院病区二级连锁式岗前培训模式在中医医院新聘护士中的应用

Application of hospital-wards chain pre-service training mode for newly-employed nurses in hospital of traditional Chinese medicine

目的：改进新聘护士岗前培训模式，以适应中医医院护理工作的需要。方法采用便利抽样法，选取2011年入职的38名新护士为对照组，采用传统的岗前培训模式进行培训；选取2012年入职的38名新护士为研究组，采用院病区二级连锁式岗前培训模式进行培训。结果培训前，研究组中医基础理论、操作技能和综合能力评分分别为（59．68±10．23），（70．13±7．96），（55．91±7．74）分，对照组分别为（60．17±9．45），（69．85±8．48），（55．82±8．60）分，两组比较差异无统计学意义（t值分别为0．216，0．148，0．048；P＞0．05）；培训后，研究组中医基础理论、操作技能和综合能力评分分别为（86．60±6．84），（87．10±7．25），（70．19±9．96）分，对照组分别为（70．56±8．69），（72．81±9．28），（69．85±8．48）分，两组比较差异有统计学意义（t值分别为8．940，7．480，4．401；P＜0．05）。研究组新护士对培训时间、培训内容、培训方式、培训师资的满意度均高于对照组，差异有统计学意义（ t值分别为7．617，35．894，8．409，7．999；P＜0．05）。结论院病区二级连锁式岗前培训模式能全面提高新护士的临床护理能力，使其迅速适应新护理岗位需要。

Objective To improve the pre-service training effect for newly-employed nurses and to hence the nursing service needs of the hospital of traditional Chinese medicine .Methods Using the convenient sampling, thirty-eight newly-employed nurses of 2011 were chosen and constituted the control group , who were trained by the traditional pre-service training pattern .Another thirty-eight newly-employed nurses of 2012 were also chosen and constituted the experiment group , who were trained by the two-tier （ hospital and wards ） chain pre-service training mode .Results The scores of basic knowledge of traditional Chinese medicine , operation test and comprehensive capacities evaluation were （59.68 ±10.23）, （70.13 ±7.96）, （55.91 ±7.74） for the experiment group and （60.17 ±9.45）, （69.85 ±8.48）, （55.82 ±8.60） for the control group before training, and there were no significant differences between two groups （t=0.216, 0.148, 0.048, respectively;P〉0.05）.After training, the scores of basic knowledge of traditional Chinese medicine , operation test and comprehensive capacities evaluation were （86.60 ±6.84）, （87.10 ±7.25）, （70.19 ±9.96） for the experiment group and （70.56 ±8.69）, （72.81 ±9.28）, （69.85 ±8.48） for the control group, and the differences were statistically significant （t=8.940, 7.480, 4.401, respectively;P〈0.05）.The satisfaction rate of training time , content , method and resource were significantly higher in the experiment group than those in the control group （t=7.617, 35.894, 8.409, 7.999, respectively;P〈0.05）.Conclusions The two-tier （ hospital and wards ） chain pre-service training mode can fully improve the clinic nursing ability of new nurses , and assist them to meet the requirements of nursing .