多元化培训策略在两院融合后护理培训中的应用效果

Effects of diversity training strategy on nurse education after integration of two hospitals

目的探讨两院融合后护理培训的方法和对策，以提高护理培训的效果，推动二级医院向三级医院的快速融合。方法2015年2月东南大学附属中大医院托管了区属二级公立医院南京市大厂医院。通过分析两院融合后护理培训存在的难点问题，建立护理部一片区一科室三级培训管理架构分层管理，将护理人员分为NO～N4级进行分层次培训和考核，并结合情景模拟、视频教学等多元化培训和考核方式。采用自制满意度调查问卷、护理管理信息系统提取统计分析质控数据，比较两院融合早期（2015年8月-2016年1月）和融合后（2016年2—7月）的护理培训效果。结果融合后护理培训总体满意度中位数得分为96分，高于融合前的92分，差异有统计学意义（Z=-10．876，P〈0．01）。融合后特一级护理合格率98．38％，病区管理合格率95．00％，护理操作合格率93．83％，急救药品器材合格率95．70％，消毒灭菌合格率96．27％，均高于融合前（92．88％、92．85％、91．01％、93．04％、93．48％），差异有统计学意义（x2值分别为28．923、6．410、8．446、10．502、12．596；P〈0．01）。融合后临床科室、门诊、手术室患者满意度分别为97．36％、93．42％、97．68％，高于融合前的91．26％、90．35％、94．14％，差异有统计学意义（x。值分别为94．373、4．419、4．131；P〈0．051。结论两院融合后多元化培训有助于提升护理人员对护理培训的满意度、护理质量和患者满意度，值得在临床护理培训巾进一步应用。

Objective To explore the methods and strategies of nursing training promotion after integration of two hospital, so as to improve the effects of numing training and promote the rapid integration of the class Ⅱ hospital to class Ⅲhospitals. Methods In February 2015, Zhongda Hospital Southeast Unive^ity hosted district level class Ⅱ Nanjing Daehang Public Hospital. Nursing department-area-department, a hierarchical management of three level of training management architecture has been formed by analyzing the difficulties in nursing training after the integration of the two hospitals. Hierarchical training and assessment has been applied in NO to N4 nursing staff, combining scene simulation, video teaching and other diversity training and assessment methods. A self- designed satisfaction questionnaire was adopted, and quality control data was extracted and statistically analyzed by nursing management information system, so as to compare the nursing training effect of earlier integration （August 2015 to January 2016） and after integration （February to July 2016）. Results The median score of nursing training satisfaction after integration was 96, which was higher than 92 before integration , and the difference was statistically significant （Z=-10.876,P〈 0.01）. The qualifieation rate of special grade Ⅰ nursing, ward management, nursing technique, emergency medicine equipment, disinfection and sterilization was 98.38%, 95.00%, 93.38v/v, 95.70% and 96.27% respectively after integration, which were all higher ttlan those before integration （92.88%, 92.85%, 91.01%, 93.04%, 93.48%）, and the differences were statistically significant （ x2=28.923, 6.410, 8.446, 10.502, 12.596; P 〈 0.01）. The satisfaction of clinical ward, outpatient and operation theatre improved significantly after integration （97.36% vs. 91.26%, 93.42% vs. 90.35%, 97.68% vs. 94.14%; X2=94.373, 4.419, 4.131 ; P 〈 0.05）. Conclusions After the two hospitals＇ integration, diversified training helps to improve nurses＇satisfaction with nursing training, nursing quality and patient satisfaction, which is worthy of further application in clinical nursing training.