分层培训方法在儿科护士培训中的应用效果

Effects of stratified training in pediatric nurses

目的：探讨儿科护士分层培训的方法及应用效果。方法按照我院护士分层级管理实施方案，将全院护理人员分为N0、N1、N2、N3、N4级，根据护理部制定的各层级护士分层培训方案进行培训。将2015年接受分层护士583名与2014年接受传统培训护士536名的年终理论及临床实践能力考核合格率、护士对培训满意度、患儿家属对护理工作满意度、护理科研论文发表数量进行比较。结果我院护士在接受传统培训时年终理论及临床实践能力考核合格率分别为84．51％和89．93％，实施分层培训后分别上升至91．25％和94．51％，差异有统计学意义（χ2值分别为12．03，8．28；P＜0．05）；护士对培训满意度由90．67％上升至95．71％，患儿家属对护理工作满意度由90．05％上升至96．76％，差异有统计学意义（χ2值分别为11．35，78．98；P＜0．05）。护理科研论文发表数量从14篇增加至38篇，差异有统计学意义（χ2＝9．62，P＜0．05）。结论有针对性的分层培训，为不同层级的儿科护士提供合适的培训支持，有利于提高护士综合素质和优质护理服务，促进儿科科研发展，为儿科护理提供人力资源保障。

Objective To explore the methods and effects of stratified training in pediatric nurses . Methods Nurses were divided into N0, N1, N2, N3, N4 levels according to stratified nurse administration and trained using stratified nurse training method in Xuzhou Children′s Hospital.A total of 583 nurses received stratified nurse training in 2015 and 536 nurses received traditional training in 2014 .The rate of passing theory and practical assessment , nurses′satisfaction of training , patient′s satisfaction of nursing and the amount of scientific research were compared between two groups .Results The qualification rate of nursing theory and practical assessment in group receiving traditional training was 84.51%and 89.93%respectively, but it arrived at 91.25% and 94.51% after receiving stratified training .The difference was statistically significant （χ2 =12.03, 8.28;P〈0.05）.Nurses′satisfaction of training was improved from 90.67% to 95.71%, and the satisfaction of patients′family was increased to 96.76% in 2015 from 90.05% in 2014 （χ2 =11.35,78.98, 9.62;P〈0.05）.The publications of nursing research were increased from 14 in 2014 to 38 in 2015. Conclusions Individually stratified training could offer appropriate training to pediatric nurses in different layers, and improve the comprehensive quality of nurses and the development of nursing scientific research to provide human resource security for pediatric nursing .