基于转化式学习的新护士岗前培训方案构建及应用  

Construction and application of pre-job training program for new nurses based on transformative learning

作　　者：陈可涵 宁丽[2] 刘祚燕[1] 曾宁 Chen Kehan;Ning Li;Liu Zuoyan;Zeng Ning(West China School of Nursing,Sichuan University/Department of Rehabilitation,West China Hospital,Sichuan University,Chengdu 610041,China;Nursing Department,Affiliated Hangzhou First People's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]四川大学华西护理学院/四川大学华西医院康复科,成都610041 [2]浙江省杭州市第一人民医院护理部,杭州310006

出　　处：《中华医学教育探索杂志》2023年第8期1257-1262,共6页Chinese Journal of Medical Education Research

基　　金：浙江省医药卫生科技计划项目(2020KY214);杭州市医药卫生科技计划项目(0020190933);四川大学华西护理学科发展专项基金(HXHL21040)。

摘　　要：目的构建基于转化式学习的新护士岗前培训方案并探讨其初步应用效果。方法采用类实验性研究,以杭州市某三级甲等医院2019届新入职护士52人为研究对象,随机分为试验组(26人)和对照组(26人)。试验组采用基于转化式学习的新护士岗前培训方案,对照组采用传统的新护士岗前培训方案。使用SPSS 20.0、Microsoft Excel 2010进行数据处理,采用t检验和Fisher确切概率法进行统计分析。结果两组新护士培训后比较:临床核心能力总分为试验组(226.62±32.84),高于对照组的(197.00±29.54),自我效能感总分试验组(28.46±4.94),高于对照组的(24.31±4.76),转型冲击总分为试验组(77.23±14.13),低于对照组的(91.27±17.98),临床考核各考站均值试验组(73.16±17.05),高于对照组的(61.58±14.24),各部分差异均有统计学意义(P<0.05)。结论基于转化式学习的新护士岗前培训方案,可提升新护士的临床能力和自我效能感,减少新护士的转型冲击,能对新护士的职业生涯产生深远的影响。Objective To construct a new nurse pre-job training program based on transformative learning and explore its preliminary application effect.Methods A quasi-experimental study was conducted,and 52 new nurses enrolled in 2019 in a three-A hospital of Hangzhou were randomly divided into experimental group(n=26)and control group(n=26).The experimental group adopted transformative learning based pre-job training program for new nurses,while the control group adopted traditional pre-job training program for new nurses.SPSS 20.0 and Microsoft Excel 2010 were performed for data processing,and t test and Fisher's exact probability test were used for statistical analysis.Results After the training,the comparison of two groups of new nurses showed that,the total score of clinical core competence of the experimental group(226.62±32.84)was higher than that of the control group(197.00±29.54),the total score of self-efficacy of the experimental group(28.46±4.94)was higher than that of the control group(24.31±4.76),the total score of the transition shock of the experimental group(77.23±14.13)was lower than that of the control group(91.27±17.98),and the mean value of clinical assessment of the experimental group(73.16±17.05)was higher than that of the control group(61.58±14.24),all with statistical significance(P<0.05).Conclusion The pre-job training program for new nurses based on transformative learning can improve the clinical ability and self-efficacy of new nurses,reduce the transition shock of new nurses,and have a profound impact on their career.

关 键 词：新护士 岗前培训 转化式学习 

分 类 号：R471[医药卫生—护理学]