both rounds．The expert authority coefficients were 0.83 and 0.85，respectively．The Kendall’s coefficient of concordance for expert opinions was 0.350 and 0.340，respectively．The final hierarchical evaluation and management model for the clinical practice ability of specialist nurses included 3 first-level indicators，8 second-level indicators，and 23 third-level indicators．Conclusions The hierarchical management model for the ability of specialist nurses constructed based on the Delphi method has positive guiding significance for improving nursing service quality and promoting the development of the nursing discipline．

       目的   构建痴呆照护人员能力指标体系。方法   通过文献回顾和实况调查初步拟定养老机构痴呆照护人员能力指标体系，采用德尔菲法逐步筛选确定最终所纳入指标。结果   两轮专家函询问卷回收率均为100%，专家权威系数第一轮为0.93、第二轮为0.92，专家协调度好。最终形成包括初级照护人员一级指标8项，二级指标21项；中级照护人员一级指标12项，二级指标46项；高级照护人员一级指标13项，二级指标56项的痴呆照护人员能力指标体系。结论   本研究构建的痴呆照护人员能力指标体系具有较好的科学性、可靠性、实用性和指导性，为痴呆照护人员能力培训及技能考核提供依据。

       Objective  To construct the system of indicators of capability for dementia caregivers．Methods  Through literature review and survey，the system of indicators of capability of dementia caregivers in nursing homes was initially formulated，and the Delphi method was used to gradually screen and determine the final included indicators．Results  The recovery rate of the two rounds of expert letter inquiries was 100%．The expert authority coefficient was 0.93 in the first round and 0.92 in the second round．The coordination of experts was good．The final indicators of capability system for dementia caregivers included 8 first-level indicators and 21 second-level indicators for primary caregivers，12 first-level indicators and 46 second-level indicators for secondary caregivers，and 13 first-level indicators and 56 second-level indicators for senior caregivers．Conclusions  The indicators of capability system for dementia caregivers constructed in this study has good scientificity，reliability，practicality and guidance，which provides a basis for the ability training and skill assessment of dementia caregivers．