急诊急救专科护士培训状况的纵向分析

Longitudinal studies of training status of emergency specialist nurses

目的 调查急诊急救专科护士的培训状况,为进一步完善急诊急救专科护士培训提供参考依据。方法 选择2014年-2021年参加中华急诊急救专科护士培训的学员,回顾性分析学员一般资料、培训情况及培训后满意度评价等。结果 共调查来自我国31个省、自治区、直辖市的716所医院的1 829名学员。其中男性学员占比为8.78%~23.33%,2018年最高;2020年及2021年中级职称学员占比高于40%;26~35岁的护士平均每年占80.92%;近2年本科学历的学员已达到85%以上,硕士学历稳定在2%以上;华东、华北地区学员占每年总学员的50%以上;差异均具有统计学意义(P<0.05)。2020年、2021年理论教学阶段采取线上教学模式,线上教学满意度低于线下教学(P<0.05),临床实践满意度差异无统计学意义(P>0.05)。结论 急诊急救专科护士培养符合专科发展需要,但专科护士学历及西北、东北、西南等区域的人数有待进一步提高。同时,建议优化线上线下混合式理论教学模式,促进全国理论、实践同质化培训体系的形成。

Objective To investigate the training status of emergency specialist nurses and provide reference for improving the training of emergency specialist nurses in China. Methods We selected trainees who participate in emergency specialist nurses training by Chinese Nursing Association from 2014 to 2021 and retrospectively analyzed their general information,training status and satisfaction evaluation after training. Results 1 829 trainees from 716hospitals in 31 provinces,autonomous regions and municipalities in China were investigated. The proportion of male trainees was from 8.78% to 23.33%,with the largest proportion in 2018. The proportion of trainees with intermediate professional titles in 2020 and 2021 was higher than 40%. The annual average proportion of nurses aged from26 to 35 was 80.92%. The number of trainees with undergraduate degree has reached more than 85% and the master degree has stabilized at more than 2% in the past 2 years. Trainees in East and North China accounted for more than 50% of the total trainees every year. The differences were statistically significant(P<0.05). The satisfaction of online teaching mode in 2020 and 2021 was lower than that of the offline teaching mode(P<0.05). And there was no statistical difference in the satisfaction of clinical practice(P>0.05). Conclusion The training of emergency specialist nurses meets the development needs of the specialty,but the educational background and the number of specialized nurses in northwest,northeast,southwest should be improved. It is recommended to continuously optimize the online and offline hybrid theoretical teaching mode,and promote the formation of a national theoretical and practical training system.