创伤骨科护理技术同质化培训模式的实践与思考

Practice and reflection of traumatic orthopedics nursing skills homogenization training

目的探讨在合作医院实施创伤骨科护理技术同质化培训模式的临床实践效果。方法2018年3-6月,上海交通大学附属第六人民医院的8家合作医院选派97名骨科护士分4批参加创伤骨科护理技术同质化培训。培训内容为护理技术的理论、操作标准学习、护理技术临床实践训练和考核,培训方式包括集中课堂教学、分组讨论、操作演练等。培训后采用自制问卷对护理管理者和学员进行调查,调查内容涉及培训模式、培训内容、课程安排、授课质量及教师的授课能力等方面。结果8家医院的护理管理者及97名学员对护理技术同质化培训模式的满意度为100%;97名学员对课程安排满意度得分为(4.88±0.361)分、培训内容满意度得分为(4.93±0.260)分、授课质量满意度得分为(4.82±0.382)分、教师的授课能力满意度得分为(4.94±0.282)分。护士对培训满意度情况各条目得分均大于4.70分;对本次培训管理工作的综合评价得分为(4.88±0.331)分。结论经过创伤骨科护理技术的集中培训,提高了合作医院骨科护士的专科技能和服务能力,从而使患者获得同质化的专科护理,促进患者早日康复,此培训模式值得推广和应用。

Objective To explore the clinical effects of traumatic orthopedics nursing skills homogenization training in our partner hospitals.Methods Totally 97 orthopedics nurses from 8 partner hospitals of the Sixth People's Hospital Affiliated to Shanghai Jiaotong University were selected to attend the traumatic orthopedics skills homogenization training in four batches between March and June 2018.Training contents included theories and performance standards,clinical practice and examination of nursing skills. Training methods included intensive classroom teaching,group discussion and operation practice.The managers and trainees were investigated with the self-designed questionnaire after the training,which concerned training models,training contents,curriculum,teaching quality and teaching ability of the trainers.Results The satisfaction with the nursing skills homogenization training in the nursing mangers and 97 trainees from the 8 hospitals was 100%;and the 97 trainees'satisfaction with curriculum,training contents and the trainers' teaching ability was (4.88±0.361),(4.93±0.260)and (4.94±0.282),respectively.The nurses'satisfaction with the training scored higher than 4.70 in all dimensions ;and the total score of training management was (4.88±0.331).Conclusions The intensive training of traumatic orthopedics nursing skills improves the specialized skills and service abilities of the orthopedics nurses in the hospitals,enable patients to receive homogeneous nursing,and accelerate patients'healing,which is worth promoting in clinical practice.