国家级继续教育培训对提高手术室护士护理安全意识的作用分析

Analysis of the role of state-level continuing education programs in improving the nursing safety cognition in the operation-room

目的：分析举办继续教育培训项目在提高各级医院手术室护士护理安全意识方面的作用。方法从2007年1月至2012年12月举办5期有关手术室护理质量与安全的国家级继续教育培训班，共计培训学员641人次，分别来自105家医院共220人。每期培训前、后分别对学员进行闭卷考核，以考核成绩前后对比评估学员认知的增进度；且从第一期培训起在每年12月电话调查统计参加培训的105家医院手术室护理安全不良事件的发生例数。结果与培训前相比，参加培训后学员考核成绩显著提高（P＜0.05）；与参加1次培训相比，参加4次培训和参加5次培训后的学员成绩提高更明显（P＜0.05）。各家医院在派员参加培训后，其手术室不良事件发生例数下降。结论举办手术室护理安全系列国家级继续教育项目，有助于提高手术室护士对护理安全的认知，且多次参与培训对其认知提升的影响显著；同时减少了手术室护理安全不良事件的发生。

Objective To explore the role of state-level continuing education courses of oper-ation-room nursing in improving the nursing safety cognition in nursing staff. Methods The state-level continuing education programs about the operating room safety and quality management were held for five sessions from Jan 2007 to Dec 2012, in which a total of 641 people participated. All participants were examined before and after each training session. The scores of the examination were utilized to evaluate the cognitive level of the operation-room nusring safety. Results Compared with before training, the students＆#39; scores after training were significantly elevated（P〈0.05）; compared with that after one training session, the students＆#39; scores after four and five training sessions were markedly increased（P〈0.05）. After hospitals sending representatives to participate in the training, their operat-ing room adverse events were decreasing. Conclusion Holding the state-level continuing education programs about operating room safety and quality management helps the nurse staff improve the cogni-tive level of operation-room nursing safety, and their cognitive level can be reinforced after receiving repeated training sessions. Moreover, holding the continuing education programs can decrease the in-cidence of adverse events and the complications in the operation-room.