培训小组在内科低年资护士培训中的应用

Application of training group in training junior nurses from department of internal medicine

目的探讨培训小组在内科低年资护士培训中的应用。方法选择临床内科工作时间在5年以下的118名护士,以科室为单位建立培训小组,确定培训目标、培训内容,以护士各项目标考察合格作为培训结束,分别比较培训前后低年资护士评判性思维能力(CTDI-CV)各维度以及总分变化、培训前后医生以及患者对低年资护士各项工作内容评价情况。结果培训后118例低年资护士在开放思维、寻找真相、系统化能力、分析能力、自信心、求知欲、人之成熟度以及CTDI-CV总分均较培训前有显著升高,差异有统计学意义(P<0.05);与培训前医生及患者对低年资护士工作满意度比较,培训后满意度显著升高,差异具有统计学意义(P<0.05);培训后118例低年资护士理论知识、专业技能、急救配合能力以及沟通技巧考核评分均较培训前有显著升高,差异具有统计学意义(P<0.05)。结论培训小组模式在内科低年资护士培训中,能够有助于低年资护士熟练地运用各项操作技能,提高护士的护理工作胜任力,从而有助于避免医疗纠纷发生。

Objective To investigate the application of training group in training junior nurses from department of internal medicine. Methods 118 cases of nurses working in the internal medicine less than 5 years were selected as the experimental subjects according to their departments to determine the training objectives and training content, all required target of nurses were qualified as the end of the training. The changes of critical thinking of the junior nurses before and after training, the changes of total points, the evaluation of the doctors and patients to the junior nurses in every job contents before and after training were compared. Results After training, the open-mindedness, seeking truth, systematization capacity, analytical skills, self-confidence, curiosity, maturity and the total score of CTDI-CV of junior nurses were significantly higher than that of before training, which showed statistical significance （P〈0.05）; the job satisfaction of the doctors and patients to the junior nurses was significantly higher than that of before training, which indicated statistical significance （P〈0.05）. The results indicated the facts that after training, the examined grade of the theoretical knowledge, professional skills, emergency coordination and communication skills were significantly higher than that of before training with statistical significance （P〈0.05）. Conclusion Establishing raining group mode in training junior nurses has contributed to the exertion of the various operation skills for the junior nurses, improving the nursing competence so as to avoid the disputes of medical treatment.