基于柯氏模型评估社区护士中医护理技术培训方案实施的效果

Effects of evaluation of Traditional Chinese Medicine nursing skill training program for community nurses based on Kirkpatrick Model

目的建立社区护士中医护理技术的培训方案,基于柯氏模型评估其培训效果。?方法采用便利抽样法,选取2017年4—8月杭州市2个辖区83名社区护士为研究对象,分为两组,对照组42名,观察组41名。对照组实施常规培训方案,观察组实施中医护理技术培训方案,以柯氏模型为指导,从反应层、学习层、行为层与结果层4个层面进行培训效果的评估。结果两组社区护士的一般资料和学情分析资料差异无统计学意义(P>0.05)。培训后,两组学员的出勤率均在85%以上,观察组的总体满意度分别为(95.05±5.32)分,中医护理理论考核和技能考核得分分别为(79.90±6.03)、(88.52±2.47)分,自评和他评行为得分(44.75±3.58)、(40.15±2.85)分;患者满意度(95.35±3.61)分,高于对照组的(91.95±4.56)分,差异有统计学意义(P<0.05)。观察组和对照组学员所在科室举办的中医护理开展项目分别为3.5(3.00,4.75)和3(2,4)项,组间比较差异无统计学意义(P>0.05)。结论中医护理技术培训方案能促进社区护士在反应层、学习层、行为层和结果层上的获益,值得借鉴。

Objective To develop the Traditional Chinese Medicine (TCM) nursing skill training program for community nurses and to evaluate its effects based on Kirkpatrick Model. Methods Totally 83 community nurses from 2 districts of Hangzhou between April and August 2017 were selected using convenient sampling and divided into the control group (n=42) and the observation group (n=41). Community nurses in the control group received conventional training, while community nurses received TCM nursing skill training, and its effects were evaluated in terms of reaction, learning, behavior and result layers based on Kirkpatrick Model. Results There was no statistically significant difference in general information and student analysis data between the two groups (P>0.05). The attendance rates of both groups were above 85% after the training, and the total satisfaction, theoretical performance of TCM and skill examination of the observation group scored (95.05±5.32),(79.90± 6.03) and (88.52±2.47), respectively. The scores of self-evaluated behavior and others-evaluated behavior were (44.75±3.58) and (40.15±2.85);and patients' satisfaction score was (95.35±3.61), higher than that of the control group (P<0.05), which was (91.95±4.56). The number of TCM nursing items launched in the departments to which the two groups belonged to was 3.5 (3.00, 4.75) and [3?(2, 4);(P>0.05)]. Conclusions The TCM nursing skill training program can benefit community nurses in terms of reaction, learning, behavior and result layers, which is worth promoting in clinical practice.