護(hù)士規(guī)范化培訓(xùn)網(wǎng)絡(luò)信息平臺(tái)在ICU新入職護(hù)士中的應(yīng)用效果

張冉 王慶珍 馮雅笛 李靖 劉溢思

[摘要] 目的 探討網(wǎng)絡(luò)信息平臺(tái)對(duì)ICU新入職護(hù)士規(guī)范化培訓(xùn)的效果。 方法 選擇首都醫(yī)科大學(xué)附屬北京天壇醫(yī)院（以下簡(jiǎn)稱“我院”）2015年8月～2016年8月ICU招聘的50名新入職護(hù)士為對(duì)照組，采用常規(guī)培訓(xùn)方法培訓(xùn)。將我院2017年8月ICU招聘的46名新入職護(hù)士設(shè)為干預(yù)組，通過網(wǎng)絡(luò)信息平臺(tái)進(jìn)行培訓(xùn)。比較兩組研究對(duì)象的臨床護(hù)理能力、專科理論成績(jī)、專業(yè)技能成績(jī)。 結(jié)果 干預(yù)組研究對(duì)象自我評(píng)價(jià)的領(lǐng)導(dǎo)力、危重患者監(jiān)護(hù)、教學(xué)與合作、計(jì)劃與評(píng)估、溝通交流、專業(yè)發(fā)展及總分得分均高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）。干預(yù)組研究對(duì)象同行評(píng)價(jià)的領(lǐng)導(dǎo)力、危重患者監(jiān)護(hù)、教學(xué)與合作、計(jì)劃與評(píng)估、溝通交流、專業(yè)發(fā)展及總分得分均高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）。干預(yù)組專科理論成績(jī)及專業(yè)技能成績(jī)均高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）。 結(jié)論 護(hù)士規(guī)范化培訓(xùn)是培養(yǎng)合格護(hù)士至關(guān)重要的環(huán)節(jié)，應(yīng)用網(wǎng)絡(luò)信息平臺(tái)對(duì)ICU新入職護(hù)士進(jìn)行規(guī)范化培訓(xùn)，可以提高ICU新入職護(hù)士的培訓(xùn)效果，值得各醫(yī)院進(jìn)行參考和借鑒。

[關(guān)鍵詞] 規(guī)范化培訓(xùn);網(wǎng)絡(luò)信息平臺(tái);重癥監(jiān)護(hù)室;新護(hù)士

[中圖分類號(hào)] R47 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 1673-7210（2019）10（a）-0181-05

Application effect of nurse standardized training network information platform in ICU new nurses

ZHANG Ran1 ? WANG Qingzhen2 ? FENG Yadi1 ? LI Jing2 ? LIU Yisi3

1.Intensive Care Unit， Beijing Tiantan Hospital， Capital Medical University， Beijing ? 100070， China; 2.Department of Nursing， Beijing Tiantan Hospital， Capital Medical University， Beijing ? 100070， China; 3.School of Nursing， Capital Medical University， Beijing ? 100069， China

[Abstract] Objective To explore the effect of network information platform on standardized training of new nurses in ICU. Methods From 2015 August to 2016 August， 50 new nurses recruited in ICU of Beijing Tiantan Hospital Affiliated to Capital Medical University （hereinafter referred to as "our hospital"） were selected as the control group， and routine training was adopted. In 2017 August， 46 new nurses recruited in ICU of our hospital were set as intervention group， by training through the network information platform. The clinical nursing ability， theoretical achievement and professional skill achievement of the two groups were compared. Results The self-evaluation of leadership， monitoring of critically ill patients， teaching and cooperation， planning and evaluation， communication， professional development and total score of the intervention group were all higher than those of the control group， with statistically significant differences （all P < 0.05）. Peer evaluation of leadership， monitoring of critically ill patients， teaching and cooperation， planning and evaluation， communication， professional development and total score of the intervention group were all higher than those of the control group， with statistically significant differences （all P < 0.05）. The theoretical scores and professional skills of the intervention group were higher than those of the control group， with statistically significant differences （all P < 0.05）. Conclusion Standardized training of nurses is a crucial link to train qualified nurses. Applying the network information platform to conduct standardized training of new ICU nurses can improve the training effect of new ICU nurses， which is worthy of reference and reference by all hospitals.

[Key words] Standardized training; Network information platform; Intensive care unit; New nurse

ICU主要收治病情較為嚴(yán)重的患者[1]，ICU護(hù)理人員在重癥監(jiān)護(hù)中發(fā)揮著核心作用，承擔(dān)著監(jiān)測(cè)、治療、護(hù)理和搶救等任務(wù)，因此對(duì)其理論知識(shí)、專業(yè)技術(shù)和職業(yè)素質(zhì)都提出更高的要求才能滿足危重患者照護(hù)的需要[2-3]。臨床對(duì)新護(hù)士的需求普遍高于新護(hù)士入職時(shí)的能力儲(chǔ)備[4-5]。開展新入職護(hù)士培訓(xùn)是培養(yǎng)合格臨床護(hù)士的重要途徑[6-9]，對(duì)ICU新入職護(hù)士進(jìn)行規(guī)范化培訓(xùn)有利于提高專科護(hù)理人才梯隊(duì)建設(shè)和護(hù)理質(zhì)量[10]，最終推動(dòng)專科護(hù)理發(fā)展[2]。然而，目前，我國(guó)尚未建立統(tǒng)一的護(hù)士規(guī)范化培訓(xùn)制度，各醫(yī)院的培訓(xùn)計(jì)劃、內(nèi)容和目標(biāo)差異較大[9-11]。傳統(tǒng)的護(hù)理培訓(xùn)由于教學(xué)形式單一、管理不靈活，學(xué)習(xí)時(shí)間固定等原因，導(dǎo)致護(hù)士學(xué)習(xí)的積極性不高，甚至有部分護(hù)士出現(xiàn)厭倦情緒，影響培訓(xùn)效果[12]。……