侯香传　陆巧葱

528200　佛山市　广东省佛山市南海区人民医院呼吸内科



专科护士参与层级培训的效果研究

侯香传陆巧葱

528200佛山市广东省佛山市南海区人民医院呼吸内科

摘要目的：探讨专科护士参与层级培训的效果。方法：专科护士负责为本专业不同岗位、学历和能力水平的护理人员制订和实施不同形式和内容的培训方案，对全院706名临床护士进行个性化、针对性的护理培训，密切结合临床，注重培养护士的临床思维能力，定期进行效果评价、反馈、调整。结果：培训后护理人员综合评价得分、患者满意度得分均明显高于培训前(P<0.05)，培训后不良事件发生情况低于培训前(P<0.05)。结论：专科护士参与层级培训是对目前国内护理人力资源状况而提出新的发展思路和趋势，这种层级培训管理体制，充分发挥了专科护士在专科护理领域的领头作用,有效提高了护理质量，使院内专科护理资源合理流动，实现护理质量同质化，同时也为低年资护士创造了更加安全、规范和轻松的工作环境，保障了护理安全。

关键词专科护士;层级培训；效果

doi:10.3969/j.issn.1672-9676.2016.03.051

The research on the effect of specialist nurses participating in the grade training

HOU Xiang-chuan,LU Qiao-cong(Nanhai District People′s Hospital of Foshan city,Foshan528200)

AbstractObjective:To discuss the effect of specialist nurses participating in the grade training.Methods:The specialist nurses were responsible for developing and implementing different forms and contents of the training programs for the nurses in the same specialty but of different positions,education backgrounds and abilities.706 clinical nurses in our hospital were given to personalized, targeted nursing training,which was closely combined with clinic and attached importance to the cultivation of clinical thinking ability,and effect performance on evaluation,feedback and adjustment were regularly conducted.Results:After the training nurses′ comprehensive evaluation scores and patient satisfaction scores were significantly higher than that before the training (P<0.05),and adverse events occurrence rate after training was lower than that before training (P<0.05).Conclusion:The grade training program was a new trend and thinking pattern which was raised aiming at the the current domestic nursing human resource status.This kind of grade training management system gives full play to the leading role of specialized nurses in the special nursing area, and effectively improves nursing quality,thus making the rational flow of hospital nurse resources and realizing the nursing quality homogeneity.Also it helps creating a more secure,standard and relaxing working environment for low- qualification nurses,and guarantee the safety of nursing.

Key wordsClinical nurse specialism;Stratification training；Effect

专科护士是指在某一特殊或者专门的护理领域具有较高水平和专长的专家型临床护士[1]。十一五时期，广东省卫生厅按照卫生部要求，大力发展专科护理，从2007年开始，与香港医管局连续4年联合培养了14个专科护理领域共614名专科护士，并在广东省各医院建立专科护士岗位，逐步建立专科技术规范和专科护理标准，开展专科护理领域的高级临床实践活动[2]。在此期间，我院共培养出18名专科护士，涉及ICU、CCU、老年病、助产、肿瘤、社区、高级外科、骨科、新生儿、静脉治疗等10个专科。专科护士队伍是专科护理水平发展的重要力量，也是护理学科发展的方向，如何合理使用专科护士已成为许多国家临床护理实践发展的策略和方向，充分发挥专科护士在专科护理领域的作用是各家医院目前亟待解决的问题[3]。……