护士综合应急能力培训体系的构建和实践

Development and application of a training system for nurses’ comprehensive emergency response competency

目的构建一套护士综合应急能力培训体系,并评价其应用效果。方法采用德尔菲专家咨询法,构建护士综合应急能力培训体系。于2017年8月—2018年5月在福建省某三级甲等综合医院各科室护士中运用该培训体系,比较培训前后各项目的得分情况、护士职业价值认同感得分。结果构建的护士综合应急能力培训体系涵盖护士应急状态下应具备的抢救能力、评判性思维能力、沟通协调能力、人文关怀能力、职业防护能力,共44项课程内容、40课时。培训后各项目得分和护士职业价值认同感各维度得分均高于培训前,差异均有统计学意义(P<0.05)。结论本研究构建的护士综合应急能力培训体系设置科学、合理,可提升护士的综合应急能力和职业价值认同感,为护士培训提供参考和借鉴。

Objective To construct a training system for nurses’comprehensive emergency response competency based on clinical needs and evaluate its effects of application.Methods The training system of nurses’comprehensive emergency response competency was developed by baseline survey and Delphi technique,which was applied in clinical nurses’training in a tertiary hospital in Fujian Province from August 2017 to May 2018.The effects were evaluated by scores of items before and after the training and scores of nurses’professional value recognition.Results The established emergency competency training system covered rescue ability,critical thinking ability,communication and coordination ability,humanistic care ability and occupational protection ability of nurses in emergency state,with a total of 44 courses and 40 class hours.The scores of each item after the training were higher than those before the training and the differences were statistically significant(P<0.05).The scores of nurses’professional value recognition after training were significantly higher than before,and the differences were statistically significant(P<0.05).Conclusion The training system for nurses’comprehensive emergency response competency is scientific and reliable,which can improve comprehensive emergency competency of clinical nurses and provide reference for clinical nurses’training.