“传-帮-带”培训方法在重症医学科护士听诊技能培训中的应用  

Application of mentoring program in auscultation skill training of ICU nursing

作　　者：韩娟丽[1] 徐亚玲[3] 张华丽[2] 徐亚维[1] 宣向荣[4] 孙薇 史晓娟[1] 

机构地区：[1]西安交通大学医学院附属红会医院重症医学科,710054 [2]陕西省人民医院重症医学科,西安710068 [3]西安市第四医院重症医学科,710032 [4]西安市儿童医院新生儿ICU,710003 [5]西安市中医医院门急诊科,710001

出　　处：《中华现代护理杂志》2012年第25期3049-3051,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨适合重症医学科护士听诊培训管理的方案。方法2010年10月至2011年10月联系西安市8家市级医院的重症医学科开展护士听诊技能培训，以5种不同方案培训全科1年以上护士。结果“传-帮-带”计划是监护室最优化的护士听诊培训管理项目，成功培养护士听诊诊断能力。知识正确性高，为科室留下了宝贵资料，便于学术交流；有奖励，护士学习热情和主动性高；培训系统全面，实习机会均等，通俗易懂；培训师科室自产，节约科室成本；培养周期短，培训过程不误工；设定考核内容，定期考查；护士学以致用，集体讨论，查缺补漏；记录护理文书，相关护理诊断为医生判断病情提供了参考；汇编科室听诊培训实践指南。传-帮-带培训方式与其他培训方式比较，有知识正确性高、培养周期短、护士积极性高、培训成本低、效果好等优势。结论项目化培训是护士掌握和熟练听诊技能的切实办法，同时护士管理患者的能力在及早发现病情变化方面有了显著提升。Objective To explore the most suitable scheme of auscultation training for ICU nurses. Methods Eight ICU of municipal hospitals in Xi＇ an between October 2010 and October 2011 were contacted and the auscultation training on ICU nurses more than one year in 5 ways distinctively at the same time were developed. Results The plan of mentoring for nurse in auscultation training management was optimization, which help the nurse auscultative successfully, continually and steady. It had a high knowledge accuracy, left precious material for department which facilitated to academic communication. The nurses had more learning enthusiasm and high initiative. It was a comprehensive training system for nurses that had equality practice opportunities and understandable. Trainers from the department which reduced the department cost and shortened the training cycle and had no delayed in the training process. Examination content set and regularly took examination. Group discussions were adopted by nurses for checking the leak, and they recorded nursing documents, and the related nursing diagnosis as the reference for doctors. The auscultation training practice guidelines for departments were assembled. Conclusions The method of project training teaching on the nurses for master the auscultation skill is practical, and it also can promote the ability of nurse in finding out the condition changes at an early date during managing patients.

关 键 词：护士听诊技能 重症监护病房 “传-帮-带”培训方法 

分 类 号：R47[医药卫生—护理学]