基于Benner理论指导下的能级进阶模式在护士分层培训中的应用  

Application of nursing clinical ladder program based on Benner theory in nurses′ stratified training

作　　者：王关青 唐小花[1] 彭建华[2] 盛洁[3] 汤明娣 邓慧[5] Wang Meiqing;Tang Xiaohua;Peng Jianhua;Sheng Jie;Tang Mindi;Deng Hui(Nursing Department of Danyang People's Hospital,Danyang 212300,China;Orthopedics Department of Danyang People's Hospital,Danyang 212300,China;ICU of Danyang People's Hospital,Danyang 212300, China;Obstetrics Department of Danyang People's Hospital,Danyang 212300,China;Endocrinology Department of Danyang People's Hospital,Danyang 212300,China)

机构地区：[1]江苏省丹阳市人民医院护理部,212300 [2]江苏省丹阳市人民医院骨科,212300 [3]江苏省丹阳市人民医院ICU,212300 [4]江苏省丹阳市人民医院产科,212300 [5]江苏省丹阳市人民医院内分泌科,212300

出　　处：《中国实用护理杂志》2019年第2期142-146,共5页Chinese Journal of Practical Nursing

摘　　要：目的 探讨基于Benner理论指导下的能级进阶分层培训模式对护士核心能力及岗位胜任能力的影响。 方法 选择2016年1月至2017年12月参与培训的499名护士为研究对象,根据培训时间分为培训前(2016年1-12月)、培训后(2017年1-12月),培训方式采用基于Benner理论指导下的能级进阶分层培训模式,比较护士核心能力、岗位胜任力,以及患者对护理满意度。 结果 培训后,护士评判性思维和科研、临床护理、伦理和法律实践、专业发展、教育咨询评分分别为(34.21 ± 4.56)、(30.12 ± 5.25)、(27.12 ± 5.24)、(25.46 ± 4.52)、(26.24 ± 4.21)、(20.21 ± 3.56)、(23.12 ± 5.24)分,均明显高于培训前(28.36 ± 4.12)、(26.45 ± 4.52)、(26.72 ± 4.52)、(25.12 ± 4.12)、(24.50 ± 3.25)、(18.65 ± 3.12)、(20.24 ± 4.65)分,(t= 7.308~21.264,P<0.05或<0.01),护士专业知识、专业技术、专业能力、综合素质评分分别为(72.32 ± 9.21)、(93.24 ± 12.35)、(43.34 ± 4.12)、(54.20 ± 4.23)分,均明显高于培训前(68.25 ± 8.32)、(86.42 ± 10.21)、(41.05 ± 5.24)、(52.12 ± 5.25)分(t=6.892~9.507, P<0.05或0.01),患者满意度92.67%(12 164/13 126)明显高于培训前88.68%(11 106/12 524),差异有统计学意义(χ^2=121.409,P<0.01)。 结论 探讨基于Benner理论指导下的能级进阶分层培训模式有助于促进护士核心能力、岗位胜任力的养成,提高患者满意度。Objective To explore the effect of advanced hierarchical training based on Benner theory on nurses' core competence and post competency. Methods A total of 499 nurses were selected to participat in the training from January 2016 to December 2017. They were divided into before-training group and after-training group, the training method was based on the advanced hierarchical training model of energy level under the guidance of Benner′s theory.The nurse′s core competence, post competency, and nursing satisfaction were compared. Results The ratings of nurses′ critical thinking and research, clinical nursing, ethics and legal practice, professional development and education consultation (34.21±4.56), (30.12±5.25), (27.12±5.24), (25.46±4.52), (26.24±4.21), (20.21±3.56), (23.12±5.24) points in after-training group were significantly higher than in before-training group (28.36±4.12), (26.45±4.52), (26.72±4.52), (25.12±4.12), (24.50±3.25), (18.65±3.12), (20.24±4.65) points (t=7.308-21.264, P<0.05 or 0.01). The scores of nurses' professional knowledge, professional skills, professional ability, and overall quality (72.32±9.21),(93.24±12.35), (43.34±4.12), (54.20±4.23) points were significantly higher than before training (68.25±8.32), (86.42±10.21), (41.05±5.24), (52.12±5.25) points (t=6.892-9.507, P<0.05 or 0.01), and patient satisfaction 92.67%(12 164/13 126) was significantly higher than before training 88.68% (11 106/12 524) (χ^2=121.409, P<0.01). Conclusion The advanced level-stratified training model based on Benner theory is helpful to promote the development of nurses′ core competence and post competency, and improve patient satisfaction.

关 键 词：护理管理 能级进阶 分层培训 核心能力 岗位胜任力 

分 类 号：R192.6[医药卫生—卫生事业管理]