基于绩效分析的护理团队培训需求研究

Performance-based nursing team training needs analysis

目的 :基于绩效角度分析护理团队培训需求,为护士人力资源的培训与开发提供依据。方法 :首先采用文本资料模板式分析法对以病房为单位的护理团队绩效问题进行培训需求的分析、归纳、提炼;其次在文献回顾基础上,结合护理团队绩效问题定性分析结果,形成"内科系统护士在职培训需求调查表",并对其行效度、信度检验;最后对护士进行在职培训需求调查。结果 :病房、处置室环境管理,医嘱开具、执行原则,责夜班岗位职责管理,陪住、探视制度管理,不良事件上报途径、流程及应急预案,床旁交接制度,患者入院、入科基础护理(如清洁)和统计学分析这8项在专业技术等级分层上具有统计学差异(P<0.05),除统计学分析是第三、四层护士培训需求最强外,其余7项均是第一层护士培训需求最强。结论 :基于绩效分析的培训需求与临床护士在职培训需求存在差距,专业技术等级分层可以作为护士培训分层方式。

Objective： Training needs analysis based on the performance of the nursing team provided evidence for the training and development of nursing human resource. Methods： Firstly, we used template analysis to analyze the problems of the nursing team performance to conclude and refine the training needs. Secondly, on the basis of literature review, combined with the template analysis results, formed the questionnaire of on-the-job training needs of nurses in internal medicine departments and tested its validity and reliability. Finally, we used the questionnaire to investigate training needs of nurses in internal medicine departments. Results： Environment management of wards and disposal rooms, principles of prescription of medical advices and its execution, management of duties and responsibilities of both day and night shifts, management of rules of family visiting and staying with patients, pathway, process and emergency plan of adverse events report, bedside regulations for shifting of duty, basic nursing of patients when admitted to hospital, such as cleaning; and statistical analysis showed statistically difference in training needs on the different professional technical hierarchy （P〈0.05）. Nurses of the first layer have the strongest needs for training of the above mentioned items except the statistical analysis. Conclusion： Differences existed between performance-based training needs and on-the-job training needs of clinical nurses; hierarchy of professional skills could be used as a hierarchy method for nursing training.