基于问题的模拟培训-视频反馈联合层级管理对老年患者护理人员核心能力的影响研究

A study on the impact of problem-based simulation training video feedback combined with hierarchical management on the core competence of elderly care personnel

目的分析基于问题的模拟培训联合层级管理对老年护理人员核心能力的影响。方法选取2021年6月至2022年3月在我院工作的老年患者护理人员150名,至2022年3月开始进行为期6个月的基于问题的模拟培训联合层级管理模式培训。比较培训前后护理人员专业护理能力、护理核心能力、护理质量、护理人员对教学的满意度。采用SPSS 23.0进行配对t检验。结果培训后,老年患者护理人员理论成绩和技能操作均高于培训前(P<0.05)。老年患者护理人员临床护理能力、科研评判性思维、领导能力、人际关系、专业发展能力、教育指导、伦理、法律实践评分及护士核心能力总评分均高于培训前(P<0.05)。老年患者护理人员基础护理、护理服务态度、护患沟通、文书书写和护理操作评分高于培训前(P<0.05)。人文关怀、饮食指导、生活护理和康复指导评分均升高(P<0.05)。结论基于问题的模拟培训联合层级管理模式可提高老年患者护理人员专业能力、护理核心能力、护理质量,且患者和护理人员认可该护理模式。

Objective To analyze the impact of problem-based simulation training combined with hierarchical management on the core competencies of elderly nursing staff.Methods A total of 150 elderly patient nurses who worked in Sichuan Science City Hospital from June 2021 to March 2022 were subjected to a 6-month problem-based simulation training combined with hierarchical management since March 2022.The professional nursing abilities,core nursing abilities,nursing quality,and satisfaction of nursing staff with teaching were compared before and after training.Paired t-test was performed using SPSS 23.0.Results The theoretical scores and skill operations of nursing staff for elderly patients were higher after the training than before the training(P<0.05).The clinical nursing ability,critical thinking in scientific research,leadership ability,interpersonal relationships,professional development ability,educational guidance,ethics,legal practice score,and overall core competency score of nursing staff for elderly patients were all higher than before training(P<0.05).The basic nursing care,nursing service attitude,nurse patient communication,document writing,and nursing operation scores of nursing staff for elderly patients were higher than before training(P<0.05).The scores of humanistic care,dietary guidance,life care,and rehabilitation guidance all increased(P<0.05).Conclusions The problem-based simulation training combined with hierarchical management can improve the professional ability,core nursing ability,and nursing quality of nursing staff for elderly patients.Both patients and nursing staff acknowledge the effectiveness of this nursing approach.