进阶模式下分层培训对护士专业能力的影响

Influence on professional ability of nurses trained by clinical ladder program

目的 探讨在进阶模式下分层级培训对护士专业能力的影响.方法 参照“临床专业能力进阶模式”,结合我院护士的能力、年资、职称和学历等影响因素,将我院1527名护士作为观察组,分成5级9档,制订各层级培训计划、培训形式和培养目标,自制培训效果调查评分表和晋档标准,定期考核晋级.将既往传统护理模式下工作的护士1486人作为对照组,对2组的各项指标进行比较.结果 观察组入组2年后,共有1106人进级晋档,进阶率为74.2％.与传统平台式培训模式相比,分层级培训使护理各项考核指标均明显提高,护理质控成绩显著提高,患者满意度明显升高;护士对分层培训的认同度和评分显著高于对照组,科研论文发表率明显增加.结论 详细的护士分层级培训能提高护士专科知识、人际沟通以及人文关怀、教学、科研、管理等专业能力,从而显著提高护理质量和工作效率.

Objective In this study,we investigate the influence on nurses professional ability by the hierarchical level training under the advanced mode.Methods By referring to ＂advanced mode of clinical expertise＂,combined with impacts including the ability of nurses,seniority factors,professional titles and educational background,1 527 nurses of our hospital were divided into five ranks （including nine grades）.We developed training plan,training forms and training purposes aiming at all level of training objectives.In addition,we developed a training effect questionnaire and promotion criteria.All the nurses must be evaluated and compared with the traditional nursing mode,which contained 1 486 nurses as the control.Results Within two years after the start of the experiment in the observation group,1 106 nurses had been promoted.Compared with the traditional platform-based training model,nursing assessment indicators were significantly improved by the hierarchical level of training.Quality control of care services was significantly improved and the score of patient satisfaction was significantly increased.Nurses acceptance of tiered training was improved compared to the control group,published research papers were significantly increased.Conclusions Detailed training on the layer classification of the nurses can improve the ability of nurses including specialist knowledge,interpersonal communication and humanistic care,teaching,scientific research,management and other professional skills,so as to improve nursing quality and work efficiency.