《规培学员工作手册》在小儿外科护士规范化培训中的应用及效果

Practice and effect of the Handbook for the Training Nurses in the standardized training for nurses in pediatric surgery

目的探讨《规培学员工作手册》在小儿外科规范化培训(规培)护士临床培训中的应用效果。方法对2014年7月—2015年12月在四川大学华西医院小儿外科轮转的3批共24名规培学员(观察组)以《规培学员工作手册》为指导进行培训带教,与2013年1月—2014年6月轮转的3批共24名未使用该手册学员(对照组)的培训效果进行历史对照性研究。结果通过半年的规培后,观察组的出科理论成绩[(87.16±4.18)分]明显高于对照组[(83.71±5.46)分],差异有统计学意义(t=2.492,P=0.016);观察组在专科护理操作(股静脉采血、更换引流袋、小儿留置针输液)以及急救护理操作(小儿心肺复苏、简易呼吸器使用)的考核成绩均高于对照组,且观察组的环境适应能力、患者满意度、护理文件书写、工作效率和晨间提问的日常工作表现也优于对照组,差异有统计学意义(P<0.05)。结论以《规培学员工作手册》为指导对规培学员进行临床培训带教可以使学员更快地适应小儿外科工作环境,掌握小儿外科工作技能和小儿外科常见疾病护理知识,具有一定的应用价值。

Objective To explore the application of the Handbook for the Training Nurses in the standardized training for nurses in pediatric surgery. Methods Twenty-four training nurses trained under the instruction of the Handbook for the Training Nurses in Department of Pediatric Surgery from July 2014 to December 2015 were included as the observation group. Their training effects were compared historically with those of twenty-four training nurses who were trained without the help of the handbook from January 2013 to June 2014 （the control group）. Results After the completion of the half-year training, theoretical score of training nurses in the observation group was better than that in the control group, and the difference was significant （87.16＋4.18 vs. 83.71＋_5.46; t=2.492, P=0.016）. Meanwhile, the specialist practical skill examination of training nurses in the observation group, such as femoral vein blood collection, replacement of drainage bag and indwelling needle infusion in children, and emergency practical skill examination such as cardiopulmonary resuscitation and the use of simple respirator were higher than those in the control group; and the working performance scores of training nurses in the observation group, such as the ability to adapt to the environment, patient satisfaction, nursing document writing, work efficiency and morning questions were better than those in the control group; the differences were significant （P〈 0.05）. Conclusion The Handbook for the Training Nurses can help the training nurses to adjust their working environment, master the practical skills and nursing knowledge in pediatric surgery.