金煜峰,任学芳,陈蓓妮,陈红,徐燕.神经外科新入职护士规范化亚专科培训的实施和效果评价[J].上海护理,2022,22(S1):
神经外科新入职护士规范化亚专科培训的实施和效果评价
Application and effect of standardized subspecialty training for new nurses in neurosurgery department
DOI:
中文关键词:  神经外科 新入职护士 规范化培训
英文关键词:Neurosurgery department New nurse Standardized training
基金项目:复旦大学护理学院护理科研基金(教学研究部分)
作者单位E-mail
金煜峰 复旦大学附属华山医院 kin.yufeng@foxmail.com 
任学芳* 复旦大学附属华山医院 fantain2013@126.com 
陈蓓妮 复旦大学附属华山医院  
陈红 复旦大学附属华山医院  
徐燕 复旦大学附属华山医院  
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中文摘要:
      目的 探讨神经外科新入职护士实施规范化亚专科培训的效果,为进一步完善培训方案提供依据。方法 选取我院2018-2019年入职后即进入神经外科、完成规范化培训的应届大专毕业生80人为调查对象,采用非随机分组方式,将2018届作为对照组,2019届作为试验组,对比两组的专科理论、操作及个案考核成绩,护士岗位胜任力和岗前培训满意度。结果 调整规范化培训方案后,试验组理论考核成绩(88.29±3.46)分、专科操作考核成绩(90.31±2.38)、个案考核成绩(87.25±3.71)分,分别高于对照组的(86.42±4.69)分、(83.94±10.73)分及(85.17±2.91)分,差异有统计学意义(P<0.01)。试验组岗前培训满意度总分(83.25±3.03)分,高于对照组的(80.85±5.75)分,差异有统计学意义(P<0.01),尤其是教学内容和教学形式两项。岗位胜任力自评比较中,试验组的护理基础知识(17.35±2.12)分、临床处置能力(13.52±1.45)分,高于对照组的(16.19±1.84)分及(12.62±1.60)分,其差异有统计学意义(P<0.01),其余项目及总分无差异。结论 专科培训是新入职护士规范化培训的核心,在临床学科建设向纵深发展兼融合趋势下,教学方案应根据临床及时调整,注意人文课程及综合能力的培养。新入职护士渴求更多元、贴近临床的互动性实践性课程,也对临床带教的知识储备和能力提出了更高的要求。
英文摘要:
      Objective To explore the effect of standardized subspecialty training for new nurses in neurosurgery department,provide basis for further improving the training program. Method From 2018 to 2019 ,80 college graduates who entered neurosurgery department and completed standardized training in our hospital were selected as the research objects.They were divided into the control group (2018 Class) and the experimental group (2019 Class)in a non randomized manner.The specialty theoretical achievements,nursing procedure performance,case examination,training satisfaction and competency of the two groups were compared.Result After adjusting the standardized training program, the scores of theoretical examination, nursing procedure examination and clinical evaluation exercise in the experimental group were (88.29 ± 3.46), (90.31 ± 2.38) and (87.25 ± 3.71) respectively, which were higher than those in the control group (86.42 ± 4.69), (83.94 ± 10.73) and (85.17 ± 2.91),the difference was statistically significant(P < 0.01). The total score of training satisfaction in the experimental group was (83.25 ± 3.03), which was higher than (80.85 ± 5.75) in the control group (P < 0.01). In the self-evaluation of competency, the scores of basic nursing knowledge and clinical practice ability in the experimental group were (17.35 ± 2.12) and (13.52 ± 1.45), which were higher than (16.19 ± 1.84) and (12.62 ± 1.60) in the control group, and the differences were statistically significant (P < 0.01).There was no difference in other items and total scores.Conclusion Specialty training is the core of standardized training for new nurses. In the trend of clinical discipline development and integration, the teaching plan should be adjusted in time according to clinical practice, and the cultivation of humanistic courses and comprehensive ability should be paid attention to. New nurses are eager for more interactive practical courses which are close to the clinical, and also put forward higher requirements for clinical teachers' knowledge reserve and ability.
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