重症医学科新护士获取独立值班资格培养模式探索

Exploration on the training mode of new registered nurses in critical medicine department getting independent duty qualification

目的探讨重症医学科新护士专科护理培训模式和考核体系。方法2014—2018年,针对在北京协和医院重症医学科的新护士,实施4个阶段的培训,前3个阶段培训后分别有考核的培训体系。结果科室21名新护士入科室之后参加规范化培训,刚入科的考试通过率为28%。2周后,第一阶段考核通过率为95.2%,得到显著提高(P<0.05)。6周后,第二阶段考核合格率为72.0%(P<0.05)。第24周后考核合格率为96.2%(P<0.05)。结论重症医学科新护士的基础理论知识、专业技能和重症思维相对薄弱,经过系统化培训后均可得到提高。“理论考核+操作考核+临床思维考核”模式有助于评价和提高新护士的护理能力。

Objective To explore the systematic training mode and assessment system for new registered nurses in intensive care unit.Methods From 2014 to 2018,three stages of training were carried out for new registered nurses in the Department of Critical Care Medicine,Peking Union Medical College Hospital.After the first two stages of training,the training system was assessed.Results A total of 132 new registered nurses participated in standardized training during their study,and the passing rate of the entrance examination was 28%.Two weeks later,the passing rate of the first stage was 95.2%,which was significantly improved(P<0.05).Six weeks later,the pass rate of the second stage was 72.0%(P<0.05).The qualified rate after 24 weeks was 96.2%.Conclusions The basic theoretical knowledge,clinical skills and the capacity of critical thinking of new registered nurses in ICU are relatively weak,which can be improved after systematic training.“theoretical assessment+operational assessment plus clinical reasoning evaluation”is helpful to evaluate and improve the nursing ability of new registered nurses.