基于能级进阶的护士分层培训模式构建与实践

Implementing a nurse stratified training program based on nursing clinical ladder model

目的 :总结并评价基于能级进阶的护士分层培训模式的建立与实施成效,为各级医院开展护士分层培训提供参考。方法 :通过设置各层级护士核心能力要求及进阶条件,在此基础上进行分层培训需求评估、确定分层培训内容、开展分层培训的具体实践,比较实施前后护理人员参加培训的情况,护士规范化培训考核合格率及护士临床综合能力的考核情况。结果:护士参加培训人次由2012年的1674人次增加至2014年的3729人次,个人年平均参加培训次数由2012年的2.09次提高至2014年的4.66次;护士市级规范化培训考核通过率由2012年的89.56%提高至2014年的97.50%(P<0.05);护士临床综合能力考核得分由2012年的(74.46±7.62)分提高至2014年的(81.13±8.09)分,差异具有统计学意义(P<0.05)。结论 :基于能级进阶的护士培训模式能有效调动护士参加培训的积极性,提升护士核心能力,推动护士岗位管理,是一种行之有效的护士在职培训方法。

Objective： To examine the effects of a nurse stratified training program based on nursing clinical ladder model, provide a reference for nurse stratified training.Method： Based on the core competencies and promotion requirements for each level, the researchers evaluated training needs and therefore determined training contents, then carried out the stratified training program for practice. The outcome measurements included the amount of nurse staff participated training, the pass rate of nurse standardization training examination and the scores of nurse clinical comprehensive ability before and after the implementation. Results： The amount of nurse attending training increased from 1674 in 2012 to 3729 in 2014. The individual annual average frequency of training improved from 2.09 in 2012 to 4.66 in 2014, and the pass rate of nurse standardization training examination improved from 89.56% in 2012 to 97.50% in 2014 （P〈0.05）, and the scores of nurse clinical comprehensive ability were significantly increased with a mean score from 74.46：k7.62 in 2012 to 81.13＋8.09 in 2014 （P〈0.05）. Conclusion： The nurse stratified training program based on nursing clinical ladder model could encourage nurses to participate in training effectively, improve nurses＇ core competencies, and promote nursing post management, which is an effective method for nurses＇ on-the-job training.