“五个一”培训及综合病例站点式考核在新入职护士综合能力培养中的应用  

The effects of “Five Ones” training and “stationed assessment” of the comprehensive cases on ability of clinical problem solving of new nurses

作　　者：成守珍[1] 严凤娇[1] 张小燕[1] 陈利芬[1] 陈玉英[1] 柯彩霞[1] 黄燕梅[1] CHENG Shou-zhen;YAN Feng-jiao;ZHANG Xiao-yan;CHEN Li-fen;CHEN Yu-ying;KE Cai-xia;HUANG Yan-mei

机构地区：[1]中山大学附属第一医院护理部

出　　处：《中华护理教育》2019年第10期768-771,共4页Chinese Journal of Nursing Education

摘　　要：目的探讨”五个一”培训及综合病例站点式考核评价的创新模式对培养新入职护士解决临床护理问题综合能力的效果。方法对新入职护士2年内实行“一人一计划、一师一技能、一病一掌握、一周一过关、一考一综合”的培训措施,出科及2年培训结束进行综合病例站点式考核评价培训效果,对其考核成绩及自我能力评价进行分析。结果新入职护士通过2年培训及综合病例站点式考核评价,科室轮转期间理论知识、操作技术成绩及综合能力评价均呈上升趋势;经过2年培训,2016年新入职护士中有98.1%的护士认为自己可以较容易应对目前的工作,72.1%~83.7%的护士自我评价知识能力、技术能力、软能力有较大提高。结论采用“五个一”培训及综合病例站点式考核评价的创新模式,能有效提高新入职护士的知识能力、技术能力及软能力,提高新入职护士解决临床护理问题的综合能力,使其较容易应对工作。Objective To explore the effects of "Five Ones" and "stationed assessment" of the comprehensive cases on ability of clinical problem solving of new nurses. Methods "Five Ones" training measures were developed for the new nurses. The "Five Ones" included "one training plan for one nurse" "one instructor team only responsible for one series of skills""mastering care of patients with one disease""one examination every week" and"one comprehensive case examination ". The examination performance and abilities of new nurses were assessed after the training and 2 years after the training was totally completed. Results After two years training and comprehensive cases assessment,the new nurses had better examination performance,skill,and comprehensive ability.After 2 years training,98.1% of the new nurses recruited in 2016 agreed that they can easily cope with their current jobs. 72.1% ~83.7% of them showed significant improvement in knowledge,skill and soft ability.Conclusion The "Five Ones" training and "stationed assessment" of the comprehensive cases can effectively improve the new nurses’ knowledge,skill,and soft ability. They can also improve the new nurses’ comprehensive ability to solve clinical nursing problems,and make it easier to cope with their jobs.

关 键 词：护士 在职培训 临床工作能力 站点式考核 

分 类 号：R47[医药卫生—护理学]