急诊抢救室护理晨间查房提升新护士工作能力的效果

Effects of morning nursing visit on improving the comprehensive competence of new nurses in emergency room

目的通过急诊抢救室护理晨间查房，提升急诊科新护士的综合能力。方法2007年7月至2009年7月对11名新护士培训方法进行改进，在原培训基础上每天8：00～9：00，选择抢救室前1d急危重症抢救病例1—2份进行护理晨间查房，讨论抢救措施是否及时有效、抢救记录是否准确、全面，沟通协调是否到位，讲解该病例的相关知识及急救护理进展，并与未开展该培训方法时进行比较。结果实施前急诊科新护士理论成绩总分为（67．8±10．8）分，实施后为（81．2±7．0）分，两组比较差异有统计学意义（t=2．54，P〈0．05）；实施前后的操作成绩比较，差异无统计学意义（t=0．84，P〉0．05）。结论急诊抢救室护理晨间查房是提升急诊科新护士综合能力的有效方法。

Objective To improve the comprehensive competence of new nurses by organizing morning nursing visit in emergency rescue room. Methods Totals of 11 new nurses from July 2007 to July 2009 in emergence department were assigned to receive new training methods, such as choosing one or two critical eases from last day for making nursing patients ward rounds at 8am to 9am every day in emergency room, to discuss that whether the rescue measurement was effectively or timely, whether the rescue record was precise or comprehensive and whether the communication was effectively, otherwise, to explain related knowledge to the disease and the development of emergency care. Then compared with nurses who didn＇ t receive the new training. Results The theory score of new nurses was （67.8 ± 10.8 ）before receiving training and （81.2 ± 7.0 ） after receiving training , and the difference was statistically significant （ t = 2. 54, P 〈 0. 05 ）. There was no significant difference in the operation score before and after training（P 〉 0. 05 ）. Conclusions It is an effective method to improve comprehensive competence of new nurses by organizing morning nursing ward round in emergency department.