运用FOCUS-PDCA结合护理版Mini-CEX提高胸外科护士岗位胜任力  

Improving nurse post competency in thoracic surgery by using FOCUS-PDCA combined with nursing version Mini-CEX

作　　者：杨剑[1] 王美芳[1] 黄培雯 刘欢 贺学宇[1] YANG Jian;WANG Meifang;HUANG Peiwen;LIU Huan;HE Xueyu(Department of Thoracic Surgery,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,China;不详)

机构地区：[1]武汉大学中南医院胸外科,湖北武汉430071 [2]皖南医学院弋矶山医院血液净化中心,安徽芜湖241000

出　　处：《中国临床研究》2023年第11期1754-1759,1764,共7页Chinese Journal of Clinical Research

基　　金：武汉大学中南医院科技创新培育基金(CXPY2022065,CXPY2022059);武汉大学中南医院临床护理研究项目(LCHLYJ202307)。

摘　　要：目的探讨FOCUS-PDCA管理模式结合护理版迷你临床演练评估(Mini-CEX)提高胸外科护士岗位胜任力的效果。方法采用方便抽样的方法,于2021年2月至2023年2月选择武汉大学中南医院胸外科在职护士32名。根据胸外科各层级(N1~N4)需胜任的岗位能级要求,从易到难选择5个工作场景,运用护理版Mini-CEX评估各层级护士在必考与选考场景中的临床综合能力。结合FOCUS-PDCA循环分析影响各个层级岗位胜任力的主要因素,按逐级递进的原则修订各层级进阶的条件、理论与技能范围与持续改进方案。结果与运用PDCA模式管理前比较,管理后32名护士岗位胜任力自评总分[(81.22±4.40)分vs(72.44±6.14)分,t=19.165,P<0.01]、护理版Mini-CEX考核评分显著增高[(77.78±8.72)分vs(53.75±7.22)分,t=38.182,P<0.01];培训后,护士对岗位培训模式的效果评价高于培训前(P<0.05)。结论运用FOCUS-PDCA结合护理版Mini-CEX管理可有效提高胸外护理人员护士岗位胜任能力,为患者的安全管理提供保障。Objective To investigate the effects of FOCUS-PDCA model combined with nursing version Mini CEX in improving the post competency of thoracic surgical nurses.Methods A convenience sampling method was used to select 32 nurses working in the Department of Thoracic Surgery in Zhongnan Hospital of Wuhan University from February 2021 to February 2023.Based on the competent post level requirements at each level of thoracic surgery(N1-N4),5 work scenarios were selected from easy to difficult,and the nursing version Mini-CEX was used to evaluate nurses'clinical comprehensive abilities at each level in the required versus optional scenarios.Combined with FOCUS-PDCA model to analyze the main factors affecting the competency of various hierarchical posts,the conditions,theories and skill ranges and the continuous improvement scheme of each level of advancement were revised according to the principle of step-by-step.Results Compared with those befter using PDCA model management,the total self-assessment scores of 32 nurses'post competence and the nursing version of Mini-CEX assessment scores after using PDCA mode management were significantly higher(81.22±4.40 vs 72.44±6.14,t=19.165,P<0.01;77.78±8.72 vs 53.75±7.22,t=38.182,P<0.01).After training,the nurses'evaluation of the effect of on-the-job training model higher than that before training(P<0.05).Conclusion The use of FOCUS-PDCA combined with nursing version Mini CEX management can improves the competency of nurse posts of thoracic surgery effectively,and provide guarantees for safety management of patients.

关 键 词：FOCUS-PDCA管理模式 岗位胜任力 护理管理 迷你临床演练评估 

分 类 号：R192.6[医药卫生—卫生事业管理]