CAJ | 학술논문

目的：探讨精神科低年资护士的系统、规范、专业化培训效果,提高精神科护理队伍的整体水平。方法选取2011年10月—2013年6月就职的护士68名作为研究对象,按照随机数字表法分为试验组和对照组各34名。试验组组员每科轮转3个月,为期1年,在不同科室包括男病房、女病房、开放病房及MECT室进行针对性的带教和辅导；对照组给予常规培训。通过精神专科理论知识、技术操作、应急能力及综合素质考核、护理人员座谈、工作满意度调查、日常工作观察等进行前测和后测,对护士轮转效果进行评价。结果低年资护士实施轮转培训后,试验组与培训前相比,专科理论、操作技能、应急能力、综合素质比较差异有统计学意义(t值分别为-11.677,-3.049,-10.717,-12.581；P<0.01)。试验组与对照组相比,专科理论和综合素质比较差异有统计学意义(t值分别为3.916,4.511；P<0.01)。实施轮转培训后,轮转护士满意度为94.12%,高于实施前的61.76%,差异有统计学意义(χ2=10.350, P<0.01)。结论通过实施轮转培训,可以有效提高精神科低年资护士的专科理论水平和综合素质,对精神科临床实践能力、沟通与协作能力及人文素质等方面的提高均具有积极的作用。
목적：탐토정신과저년자호사적계통、규범、전업화배훈효과,제고정신과호리대오적정체수평。방법선취2011년10월—2013년6월취직적호사68명작위연구대상,안조수궤수자표법분위시험조화대조조각34명。시험조조원매과륜전3개월,위기1년,재불동과실포괄남병방、녀병방、개방병방급MECT실진행침대성적대교화보도；대조조급여상규배훈。통과정신전과이론지식、기술조작、응급능력급종합소질고핵、호리인원좌담、공작만의도조사、일상공작관찰등진행전측화후측,대호사륜전효과진행평개。결과저년자호사실시륜전배훈후,시험조여배훈전상비,전과이론、조작기능、응급능력、종합소질비교차이유통계학의의(t치분별위-11.677,-3.049,-10.717,-12.581；P<0.01)。시험조여대조조상비,전과이론화종합소질비교차이유통계학의의(t치분별위3.916,4.511；P<0.01)。실시륜전배훈후,륜전호사만의도위94.12%,고우실시전적61.76%,차이유통계학의의(χ2=10.350, P<0.01)。결론통과실시륜전배훈,가이유효제고정신과저년자호사적전과이론수평화종합소질,대정신과림상실천능력、구통여협작능력급인문소질등방면적제고균구유적겁적작용。
Objective To Explore low seniority psychiatric nurses′ system, standard, professional training effect, improve the overall level of psychiatric nursing team. Methods A total of 68 healthy nurses, who recruited from October 2011 to June 2013, were selected and randomly divided into experimental group (n=34) and control group (n=34). Experimental group members had rotated training who went to different departments ( each departments for 3 months and 1 year totally) including male ward, female ward, open ward and MECT room with specific teaching and counseling. The control group nurses given routine training. We compared the result of training by specialized theory knowledge assessment of psychiatric, technical operation evaluation, emergency ability and comprehensive quality assessment, nursing staff discussion, job satisfaction surveys and daily work of observation and measurement before and behind training. Results After Low seniority nurses rotated training, nurses in the experimental group compared with before training, specialized subject theoretical level, operation skill, emergency ability and comprehensive quality significant difference ( t =-11. 677, -3. 049, -10. 717, -12. 581;P<0. 01). The experimental group compared with control group, specialized subject theoretical level, comprehensive quality difference was statistically significant ( t=3. 916, 4. 511;P<0. 01), while operating skills, emergency ability (t=3. 916, 4. 511,P<0. 01). After implementing of rotated training, nurses′ satisfaction was 94. 12%, beyond 61. 76% before the implementation, and the difference was statistically significant (χ2 =10. 350,P < 0. 01). Conclusions Implementation of rotated training can effectively improve psychiatric low qualification nurses specialized theoretical level and the comprehensive quality of the psychiatric clinical practical ability, communication and cooperation ability and the improvement of humanistic quality, etc.