柯氏模型在发热门诊支援护士培训效果评价中的应用  

Application of Kirkpatrick model in effect evaluation of training program intended for support nurses in fever clinic

作　　者：陈巧 王伟仙 吴丽芬 魏冬丽 周丰勤 李玲[1] 张莉[1] Chen Qiao;Wang Weixian;Wu Lifen;Wei Dongli;Zhou Fengqin;Li ling;Zhang Li(Department of Infectious Diseases,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院感染科,湖北武汉430022 [2]华中科技大学同济医学院附属协和医院儿科,湖北武汉430022

出　　处：《护理学杂志》2022年第20期72-75,共4页Journal of Nursing Science

基　　金：湖北省科技计划项目(No.2021CFB432)。

摘　　要：目的探讨发热门诊支援护士培训的实践与效果。方法对59名发热门诊支援护士进行培训,以柯氏模型作为评价工具,通过培训满意度调查、理论及操作考核成绩、医务人员传染病突发事件应对能力问卷调查、半结构式访谈,从反应层、学习层、行为层及结果层对培训效果进行评价。结果支援护士总体满意率96.61%;培训后理论及操作考试成绩,传染病突发事件预防能力、准备能力、救援能力得分显著高于培训前(均P<0.05);半结构式访谈提炼出4个主题:综合能力得到提升、培训规范化、心理感受、培训需进一步优化。结论开展发热门诊支援护士培训有助于提高其传染病突发事件应对能力、传染病理论知识及操作技能。Objective To explore the practice and effect of support nurses training in fever clinic.Methods Totally,59 fever clinic support nurses were trained.Using the Kirkpatrick Model as an evaluation tool,the support nurses were evaluated from the reaction level,learning level,behavior level and result level through training satisfaction survey,written and skill exam results,survey with the questionnaire of Medical Staff′s Ability to Respond to Infectious Disease Emergencies,and semi-structured interview.Results The overall satisfaction rate of support nurses was 96.61%;the scores of written and skill exam results,infectious disease emergency prevention ability,preparation ability and rescue ability after training were significantly higher than those before training(all P<0.05).The semi-structured interview extracted four themes:comprehensive ability was improved;training was standardized;psychological experience;training needs to be further optimized.Conclusion Carrying out training of support nurses in the fever clinic can help improve their ability to respond to infectious disease emergencies,knowledge of infectious diseases and skills.

关 键 词：发热门诊 支援护士 培训 传染病 突发事件 柯氏模型 救援能力 

分 类 号：R473.74[医药卫生—护理学]