三位一体案例推演式培训提升新护士应急能力的效果研究

doi:10.3761/j.issn.2096-7446.2022.05.006

摘要/Abstract

摘要： 目的探索三位一体案例推演式小组培训对提升新护士应急能力的效果,为缓解其转型冲击、更快适应临床提供参考。方法选取新入职规范化培训第2年符合条件的72名护士为研究对象,按照入职报到表顺序依次纳入试验组和对照组,每组36名。两组均在1年内每季度接受1组急救技能主题培训,试验组执行以“培训对象需求—临床需要—培训教师特长”三位一体为基础的案例推演式小组培训方案,对照组采用工作坊实训。培训后,比较两组应急理论知识、技能考核成绩、培训教师及对象对培训相关维度的评价。结果试验组理论和操作考核中的案例分析、护理评估能力得分分别为（16.18±2.07）分和（19.24±1.44）分,较对照组的（14.34±2.04）分和（17.66±1.84）分差异具有统计学意义（P<0.05）;操作考核的优秀率为80.56%,较对照组高13.89%;试验组均认为推演场景真实,能激发其深入思考;自我应急能力提升和培训教师的反馈均优于对照组,差异具有统计学意义（P<0.01）。结论三位一体案例推演式临床应急能力培训有助于提升新护士对培训内容的掌握及对临床突发病情变化时的应急能力,并有助于改善其心理状态。

关键词: 案例推演式, 三位一体, 新护士, 应急能力, 在职培训

Abstract: Objective To explore the effects of "Trinity" case deductive group model training on improving the emergency ability of new nurses,in order to provide reference for relieving the impact of transition of new nurses and fastening adaptation to clinical practice. Methods Seventy-two nurses who met the criteria in the second year of standardized induction training were selected as the research objects,and were successively included into the experimental group and the control group according to the order of entry form,with 36 nurses in each group. Both groups received one set of emergency project-themed training each quarter of a one-year cycle. The experimental group was trained in the trinity of "training needs of participants-clinical needs-training teacher's expertise" case deductive group training,the control group received conventional workshop training. After the training,the scores of theoretical knowledge and skills,and evaluations of training teachers and trainees were compared between the two groups. Results The scores of case analysis and nursing assessment ability in the theoretical and skill assessment of the experimental group were respectively （16.18± 2.07） and （19.24± 1.44）,compared with the control group （14.34± 2.04） and （17.66± 1.84）,the differences were statistically significant （P< 0.05）. The excellent rate of skill assessment in the experimental group was 80.56%,which was 13.89% higher than the control group. The experimental group all thought that the extrapolated scene was real and could stimulate their deep thinking. The improvement of self-emergency ability and feedback of training teachers were better than those of the control group,and the differences were statistically significant（P< 0.01）. Conclusion The “Trinity” case deductive clinical emer-gency response ability training can effectively improve the new nurses' mastery of the training content,and improve their emergency response ability and psychological state in response to sudden changes of clinical conditions.

Key words: Deducting the Case Training Model, Trinity, New Nurses, Emergency Response Ability, Inservice Training

徐海霞, 刘雅, 刘妮娜, 徐鹏斐, 卢红利, 曾晓玉, 谢婷. 三位一体案例推演式培训提升新护士应急能力的效果研究[J]. 中华急危重症护理杂志, 2022, 3(5): 420-425.

XU Haixia, LIU Ya, LIU Nina, XU Pengfei, LU Hongli, ZENG Xiaoyu, XIE Ting. The effects of the“Trinity” case deductive model training on promoting the emergency response ability of new nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(5): 420-425.

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