医联体内基层医院护士培训方案的构建

Construction of a standardized training program for nurses in primary hospitals in the medical consortium

目的 构建医联体内基层医院护士培训方案。方法 基于文献回顾、政策分析,结合基层医院护士和护理管理者访谈结果,初步拟定医联体内基层医院护士培训方案初稿,采用德尔菲法对23名专家进行了2轮函询并修改,最终确立培训方案。结果 2轮问卷的有效回收率均为100%,专家权威系数为0.828,2轮专家函询的肯德尔和谐系数分别为0.228、0.318(均P<0.001)。医联体内基层医院护士培训方案包含培训对象、培训目标、培训师资及地点、培训方式及时间、培训内容、考核方式及内容、激励措施,其中培训内容包含一级条目3项,二级条目12项,三级条目40项。结论 构建的医联体内基层医院护士培训方案具有全面性、科学性和可操作性,能为基层医院开展护士培训提供依据。

Objective To establish a training program for nurses in primary hospitals in the medical consortium.Methods Based on the literature review,policy analysis,and combined with the results of interview with nurses and nursing managers in primary hospitals,the first draft of the training program for nurses in primary hospitals was preliminarily formulated,and the Delphi technique was used to consult 23 experts for two rounds of inquiry and modification,then the training program was finally established.Results The effective recovery rate of the two rounds of questionnaires was 100%,the expert authority coefficient Cr was 0.828,and the Kendall concordance coefficient of the two rounds was 0.228 and 0.318 respectively(P<0.001).The training program for nurses in primary hospitals within the medical consortium includes trainees,training objectives,teachers and location,training methods and time,training content,assessment methods and contents,and incentive measures.The training content includes 3first-level items,12 second-level items and 40 third-level items.Conclusion The training program of nurses in primary hospitals in the medical consortium is comprehensive,scientific,and operable,which can provide a basis for the training of nurses in primary hospitals.