实境横断面考核在神经外科护士夜班准入考评中的应用  

Application of real cross-sectional assessment in night shift admission evaluation of nurses in neurosurgery

作　　者：黄宏敏[1] 王爱凤[1] 张媛媛[1] 王伟杰[1] 金妍[1] 丁涟沭[1] 程玉玲[1] Huang Hongmin;Wang Aifeng;Zhang Yuanyuan(Huai’an First Hospital,Nanjing Medical University,Jiangsu 223300 China)

机构地区：[1]南京医科大学附属淮安第一医院

出　　处：《护理研究》2018年第8期1268-1272,共5页Chinese Nursing Research

摘　　要：[目的]探讨实境横断面考核模式在神经外科护士夜班准入考评中的应用效果。[方法]选取南京医科大学附属淮安第一医院神经外科2015年度新护士及轮转护士18人为对照组,采用先理论后技能的培训考核模式进行夜班准入考评;选取2016年度新护士及轮转护士20人为观察组,在对照组基础上应用实境横断面考核模式进行夜班准入考评,比较两组护士准入合格后单独值班期间的工作能力、夜间护理质量、1年内不良事件发生情况及满意度。[结果]观察组护士值班期间的工作能力得分为(90.78±5.71)分,高于对照组(80.41±10.76)分,两组比较差异有统计学意义(P<0.01);观察组夜间护理质量得分为(90.84±6.73)分,高于对照组(86.07±7.38)分,两组比较差异有统计学意义(P<0.05);观察组护士准入后1年内不良事件发生例数为15例,低于对照组40例;观察组护士及带教老师对此考核模式应用于夜班准入考评中的满意度、病人及家属对新准入护士的满意度分别为100.00%,10/10,98.61%,高于对照组72.22%,6/10,91.67%,两组比较差异有统计学意义(P<0.05或P<0.01)。[结论]实境横断面考核模式应用于神经外科夜班护士准入考评,能够提高新准入护士的临床工作能力,有效改善夜间独立值班时的工作质量,保障夜间护理安全。Objective:To probe into the application effect of real cross sectional assessment model in night shift admission evaluation of nurses in neurosurgery.Method:A total of 18 new nurses and rotation nurses were selected in department of neurosurgery in Huai’an First People’s Hospital of Nanjing Medical University in 2015 as the control group.The first post theory skills training assessment model was used for night shift admission evaluation.20 new nurses and rotational nurses were selected as the observation group in 2016,and the night shift admission assessment was conducted on the basis of the control group using the cross sectional examination model.The work ability,night care quality,incidence of adverse events in one year,and satisfaction were compared between two groups of nurses after they were admitted to work.Results:The work ability score of nurses in observation group was(90.78±5.71),which was higher than that of control group(80.41±10.76),the difference between the t wo groups was statistically significant(P<0.01).The night care quality score of the observation group was(90.84±6.73),which was higher than that of the control group(86.07±7.38),the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group nurses within 1 year after admission was 15 cases,which was lower than that of the control group(40 cases).Satisfaction of the nurses and teachers in the observation group on the evaluation of night shift admission was 100.00%,10/10 and 98.61%respectively,which was higher than that of the control group(72.22%,6/10 and 91.67%,respectively).There was statistically significant difference between the two groups(P<0.05 or P<0.01).Conclusions:The real cross sectional assessment mode was applied to the neurosurgery night shift nurses admission evaluation.It could improve the clinical work ability of the newly admitted nurses and effectively improve the quality of work during nighttime independent duty to ensure night time nursing safety.

关 键 词：实境横断面考核 神经外科 新护士 轮转护士 夜班准入考评 满意度 

分 类 号：R197.323[医药卫生—卫生事业管理]