CAJ | 학술논문

目的探讨适合重症医学科护士听诊培训管理的方案.方法 2010年10月至2011年10月联系西安市8家市级医院的重症医学科开展护士听诊技能培训,以5种不同方案培训全科1年以上护士.结果 “传-帮-带”计划是监护室最优化的护士听诊培训管理项目,成功培养护士听诊诊断能力.知识正确性高,为科室留下了宝贵资料,便于学术交流；有奖励,护士学习热情和主动性高；培训系统全面,实习机会均等,通俗易懂；培训师科室自产,节约科室成本；培养周期短,培训过程不误工；设定考核内容,定期考查；护士学以致用,集体讨论,查缺补漏；记录护理文书,相关护理诊断为医生判断病情提供了参考；汇编科室听诊培训实践指南.传-帮-带培训方式与其他培训方式比较,有知识正确性高、培养周期短、护士积极性高、培训成本低、效果好等优势.结论项目化培训是护士掌握和熟练听诊技能的切实办法,同时护士管理患者的能力在及早发现病情变化方面有了显著提升.
목적 탐토괄합중증의학과호사은진배훈관리적방안.방법 2010년10월지2011년10월련계서안시8가시급의원적중증의학과개전호사은진기능배훈,이5충불동방안배훈전과1년이상호사.결과 “전-방-대”계화시감호실최우화적호사은진배훈관리항목,성공배양호사은진진단능력.지식정학성고,위과실류하료보귀자료,편우학술교류；유장려,호사학습열정화주동성고；배훈계통전면,실습궤회균등,통속역동；배훈사과실자산,절약과실성본；배양주기단,배훈과정불오공；설정고핵내용,정기고사；호사학이치용,집체토론,사결보루；기록호리문서,상관호리진단위의생판단병정제공료삼고；회편과실은진배훈실천지남.전-방-대배훈방식여기타배훈방식비교,유지식정학성고、배양주기단、호사적겁성고、배훈성본저、효과호등우세.결론 항목화배훈시호사장악화숙련은진기능적절실판법,동시호사관리환자적능력재급조발현병정변화방면유료현저제승.
Objective To explore the most suitable scheme of auscultation training for ICU nurses.Methods Eight ICU of municipal hospitals in Xi' an between October 2010 and October 2011 were contacted and the auscultation training on ICU nurses more than one year in 5 ways distinctively at the same time were developed.Results The plan of mentoring for nurse in auscultation training management was optimization,which help the nurse auscultative successfully,continually and steady.It had a high knowledge accuracy,left precious material for department which facilitated to academic communication.The nurses had more learning enthusiasm and high initiative.It was a comprehensive training system for nurses that had equality practice opportunities and understandable. Trainers from the department which reduced the department cost and shortened the training cycle and had no delayed in the training process.Examination content set and regularly took examination.Group discussions were adopted by nurses for checking the leak,and they recorded nursing documents,and the related nursing diagnosis as the reference for doctors.The auscultation training practice guidelines for departments were assembled.Conclusions The method of project training teaching on the nurses for master the auscultation skill is practical,and it also can promote the ability of nurse in finding out the condition changes at an early date during managing patients.