互联网背景下新入职护士培训与考核系统的构建及效果评价

Construction and effect evaluation of training and assessment system for new nurses in the internet age

目的 构建互联网背景下的新入职护士规范化培训与考核系统,探讨其在新入职护士规范化培训中的应用效果.方法 2015年3月—2017年3月,根据国家培训大纲制定湖南省人民医院新入职护士规范化培训方案,联合软件公司制作新入职护士规范化培训的护理慕课教程,依托护理管理系统及考试教育网平台,构建科学、高效的新入职护士管理、培训及考核系统.将2014年9月新入职的97名护士作为对照组,于2015年3月—2016年3月采用常规传统培训方法进行培训;将2015年9月新入职的96名护士作为观察组,于2016年3月—2017年3月采用互联网背景下新入职护士培训与考核系统进行规范化培训.比较两组新入职护士的培训和考核效果.结果 观察组新入职护士个人档案完善率、培训的参与率分别为97.83%、100.00%,均高于对照组,差异有统计学意义（χ^2值分别为7.158、7.034, P〈0.01）.观察组护士的培训时长为（21.45±2.87）h,短于对照组的（35.12±7.75） h （t=28.479,P〈0.01）.观察组理论考试的良好率、优秀率分别为17.39%、56.52%,操作考核及临床实践能力考核的良好率、优秀率分别为11.96%、69.56%,均高于对照组,差异有统计学意义（Z值分别为-3.736、-4.000;P〈0.01）.观察组新入职护士对培训与考核方式的满意度为97.82%,高于对照组的82.47%,差异有统计学意义（χ^2=14.808,P〈0.01）.结论 互联网背景下,利用慕课教程进行的新入职护士规范化培训与考核系统能有效提高新入职护士规范化培训的有效性及护理人员的满意度,有利于提高护理培训质量和管理效益.

Objective To establish a standardized training and assessment system for new nurses in the internet age and investigate the application effect of the system on the standardized training of new nurses. Methods From March 2015 to March 2017, a standardized training program was formulated based on national training program for new nurses. Nursing training massive open online courses （MOOC） were constructed in the cooperation with software company. A scientific and efficient system for the management, training and assessment of new nurses was established depended on nursing management system and educational network platform. A number of 97 nurses recruited in 2014 were served as control group and trained with traditional training methods between March 2015 and March 2016. Another 96 nurses recruited in 2015 were acted as observation group and treated with standardized training based on the new system in the internet age between March 2016 and March 2017. The training and assessment effects of new nurses were compared between two groups. Results The perfect rate of personal information and participation rate of training of nurses in the observation group were 97.83% and 100.00%, which were significantly higher than those in the control group （χ^2=7.158, 7.034;P〈0.01）. The training time of nurses in the observation group was （21.45±2.87） h,which was shorter than the control group＇s （35.12±3.75） h （t=28.479, P〈0.01）. The excellent and good rates for the theoretical exam of new nurses in the observation group were 17.39% and 56.52% and the excellent and good rates for operation examination and clinical practice ability examination of new nurses in observation group were 11.96% and 69.56%, which were significantly higher than those of the control group （Z=-3.736,-4.000;P〈0.01）. The satisfaction rate of new nurses to the training and assessment in the observation group was 97.82%, which was higher than that of the control group （82.47%）. The difference was statistically significant （χ^2=14.808, P〈0.01）. Conclusions The standardized training and assessment system using MOOC for new nurses in the internet age could improve the effectiveness of standardized training and satisfaction for new nurses, which is beneficial to the improvement of the nursing training quality and management benefit.