心血管病专科护士的规范化培训

Standard Training for Cardiovascular Nurse Specialists

目的探讨军队心血管病专科护士的培训方法与效果,进一步提高培训质量。方法心血管病专科护士的规范化培训主要包括培训模式、培训目标、培训师资、课程设置及培训效果评估5部分。应用自编出版的教程对156名心血管病专科护士进行3个月脱产培训,理论授课1个月,采取"人班评估—集中授课—每周考核—结业理论笔试"的培训方法。临床实践2个月,形式为跟人跟班一对一带教、专项技能操作教学、教学查房、专科知识讲座和病例分析等。结果培训后理论考试(94.5±8.5)分和技能考核成绩(92.5±10.5)分均显著高于培训前[(62.5±7.5)分、(71.5±9.5)],差异有统计学意义(P<0.01);对培训课程评价和综合能力自评满意度均显著提高。结论根据综合考核、课程评价和学员的自我评估结果,对培训课程体系和临床带教方式方法进行改进和规范,使教学质量和护士的综合能力得到一定提高。但护士护理科研能力相对薄弱,应根据需求开展有效可行的护理科研规范化培训。专科护士的发展要循序渐进,逐步完善。

Objective To explore the methods and effects of training for cardiovascular nurse specialists in military and to improve the training quality. Methods A three-month training was conducted for 156 cardiovascular nurse specialists. The standard training focused on training model, training objectives, teaching power, curriculum and effect evaluation. Results Nurse specialists performed better in the respect of nursing basic theory （94.5±8.5） and clinical nursing skills （92.5±10.5） after the training （P〈0.01） and nurses were more satisfied with curriculum design and their comprehensive ability. Conclusion The standardization of curriculum design and chnical teaching contributes to the improvement of teaching quality and nurses＇ comprehensive competence. Since nurses have poor research ability, effective and feasible research training should be promoted for nurses.