新护士独立值班前临床综合能力考核的实践与效果评价  

Practice and Effect of Assessing Comprehensive Clinical Skills of New Nurses before Their Independent Duty

作　　者：许实燕[1] 郭剑虹[1] 

机构地区：[1]广东省潮州市中心医院护理部,521000

出　　处：《中华全科医学》2013年第5期809-811,共3页Chinese Journal of General Practice

摘　　要：目的探讨新护士独立值班前临床综合能力考核内容和模式。方法对2009～2011年潮州市中心医院新护士148名,进行独立值班前临床综合能力考核。内容包括护理人员各班工作内容;熟悉医嘱内容及执行方法;急救物品的放置、使用、管理;常用急救药物用法及急救车的管理制度;常用皮试液的配制及管理制度;危重症患者抢救配合与护理;护理文书书写情况等。并调查新护士对该考核模式的评价。结果新护士独立值班前临床综合能力考核合格率为91.89%,"急救物品的放置、使用及管理"得分率为83.6%,84.46%的新护士认为考核内容设置合理,100%的新护士认为可全面培训和评价新护士。结论独立值班前实施综合技能考核能系统培训新护士,全面、客观评价其临床综合能力,真实反映新护士工作中现存的问题,为今后工作提供有益的参考。Objective To explore the assessment model for the overall clinical skills of new nurses before their independent duty. Methods The 148 new nurses in our hospital received the clinical skills assessment from 2009 to 2011 before they were on duty independently. The sills included learning the works of nursing staffs, knowing the doctor＇ s advice and its executive method well, making certain the arrangement, use and management of first aid items, usage of common emergency medicines, management system for emergency ambulance, preparation and management of a skin test antigen, coordination and nursing care in rescuing critical patients ,writing of nursing documents ,et al. And the evaluation of new nurses on the model was investigated. Results The nurses had a 91.89% pass rate in the clinical skills assessment. The average score for the arrangement,use and management of first aid items was 83.6%. 84.46% of new nurses agreed with the evaluation contents. All of them agree that this model can be used in all new nurses. Conclusion The system training and comprehensive skills assessment of new nurses before their independent duty can objectively reflect their overall clinical skills, and find the existing problems, and provides a beneficial reference for the future work.

关 键 词：新护士 临床综合能力 评价 

分 类 号：R192.6[医药卫生—卫生事业管理] R471[医药卫生—公共卫生与预防医学]