医养结合型养老机构养老护理员培训现状分析

The current status of the training of nursing assistants in care institutions for the elderly

目的了解医养结合背景下养老护理员的培训现状,探讨医养结合型养老机构护理员培训对策。方法采用自行设计问卷,对医养结合型养老机构养老护理员的一般情况、培训现状、培训需求等进行调查分析。结果共发放问卷246份,回收有效回收问卷234(95.12%)份。215(91.88%)名养老护理员入职前未参加过相关培训。养老护理员目前主要从事工作排名前五的为生活照料、清洁卫生等外勤工作、基础护理、心理护理、护理质量管理;目前接受的培训内容排名前五的为生活照料相关知识与技能、应急救护相关知识、护理评估与风险识别知识与技能、心理护理相关知识与技能、基础护理相关知识与技能;培训方式需求排名前五的为示范、授课、应急演练、一对一带教、小组讨论;培训内容需求排名前五的为应急救护相关知识、生活照料相关知识与技能、心理护理相关知识与技能、基础护理相关知识与技能、护理评估与风险识别知识与技能。结论应进一步规范培训内容,加强养老护理员岗前培训,重视在职培训,从而提高我国养老护理服务的整体水平,保障养老护理服务质量。

Objective To understand the current status of the training of nursing assistants under the background of combination of medical and nursing,and to explore the countermeasures to improve the training quality for nursing assistants in care institutions for the elderly.Methods A self-designed questionnaire was used to investigate the general information,training status and training needs of nursing assistants in care institutions for the elderly.Results A total of 246 questionnaires were sent out,and a total of 239 valid responses were obtained for data analysis.There were 215 nursing assistants who had not received pre-employment training.The five main issues in elderly care included daily care,field service such as sanitation and hygiene,basic care,psychosocial nursing,nursing quality management.The content of current training consisted of daily care,emergency care,nursing evaluation and risk assessment,psychosocial nursing,basic nursing.The most favorite method of training was field demonstration,followed by lecture,emergency drill,one-to-one guidance and group discussion.The most in-demand knowledge in training was emergency care,followed by daily care,psychosocial nursing,basic care,nursing evaluation and risk assessment.Conclusion It is required to standardize training content,enhance the pre-job training and on-the-job training of nursing assistants in care institutions for the elderly,in order to improve the quality of aged care service.