目的 调查急诊急救专科护士的培训状况,为进一步完善急诊急救专科护士培训提供参考依据。方法 选择2014年—2021年参加中华急诊急救专科护士培训的学员,回顾性分析学员一般资料、培训情况及培训后满意度评价等。结果 共调查来自我国31个省、自治区、直辖市的716所医院的1 829名学员。其中男性学员占比为8.78%~23.33%,2018年最高;2020年及2021年中级职称学员占比高于40%;26~35岁的护士平均每年占80.92%;近2年本科学历的学员已达到85%以上,硕士学历稳定在2%以上;华东、华北地区学员占每年总学员的50%以上;差异均具有统计学意义（P<0.05）。2020年、2021年理论教学阶段采取线上教学模式,线上教学满意度低于线下教学（P<0.05）,临床实践满意度差异无统计学意义（P>0.05）。结论 急诊急救专科护士培养符合专科发展需要,但专科护士学历及西北、东北、西南等区域的人数有待进一步提高。同时,建议优化线上线下混合式理论教学模式,促进全国理论、实践同质化培训体系的形成。
Objective To investigate the training status of emergency specialist nurses and provide reference for improving the training of emergency specialist nurses in China. Methods We selected trainees who participate in emergency specialist nurses training by Chinese Nursing Association from 2014 to 2021 and retrospectively analyzed their general information,training status and satisfaction evaluation after training. Results 1 829 trainees from 716 hospitals in 31 provinces,autonomous regions and municipalities in China were investigated. The proportion of male trainees was from 8.78% to 23.33%,with the largest proportion in 2018. The proportion of trainees with intermediate professional titles in 2020 and 2021 was higher than 40%. The annual average proportion of nurses aged from 26 to 35 was 80.92%. The number of trainees with undergraduate degree has reached more than 85% and the master degree has stabilized at more than 2% in the past 2 years. Trainees in East and North China accounted for more than 50% of the total trainees every year. The differences were statistically significant（P< 0.05）. The satisfaction of online teaching mode in 2020 and 2021 was lower than that of the offline teaching mode（P< 0.05）. And there was no statistical difference in the satisfaction of clinical practice（P> 0.05）. Conclusion The training of emergency specialist nurses meets the development needs of the specialty,but the educational background and the number of specialized nurses in northwest,northeast,southwest should be improved. It is recommended to continuously optimize the online and offline hybrid theoretical teaching mode,and promote the formation of a national theoretical and practical training system.
[1] 成守珍,陈玉英,王路英,等. 专科护士在我国的发展及展望[J]. 中国护理管理,2021,21(5):649-652.
Cheng SZ,Chen YY,Wang LY,et al.Development and future prospects of nurse specialists in China[J]. Chin Nurs Manag,2021,21(5):649-652.
[2] 全国护理事业发展规划(2016—2020年)[J]. 中国护理管理,2017,17(1):1-5.
The national nursing career development plan(2016—2020)[J]. Chin Nurs Manag,2017,17(1):1-5.
[3] 丁炎明,吴欣娟,肖艳艳,等. 我国53316名专科护士职业发展情况调查研究[J]. 中华护理杂志,2020,55(2):182-186.
Ding YM,Wu XJ,Xiao YY,et al.Investigation on career development of 53,316 specialist nurses in China[J]. Chin J Nurs,2020,55(2):182-186.
[4] 宁艳花,吕云凤,刘国莲,等. 我国专科护士相关研究的文献计量学分析[J]. 中国护理管理,2017,17(2):202-205.
Ning YH,Lü YF,Liu GL,et al.Bibliometric analysis of clinical nurse specialist related researches in China[J]. Chin Nurs Manag,2017,17(2):202-205.
[5] 陈虹秀,杨莘,胡秀英,等. 我国30个省份老年专科护士队伍培养与工作现状调查研究[J]. 中华护理杂志,2021,56(9):1363-1368.
Chen HX,Yang X,Hu XY,et al.A survey and analysis on current status of the training and work for gerontological nurse specialists in 30 provinces in China[J]. Chin J Nurs,2021,56(9):1363-1368.
[6] 中国卫生健康统计年鉴:2020版[M]国卫生健康统计年鉴:2020版[M]. 北京:中国协和医科大学出版社,2020.
China health statistics yearbook:2020[M] yearbook:2020[M]. Beijing:Peking Union Medical University Press,2020.
[7] 刘婷,叶梦华,潘玥,等. 急诊科男护士组织沉默行为的现象学研究[J]. 中国护理管理,2021,21(6):898-903.
Liu T,Ye MH,Pan Y,et al.A phenomenological study on the organizational silence of male nurses in the emergency department[J]. Chin Nurs Manag,2021,21(6):898-903.
[8] 周航,马芳,张艺,等. 男护士临床工作体验的系统评价[J]. 中华护理杂志,2021,56(4):596-603.
Zhou H,Ma F,Zhang Y,et al.Clinical work experience of male nurses:a meta-synthesis[J]. Chin J Nurs,2021,56(4):596-603.
[9] 麦志芹,邓志贞,黄海玲,等. 血液净化专科护士培训中核心能力教学模式的应用效果研究[J]. 中国医药科学,2017,7(7):38-40.
Mai ZQ,Deng ZZ,Huang HL,et al.Research on application effect of core-competence teaching model in training of special nurses of blood purification[J]. China Med Pharm,2017,7(7):38-40.
[10] Canobbio MM,Day MJ.The role of the clinical specialist in an adult congenital heart disease program[J]. Nurs Clin North Am,1994,29(2):357-366.
[11] 庄一渝,冯金娥,隋伟静. 高级临床专科护士的设立与发展[J]. 中国护理管理,2021,21(9):1372-1376.
Zhuang YY,Feng JE,Sui WJ.Review on the establishment and development of advanced practice nurses[J]. Chin Nurs Manag,2021,21(9):1372-1376.
[12] Hoffmann RL,Klein SJ,Rosenzweig MQ.Creating quality online materials for specialty nurse practitioner content:filling a need for the graduate nurse practitioner[J]. J Cancer Educ,2017,32(3):522-527.
[13] 廖再波,王锐莉,胡春艳,等. 互联网背景下我国专科护士培训及考核的现状与思考[J]. 护士进修杂志,2021,36(7):664-667.
Liao ZB,Wang RL,Hu CY,et al.Current situation and thinking of training and assessment of specialized nurses in China under the background of Internet[J]. J Nurses Train,2021,36(7):664-667.
[14] 丁炎明,吴欣娟,王秀英,等. 我国地市级以上护理学会专科护士培训的调查研究[J]. 中华护理杂志,2020,55(5):747-750.
Ding YM,Wu XJ,Wang XY,et al.Investigation on training of specialized nurses developed by nursing associations at all levels in China[J]. Chin J Nurs,2020,55(5):747-750.
[15] 苏曼曼,彭芳敏,李凯霖,等. 骨科专科护士资质培训期望及培养策略的调查研究[J]. 中华护理杂志,2018,53(4):404-409.
Su MM,Peng FM,Li KL,et al.Research on training expectations and training strategies for orthopedic clinical specialist nurses[J]. Chin J Nurs,2018,53(4):404-409.
