中西醫結合醫院新護士規范化培訓方法探討與效果評價

皮巧紅

[摘要] 目的 探討與評價中西醫結合醫院在新護士規范化培訓中的方法與效果。 方法 選擇北京市和平里醫院2016年8月新入職的護士，結合醫院實際制訂的具有中西醫結合醫院特色的新入職護士培訓方案，采取為期2年的三階段規范化培訓，著重于中西醫護理理論知識、技能操作及臨床實踐能力等的培訓，并在每一階段培訓前后采取自行設計的試卷進行綜合考評。 結果 新護士經過規范化培訓后的中西醫結合護理知識、操作技能掌握水平均顯著高于培訓前，差異有統計學意義（P < 0.05）。規范化強化培訓階段出科護理綜合成績均較入科時提高，差異有統計學意義（P < 0.05）。 結論 規范化培訓在一定程度上可有效提高新護士的中西醫護理理論知識和操作技能。

[關鍵詞] 新護士;中西醫結合;規范化培訓;實踐

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1673-7210（2019）06（b）-0152-04

Discussion and effect evaluation of standardized training methods for new nurses in integrated Chinese and Western medicine hospitals

PI Qiaohong

Nursing Department， Beijing Hepingli Hospital， Beijing? ?100013， China

[Abstract] Objective To explore and evaluate the methods and effects of the standardized training for new nurses in integrated Chinese and Western medicine hospitals. Methods The newly recruited nwrses from Beijing Hepingli Hospital in August 2016 were selected， on the basis of combining the reality of the hospital established with characteristic of combining traditional Chinese and Western medicine hospital new nurse training program， take the three stages of standardization training for a period of two years， focuses on the theory of traditional Chinese and Western medicine nursing knowledge， skills， training such as operation and clinical practice ability， and at each stage before and after training to design the paper make a comprehensive evaluation. Results After the standardized training， the new nurses′ level of integrated traditional Chinese and Western medicine nursing knowledge and operation skills were significantly higher than before the training， and the difference was statistically significant （P < 0.05）. In the standardized intensive training stage， the nursing comprehensive scores were all improved compared with those at the admission stage， and the difference was statistically significant （P < 0.05）. Conclusion Standardized training can effectively improve the theoretical knowledge and operational skills of traditional Chinese and Western medicine nursing for new nurses to a certain extent.

[Key words] New nurse; Integrated traditional Chinese and Western medicine; Standardized training; Practice

近年來國家政策大力支持發展中醫護理事業，中醫護理人才的培養是傳承和創新中醫護理事業的關鍵。進入臨床初期的入職培訓是中醫新護士凝練基礎和強化能力的重要階段[1-2]。規范化的入職培訓將有助于新護士提升個人中西醫結合護理知識和操作技能，盡快適應臨床環境。然而，目前國內尚缺乏成熟的中醫新護士規范化培訓體系[3]。因此，從中醫視角如何對新護士進行中西醫結合規范化的培訓勢在必行。北京市和平里醫院（以下簡稱“我院”）參照原國家衛計委頒布的新入職護士培訓大綱要求[4]，結合中醫護理特色，制訂了為期2年的規范化中西醫護理培訓方案和考核評價方法。該規范化培訓不僅有利于提高新護士的基礎理論知識、中西醫操作技能，也……