中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
15期
1829-1832
,共4页
窦英茹%王加凤%潘春芳%朱庆捷%史甜%郭凌翔%刘秀%单雪芹%戴雪梅%陆文婷
竇英茹%王加鳳%潘春芳%硃慶捷%史甜%郭凌翔%劉秀%單雪芹%戴雪梅%陸文婷
두영여%왕가봉%반춘방%주경첩%사첨%곽릉상%류수%단설근%대설매%륙문정
实境培训考核%ICU%临床护理%护理质量%满意度
實境培訓攷覈%ICU%臨床護理%護理質量%滿意度
실경배훈고핵%ICU%림상호리%호리질량%만의도
Real-case-based training and examination%Intensive Care Unit%Clinical nursing%Nursing quality%Satisfaction
目的：研究实境培训考核法在ICU护士培训中的应用效果。方法成立ICU实境培训考核小组,对ICU护士分层次进行实境培训考核。考核内容包括病情观察评估能力、临床护理思维及护理程序运用等7个方面的能力,采用跟班的形式进行考核,分每个月、每3个月、每6个月3种考核频次。结果经过实境培训考核,ICU护士综合能力评分优秀与良好的等级逐步提高,科内考核第1,4季度的优良获得率分别为31.6%,59.6%,差异有统计学意义(χ2=9.161,P<0.05)。下半年专科护理质量指标数据较上半年有明显改善,压疮发生例数、非计划拔管例数、外出检查影响患者安全事件发生例数均为零；洗手依从性、床头抬高的依从性均提高,呼吸机相关性肺炎发生率、导管相关性血流感染发生率、尿管相关性感染发生率均降低。护士对培训考核、教学水平与学习氛围的满意度逐步提高,差异有统计学意义(P<0.05)。结论实境培训考核模式是提升ICU护士临床护理能力,提高专科护理质量内涵,提高护士学习积极性,保证护理安全的一种有效方法。
目的：研究實境培訓攷覈法在ICU護士培訓中的應用效果。方法成立ICU實境培訓攷覈小組,對ICU護士分層次進行實境培訓攷覈。攷覈內容包括病情觀察評估能力、臨床護理思維及護理程序運用等7箇方麵的能力,採用跟班的形式進行攷覈,分每箇月、每3箇月、每6箇月3種攷覈頻次。結果經過實境培訓攷覈,ICU護士綜閤能力評分優秀與良好的等級逐步提高,科內攷覈第1,4季度的優良穫得率分彆為31.6%,59.6%,差異有統計學意義(χ2=9.161,P<0.05)。下半年專科護理質量指標數據較上半年有明顯改善,壓瘡髮生例數、非計劃拔管例數、外齣檢查影響患者安全事件髮生例數均為零；洗手依從性、床頭抬高的依從性均提高,呼吸機相關性肺炎髮生率、導管相關性血流感染髮生率、尿管相關性感染髮生率均降低。護士對培訓攷覈、教學水平與學習氛圍的滿意度逐步提高,差異有統計學意義(P<0.05)。結論實境培訓攷覈模式是提升ICU護士臨床護理能力,提高專科護理質量內涵,提高護士學習積極性,保證護理安全的一種有效方法。
목적：연구실경배훈고핵법재ICU호사배훈중적응용효과。방법성립ICU실경배훈고핵소조,대ICU호사분층차진행실경배훈고핵。고핵내용포괄병정관찰평고능력、림상호리사유급호리정서운용등7개방면적능력,채용근반적형식진행고핵,분매개월、매3개월、매6개월3충고핵빈차。결과경과실경배훈고핵,ICU호사종합능력평분우수여량호적등급축보제고,과내고핵제1,4계도적우량획득솔분별위31.6%,59.6%,차이유통계학의의(χ2=9.161,P<0.05)。하반년전과호리질량지표수거교상반년유명현개선,압창발생례수、비계화발관례수、외출검사영향환자안전사건발생례수균위령；세수의종성、상두태고적의종성균제고,호흡궤상관성폐염발생솔、도관상관성혈류감염발생솔、뇨관상관성감염발생솔균강저。호사대배훈고핵、교학수평여학습분위적만의도축보제고,차이유통계학의의(P<0.05)。결론실경배훈고핵모식시제승ICU호사림상호리능력,제고전과호리질량내함,제고호사학습적겁성,보증호리안전적일충유효방법。
Objective To investigate the effect of real-case-based training and examination method in ICU nurses training. Methods A test group of multi-level real-case-based training was established and took the examination of nurses in ICU. The examination included the ability of disease observation and assessment, clinical thinking, application of nursing procedure and so on. The frequency of assessment was divided into three parts:once a month, every three months and every six months. Results After the real-case-based training and examination program, the comprehensive score of ICU nurses at excellent and favorable level were improved. The excellent and favorable rates of the first and the fourth season were 31. 6% and 59. 6%, which had a significant difference (χ2 =9. 161,P<0. 05). The nursing quality of the second half of year was significantly improved. There was no case of pressure sore, unplanned extubation, out for inspection. The compliance of hand washing and bed raise was improved. The incidence of ventilator associated pneumonia, catheter related bloodstream infection and urinary tract infection was decreased. The nurse training examination, education level and learning atmosphere were significantly improved (P <0. 05). Conclusions The real-case-based training and examination model can effectively improve the ICU nurses′ clinical nursing competency, and it also can promote the enthusiasm and the quality of nursing.
