新入职护士短期培训后不规范护理行为情况分析

Non-standard nursing behaviors of new recruited nurses after short-term training

目的了解新入职护士经过短期培训后的临床护理行为规范情况，为科学制定新护士带教规划提供依据。方法以4名经过3个月入职培训的护士为观察对象，对其包括医院感染操作、护理常规操作、基础护理、护理记录等4大内容的31项工作情况进行3个月跟踪观察，记录并分析其欠规范的护理行为。结果4名初入职护士在观察的3个月中分别发生41、30、32、22次（共计125次）护理欠规范行为，平均每3个工作日至少有1人次不规范护理行为发生；不规范护理行为发生的顺位分别为护理常规操作不规范37次、护理记录不规范37次、基础护理不规范29次、医院感染操作不规范22次；在观察第1、2、3月中，护理常规操作不规范分别为10、15、12次，护理记录不规范分别为10、12、15次，基础护理不规范分别为8、11、10次，医院感染操作不规范分别为10、9、3次。结论经过短期培训的新入职护士护理不规范行为较为严重且具不确定性的特点，在其护理带教中我们应予系统管理和分类指导相结合。

Objective To provide some references for developing new nurse training scheme observing nursing behaviors of new recruited nurses after short-term training. Methods Four new recruited nurses trained 3 months were selected as observation objects. Their hospital infection operation, routine nursing care, basic nursing care, and nursing records, including 31 items, were observed for 3 months. The non-standard nursing behaviors were recorded and analyzed. Results These 4 nurses had 41, 30, 32, and 22 non-standard nursing behaviors （totally 125） during these 3 months, respectively, with an average of 1 person-time every three days. The orders of non-standard nursing behaviors from high to low frequency were routine nursing care （37 cases）, nursing records（37 cases）, basic nursing care（29 cases）, and hospital infection operation（22 cases）. In the first, second, and third month, non-standard routine nursing care occurred 10, 15, and 12 times, non-standard nursing records 10, 12, and 15, non-standard basic nursing care 8, 11, and 10, non-standard hospital infection operation 10, 9, and 3. Conclusions The non-standard nursing behaviors of new recruited nurses after short-term training are serious and have uncertain characteristics. The training and management for these new recruited nurses must be systematic, classified, specific, and individual.