护理人员心肺复苏和电除颤培训与考核效果分析及思考

Effect analysis and thinking of training and assessment of Cardiopulmonary Resuscitation and Electric Defibrillation skills on nurses

目的通过护理人员心肺复苏和电除颤培训与考核实践，探索更优化的培训与考核策略，以提高护理人员急救水平。方法对某院1258名护理人员实施分批培训与考核。成立培训与考核核心小组、教官团队，开展多媒体讲座式理论培训、模拟情景操作培训和网络自学。操作考核实行无纸化评分。用SPSS19．0分析考核情况，组间比较行独立样本秩和检验。结果考核最终得分为（88．0，7．5），合格率为100％。所有步骤中，得分率中位数为1．0或满分比例高于80％的步骤为1至3、13、14、22、23；得分率中位数未达1．0或满分比例小于50％的步骤为5、7至12、16至21、24、25。已聘职称组护理人员成绩和步骤8至12、步骤17至21的得分率均高于未聘职称组，差异有统计学意义（P〈0．05）。结论应重视护理人员心肺复苏和电除颤技能培训与考核；可运用科学、高效的方法定期培训与考核．针对薄弱环节和低年资人员强化训练，从而切实提高护理人员整体急救水平。

Objective To explore the better strategy of cardiopulmonary resuscitation （CPR） and electric defibrillation skills training and assessment on nurses in order to improve the first-aid level of nursing staff. Methods 1 258 nurses of a hospital were trained and assessed in batches. Core group and instructor team were established, multimedia lecture, situation simulation training and netwoik self-learning were available. Paperless examinations were conducted. Results of the examinations were analyzed by SPSS19.0, and the comparison between the two groups of independent samples were analyzed by Mann-Whitney U test. Results All the 1 258 nurses were qualified, for the median score was 88.0 and the quartile spacing was 7.5. The step-scores of stepl-3, 13, 14, 22, 23 were high, while the step-scores of step5, 7-17, 16-21, 24, 25 were low. Compared with nurses without professional-titles, nurses with professional-titles got better results in total score, step 8-12 and step17-21, and the differences were statistically significant（P〈0.05）. Conclusions It is necessary to pay attention to the training and assessment of CPR and electric defibrillation skills on nurses. Advanced and effective training methods need to be used to carry on regular training and assessment. For the weak links and low-grade nursing staff, intensive training needs to be conducted to improye the entire skill level of nurses.