规范化培训护士静脉治疗同质化培训方案的构建与实施

Construction and implementation of homogeneity training program of intravenous therapy for trained nurse

目的:构建规范化培训护士(以下简称规培护士)静脉治疗同质化培训方案,评价其在规培护士培训中的实施效果。方法:成立静脉治疗同质化培训师资小组,应用ADDIE模型理论框架,基于“以规范为尺,践行静疗标准”全国示范案例,构建与应用静脉治疗同质化培训方案,比较改进前与改进后规培护士考核成绩、静脉治疗穿刺部位/工具使用和核心胜任力的情况。结果:与改进前相比,改进后规培护士技能成绩、前臂穿刺使用率、临床护理能力、支持和人际沟通能力、评判性临床思维能力和专业建设与发展能力均有所提升,差异具有统计学意义(P<0.05)。结论:同质化培训可有效提高规培护士技能水平及核心胜任力,规范其践行静脉治疗标准的行为,为规培护士静脉治疗培训提供参考。

Objective:To construct a homogenization training program of intravenous therapy for trained nurses,and to explore its implementation effect in the training of standardized nurses.Methods:We established a homogeneous training teacher group about intravenous therapy.Applying the theoretical framework of the ADDIE model,and based on the national demonstration case of"taking norms as the ruler and practicing the standard of intravenous therapy",a homogeneous training program for intravenous therapy was constructed and applied.We compared the results of the examination,condition of puncture site/tool and core competencies before improvement and after improvement.Results:Compared with those before the improvement,the skill scores,the utilization rate of forearm puncture,clinical nursing ability,support and interpersonal communication ability,critical clinical thinking ability and professional construction and development ability of nurses after the improvement were improved,and the differences were statistically significant(P<0.05).Conclusion:The homogenization training can effectively improve the skill level of trained nurses,standardize their intravenous therapy nursing behavior,improve their core competency,and provide a reference for the intravenous therapy training of trained nurses.