手术室专科护士培训基地指导老师选拔淘汰机制的探讨

Discussion on mechanism of selecting and eliminating the clinical instructors of operating room nurses in training base

目的：建立手术室专科护士指导老师岗位准入制度，探讨其应用效果。方法从2015年起，江苏省苏北人民医院手术室引进竞争机制，制订手术室专科护士培训基地指导老师岗位竞聘条件、评价标准，采用竞聘与任命相结合形式选拔。分析指导老师的学历、年龄、职称构成等基本情况，比较竞聘前组（2014年）和竞聘后组（2015年）学员对手术室培训基地指导老师工作的评价。结果11名护士符合竞聘条件，原有5名指导老师通过竞聘继续担任，6名专业强、科研好的年轻护士脱颖而出担任指导老师，9名由于年龄、学历或论文科研能力不足等原因不再担任基地指导老师。竞聘后组在对指导老师的理论水平、专科技能、科研能力、评判创新能力和培训收效等方面认可率分别为94.29%、97.14%、100.00%、88.57%、100.00%，均优于竞聘前组（75.86%、82.76%、86.21%、65.52%、82.76%），差异有统计学意义（χ2值分别为4.454、3.862、5.149、4.932、6.546；P＜0.05）。结论建立手术室专科护士指导老师岗位准入制度保持了培训基地指导老师队伍的活力，提高了对专科护士的带教质量，提升了培训基地发展的竞争力。

ObjectiveTo establish the mechanism of selecting and eliminating the clinical instructors of operating room nurses in training base,and explore its application effect.Methods The competitive mechanism was introduced to the operating room of Northern Jiangsu People′s Hospital since 2015. The related competitive qualification and assessment system were established to select and eliminate the clinical instructors of operating room nurses in training base. Then,we analyzed the general information （e.g. education,age, professional title） of instructors and assessed their work between the pre-competitive group （2014） and the post-competitive group （2015）.Results Totally 11 nurses were considered to be eligible including five previous instructors and six new outstanding instructors. Nine previous instructors were excluded because of age and other drawbacks. The ecce prance rates for post-competitive instructors on the aspect of theoretical level,specialty skills,scientific research ability,innovation ability,and training effectiveness were 94.29%,97.14%,100.00%, 88.57% and 100.00%. They were all higher than the acceptance rates of 75.86%,82.76%,86.21%,65.52% and 82.76% for pre-competitive instructors （χ2=4.454,3.862,5.149,4.932,6.546;P〈0.05）.Conclusions The establishment of the mechanism of selecting and eliminating the clinical instructors of operating room nurses in training base can effectively maintain the vitality of instructors. It can also improve the quality of teaching and the competitiveness of development for training base.