床边综合能力考核在提升低年资临床护士核心能力中的应用效果

Application effect of bedside comprehensive ability assessment in raising the core competence of low age clinical nurses

目的探讨床边综合能力考核在提升低年资临床护士核心能力中的应用效果。方法选取江山市人民医院2015年6—12月在职的低年资临床护士98例,比较低年资临床护士床边综合能力考核实施前、实施后(2016年1-8月)考核结果、核心能力测评结果、自身综合能力及护理能力。结果床边综合能力考核实施后,低年资临床护士护理书写评分、护理操作考核评分及责任制整体护理评分高于实施前,且专业建设和发展能力、评判性临床思维能力、支持和人际沟通能力、临床护理能力、良好的个人特质评分及总分高于实施前,提高技术操作能力、巩固理论知识、增强工作自信心、增强学习主观能动性、培养解决问题能力、提升评判性思维能力、提高健康教育能力、培养沟通交际能力、提高观察病情能力、提高护理评估能力所占比例高于实施前,危重患者抢救能力、护患沟通、仪器操作及护理知识掌握评分高于实施前(P<0.05)。结论床边综合能力考核可有效提高低年资临床护士的核心能力及考核结果,还可进一步提高其自身综合能力及护理能力。

Objective To explore the application effect of bedside comprehensive ability assessment in raising the core competence of low age clinical nurses. Methods A total of 98 cases of low-qualified clinical nurses from June to December 2015 in Jiangshan City People's Hospital of Zhejiang,the core competence evaluation results,core competence,comprehensive ability evaluation and nursing ability were compared before bedside comprehensive ability assessment and after bedside comprehensive ability assessment( from January to August 2016) in low age clinical nurses. Results After the implementation of bedside comprehensive ability assessment,the results of nursing writing scores,nursing performance assessment scores and responsibility system for overall nursing scores were higher than prior implementation, and professional construction and development ability, the critical clinical thinking ability, supporting and interpersonal skills, clinical nursing ability, good personal quality scores and total scores were higher than prior implementation,the proportion of improving technical operational capacity,consolidating theoretical knowledge, enhancing work self-confidence, enhancing learning activeness, developing problem solving skills,critical thinking ability of ascension,improving the ability of health education,fostering communication communication ability,improving the ability to observe illness,improving the ability of nursing assessment were higher than prior implementation,rescuing ability of critical patients, communication of nurses and patients, instrument operation, nursing knowledge scores were higher than prior implementation( P < 0. 05). Conclusion Bedside comprehensive ability assessment can effectively improve the core competencies of low-level clinical nurses,and improve their comprehensive ability and nursing ability.