Miller金字塔理论在手术室新护士培训中的应用效果

Effects of Miller's pyramid principle on training for newly enrolled nurses in operation room

目的探讨Miller金字塔理论在手术室新护士培训中的应用及其效果。方法选择2016年7月—2018年6月参加手术室新护士培训的25名护士作为观察组,在以往常规培训方法的基础上融入Miller金字塔理论,按照其理论框架循序渐进,逐层培训。选择2014年7月—2016年6月参加手术室新护士培训的22名护士作为对照组,采用以往常规培训方法。比较两组新护士理论考核、操作技能、个案护理讨论、核心能力自评、核心能力他评有无差异。结果观察组新护士的操作技能得分为(88.72±3.10)分、个案护理讨论得分为(52.72±2.11)分、核心能力自评得分为(144.44±23.87)分、核心能力他评得分为(133.44±18.32)分,均高于对照组的(85.27±3.95)、(50.82±1.97)、(122.64±22.61)、(115.68±14.01)分,差异有统计学意义(t值分别为-3.35、-3.18、-3.20、-3.69;P<0.05)。两组新护士理论成绩得分差异无统计学意义(P>0.05)。结论Miller金字塔理论在手术室新护士培训中的应用效果优于以往常规培训方式,提高了手术室新护士的综合素质及核心能力。

Objective To explore the effects of Miller's pyramid principle on training for newly enrolled nurses in operation room.Methods Totally 25 newly enrolled nurses in operation room who attended training for new nurses from July 2016 to June 2018 were included into the observation group.Miller's pyramid principle was incorporated into conventional training methods,and progressive and multilayer training was provided based on its theoretical framework.Another 22 newly enrolled nurses in operation room who attended training for new nurses from July 2014 to June 2016 were included into the control group who were trained using conventional methods.Theoretical performance,operation skill,case discussion,core competence self-evaluation and core competence evaluated by others were compared between the two groups.Results The operation skill,case discussion,core competence self-evaluation and core competence evaluated by others of the observation group scored(88.72±3.10),(52.72±2.11),(144.44±23.87)and(133.44±18.32),respectively,higher than those of the control group,which were(85.27±3.95),(50.82±1.97),(122.64±22.61)and(115.68±14.01),respectively(t=-3.35,-3.18,-3.20,-3.69;P<0.05).There was no statistically significant difference in theoretical performance score between the two groups(P>0.05).Conclusions The effects of Miller's pyramid principle were better than those of conventional methods,which can improve the overall quality and core competency of newly enrolled nurses in operation room.