参与压疮调研的临床护士岗位综合培训方法与效果分析  

Methods and effects of comprehensive training in the investigation of pressure ulcer

作　　者：杨章玲[1] 付沫[2] 蒋琪霞[7] 李玉肖[3] 高早琼[4] 唐小丹[1] 李前方[5] 潘晓虹[5] 张秀琴[6] 

机构地区：[1]华中科技大学同济医学院附属荆州医院肛肠外科,434020 [2]华中科技大学同济医学院附属荆州医院护理部,434020 [3]华中科技大学同济医学院附属荆州医院注射室,434020 [4]华中科技大学同济医学院附属荆州医院神经内科,434020 [5]华中科技大学同济医学院附属荆州医院胃肠外科,434020 [6]华中科技大学同济医学院附属荆州医院泌尿外科,434020 [7]南京军区南京总医院门诊伤口护理中心,210002

出　　处：《中华现代护理杂志》2016年第27期3865-3869,共5页Chinese Journal of Modern Nursing

基　　金：南京军区科技创新课题（14MS103）

摘　　要：目的：探讨在横断面调研中以临床需求为导向的护士岗位培训效果,为专科护士规范化培训提供依据。方法在调研前1月,对湖北省某三级甲等医院的46名参研护士进行以临床需求为导向的多种形式相结合的综合性培训,包括多媒体授课、工作坊、案例分析、小组讨论、造口伤口门诊观摩带教、调研操作训练、压疮和失禁相关性皮炎（ IAD）风险评估训练等。随后采用统一试卷和操作评分标准,进行理论考核、看图分析考核、操作考核。结果46名护士培训后的理论考核成绩、操作考核成绩、看图分析考核成绩均高于培训前,差异有统计学意义（P〈0.05）。89.1％的护士认同培训内容,93.5％的护士对培训形式感到满意,95.7％的护士认为本次培训对临床工作指导性强。结论以临床需求为导向的综合性培训及考核能有效提高护士的专科理论和技能水平,可以作为综合性医院进行压疮及IAD调研前进行护士有效培训和考核的方法。Objective To discuss the training effect driven by clinical demand in a cross-sectional research, and provide evidence for specialized nursing training.Methods One month before the survey, 46 nurses received various forms of comprehensive training, including multimedia lectures, workshop, case analysis, group discussion, clinical demonstration teaching of ostomy wound, research operations training, risk assessment training of pressure ulcer and incontinence associated dermatitis, etc. Then theory examinations, picture analysis examinations and operation examinations were conducted before and after training based on the unified papers and operating criteria. Results After training, the score of theoretical examination, operating examination and picture analysis examination of 46 nurses were higher than that before the training （P〈0.05）. 89.1% of nurses thought that the training content was very good;93.5% of nurses were satisfied with the training form, and 95. 7% of nurses thought that this training was significant for clinical work. Conclusions The comprehensive training method based on clinical demand can effectively improve the professional theory and skills of nurses, thus it can be used as a effective training and assessment methods before the survey of pressure ulcer and incontinence dermatitis in comprehensive hospitals.

关 键 词：压疮 失禁相关性皮炎 岗位培训 护理教学 专科护理 考核 

分 类 号：R47-4[医药卫生—护理学]