重庆市重症医学专科护士临床实践模式现状调查及启示

Investigation and prospect of clinical practice mode for intensive medical college nurses in Chongqing

目的：调查重庆市重症医学专科护士临床实践模式现状，为构建规范的重症医学专科护士临床实践模式提供借鉴与参考。方法采用自行设计的重症医学专科护士培训实践模式调查问卷，对509名重症医学专科护士进行调查分析。结果临床实践时间均为2个月，实践基地能满足专科护士临床实践需求，临床实践及考核方式多样，但存在时间安排不合理（6.67%，29/435）、实践内容缺乏针对性（5.52%，24/435）、带教方式不合理（2.76%，12/435）、带教师资不合格（1.38%，6/435）等问题。结论临床实践基地及师资力量有待改善；重症医学专科护士临床实践模式认知情况好，但对其应具备的能力认识不到位。应以护士需求为导向，在卫生主管部门的监管下，建设培训基地，培养符合要求的临床带教师资，强化重症医学专科护士对培养能力的认识，帮助学习临床应用知识与技能。

Objective To investigate the current situation of clinical practice mode of intensive care unit specialist nurses in Chongqing city, and to provide reference for the construction of standardized clinical practice mode of intensive care unit specialist nurses. Methods A self-designed questionnaire was used to investigate and analyze the 509 students who participated in the training of intensive care unit nurses in Chongqing city. Results Clinical practice time was 2 months, the practice base could meet the clinical practice needs of clinical nurses, clinical practice and assessment methods were varied, but the time arrangement was not reasonable (6.67%, 29/435), the practice content lacked the pertinence (5.52%, 24/435), the teaching method was not reasonable (2.76%, 12/435), the teacher capital was not qualified (1.38%, 6/435) and so on. Conclusions The clinical practice base and teaching staff needs to be improved, and the clinical practice pattern of intensive care unit specialist nurses is good, but the ability to recognize it is not in place. Should be guided by the needs of nurses, under the supervision of the health department, construction of training bases, training in line with the requirements of clinical teachers, strengthen the ability of students to understand, to help study the clinical application of knowledge and skills.