应急梯队护士培训方案的构建与应用

Development and application of emergency echelon nurse training program

目的设计应急梯队护士培训方案并探讨其应用的可行性。方法2022年4月,通过前期需求调查,结合文献分析,基于应急岗位胜任力模型构建应急梯队护士培训方案,包括梯队培训人员、培训内容、学时和培训方法。于2022年4月—5月对浙江省某三级甲等综合医院的131名护士实施培训,第一梯队由急危重症专科的护士组成(51名),第二梯队由普通护理单元的护士组成(80名)。于培训后采用理论及操作成绩、培训满意度进行评价。结果培训后,护士理论考核成绩为(88.75±4.35)分,检伤分类考核成绩为(90.11±2.51)分,创伤技术考核成绩为(89.18±3.11)分,总体考核合格率100%。第一梯队和第二梯队创伤技术和检伤分类成绩比较,差异没有统计学意义(P>0.05);2个梯队理论成绩(92.06±2.62、86.64±3.91)比较,差异有统计学意义(t=8.730,P<0.05)。护士对培训满意度为99.4%。结论应急梯队护士培训方案实施具有可行性,有助于分层培养护士所需的应急知识和技能,并获得了护士的认可。

Objective To develop a training program for emergency echelon nurses and explore the feasibility of its application.Methods In April 2022,after preliminary demand survey and literature analysis,a training plan for emergency echelon nurses was constructed based on the emergency post competency model,which included trainers,training content,class hours and training methods.From April to May 2022,a total of 131 nurses from a tertiary general hospital in Zhejiang Province were trained.The first echelon was composed of responsible team leaders(n=51)from the emergency and critical care department.The second echelon was composed of trained general nurses of responsible group leaders of the nursing unit(n=80).Evaluation was carried out through questionnaires on emergency knowledge,skills and attitudes before and after training,theoretical and operational achievements after training,and training satisfaction.Results After the training,the score of nurses’theoretical assessment was(88.75±4.35),the score of injury classification assessment was(90.11±2.51),and the score of trauma technology-related operations was(89.18±3.11)respectively.There was no statistically significant difference in trauma techniques and picking score between the first and second echelons.Meanwhile,there was statistically significant difference in theoretical score between the two echelons(92.06±2.62,86.64±3.91)(t=8.730,P<0.05).The satisfaction rate of nurses after training was 99.4%.Conclusion The emergency echelon nurse training program is feasible,which is recognized by nurses in assisting the cultivation of the emergency knowledge and skills required in a hierarchical manner.