摘要
目的 通过建立多元化的护理教育方式,对轮转护士进行规范化培训,评价其在轮转护士培养过程中的效果,以提高护理队伍的整体水平.方法 采用整群抽样的方法,选取2011年7月—2016年1月在南通市第四人民医院内科病房进行轮转学习的36名护士为研究对象,采取重点培养优秀带教老师、统一新入科护士理论教材、制订规范的带教及考核计划、实际案例联合理论知识教学、培养树立崇高的价值观、构建和谐的团队氛围进行规范化培训,比较培训前后轮转护士的自我效能感、核心能力、理论、操作、临床工作能力和焦虑情况.结果 培训后护士的自我效能感为（2.41±0.13）分,高于培训前的（1.85±0.15）分,差异有统计学意义（t=19.002,P＜0.01）;培训后护士核心能力总得分为（145.67±7.57）分,高于培训前的（121.90±5.07）分,差异有计学意义（t=19.794,P＜0.01）;理论、操作技能、临床工作能力成绩分别从培训前（77.86±4.40）、（79.47±4.99）、（68.58±3.19）分提高至培训后的（88.28±5.44）、（90.92±4.75）、（83.31±5.20）分,差异有统计学意义（t值分别为9.564、10.732、12.618;P＜0.01）;培训前轮转护士SAS评分为（41.75±12.11）分,培训后为（30.94±4.85）分,差异有统计学意义（t=-7.401,P＜0.01）.结论 多元化护理教育从培养优秀带教老师、统一新入科护士理论教材、制订规范的带教及考核计划等方面提高了轮转护士的综合能力,值得在临床教学中推广应用.
Objective To establish the diversification nursing education mode,provide standardized training for rotation nurses and evaluate its effects in rotation nurses training,so as to improve the integral level of nursing team.Methods A total of 36 rotation nurses trained in Department of Internal Medicine of the Fourth People＇s Hospital of Nantong were selected as the research object from July 2011 to January 2016 by cluster sampling method. The standardized training was carried out by focusing on training excellent clinical teachers, unifying theory textbooks for new nurses,formulating standardized teaching and assessment plan,implementing the teaching of cases combined with theoretical knowledge,teaching nurses to set up noble values,structuring a harmonious team atmosphere. And then,the self-efficacy,core competence,theory,operation,clinical working ability and anxiety of rotation nurses were compared before and after training.Results The score of self-efficacy of rotation nurses after training （2.41±0.13） was higher than that before training （1.85±0.15） with a significant difference （t=19.002,P〈0.01）. The score of core competence significantly increased from （121.90±5.07） before training to （145.67±7.57） after training （t=19.794,P〈0.01）. The scores of theory,operational skill, clinical working ability significantly increased from （77.86±4.40）,（79.47±4.99） and （68.58±3.19） before training to （88.28±5.44）,（90.92±4.75） and （83.31±5.20） after training with significant differences （t=9.564, 10.732,12.618;P〈0.01）. The score of anxiety after training （30.94±4.85） was lower than that before training （41.75±12.11） with a significant difference （t=-7.401,P〈0.01） .Conclusions The diversification nursing education can improve the comprehensive ability of rotation nurses by training excellent clinical teachers, unifying theory textbooks for new nurses,formulating standardized teaching and assessment plan and so on. It is worthy of popularization and application in clinical teaching.
出处
《中华现代护理杂志》
2017年第5期609-612,共4页
Chinese Journal of Modern Nursing
关键词
护士
规范化培训
多元化护理教育
轮转
临床教学
Nurses
Standardized training
Diversification nursing education
Rotate
Clinical teaching
作者简介
通信作者：康晓燕，Email：1379885196@qq．com
