ADDIE模型在静脉血栓栓塞症规范化预防护理培训中的应用效果

Effects of ADDIE model in standardized preventive nursing training for venous thromboembolism

目的探索基于分析、设计、开发、实施和评价模型(ADDIE模型)实施静脉血栓栓塞症(VTE)规范化预防护理培训,并评价培训效果。方法2021年9月—2022年12月,成立专项培训组,以"国家医疗质量安全改进目标"为指导,依据ADDIE模型,结合文献研究和德尔菲专家函询,设计开发专项培训课程。2023年5月对来自全国16家三甲医院的20名血栓联络护士进行VTE规范化预防护理培训。培训后采用柯氏评价法从护士对培训的满意度、知识技能水平、岗位关键技术落实情况、组织满意度方面评估培训效果。结果血栓联络护士对基于ADDIE模型的VTE规范化预防护理培训的培训目标、培训内容、培训方法、培训师资的满意率达100%。培训后,血栓联络护士的理论成绩、操作成绩和总成绩较培训前提高,差异有统计学意义(P<0.05)。岗位关键技术落实情况方面,血栓联络护士回单位再培训其他人员的执行率为90%,共有516名护士接受培训;其中351名护士参与培训前后考核,理论成绩、操作成绩和总成绩与培训前相比均有所提高,差异有统计学意义(P<0.05)。结论基于ADDIE模型的VTE规范化预防护理培训可有效提升护士的VTE预防综合能力水平,且护士对培训方案的认可度较高。

Objective To explore the implementation of standardized preventive nursing training for venous thromboembolism(VTE)based on the analyze,design,development,implement and evaluation model(ADDIE model),and evaluate the effectiveness of the training.Methods From September 2021 to December 2022,a special training group was established.The specialized training courses were designed and developed guided by the"National Medical Quality and Safety Improvement Goals",based on the ADDIE model,combined with literature research and Delphi expert consultation.In May 2023,20 thrombosis liaison nurses from 16 ClassⅢGrade A hospitals across the country were trained on VTE standardized preventive nursing.After training,the Kirkpatrick evaluation method was used to evaluate the training effectiveness from the aspects of nurse satisfaction with the training,knowledge and skills,implementation of key job technologies,and organizational satisfaction.Results The satisfaction of thrombosis liaison nurses with the training objectives,content,methods,and teachers of VTE standardized preventive nursing training based on the ADDIE model was all 100%.Compared with before training,there was a statistically significant improvement in the theoretical,operational,and overall scores of thrombosis liaison nurses after training(P<0.05).In terms of the implementation of key technologies for the position,the execution rate of the thrombosis liaison nurse returning to the unit for retraining other personnel was 90%,with a total of 516 nurses receiving training.After training,the theoretical,operational,and overall scores of the 351 nurses who participated in pre-and post training assessments all improved compared to before training,with statistically significant differences(P<0.05).Conclusions VTE standardized preventive nursing training based on the ADDIE model can effectively improve the comprehensive capacity of nurses in VTE prevention,and nurses have a high recognition of the training program.