低年资护士应急能力培养途径与方法探讨.docxVIP

低年资护士应急能力培养途径与方法探讨 徐州医学院ACTAACADEMIAEMEDICINAEXUZHOU2010,30(11) 低年资护士应急能力培养途径与方法探讨 李美英 (丰县人民医院护理部,江苏丰县221700) 摘要:目的寻找低年资护士应急能力培养的途径和方法,提高其应急综合能力.方法2007年1月一 2009年l2月在临床一线从事护理工作2～5年的执业注册护士128人,分批进入重症监护室,急诊监护室,门诊 输液室轮转,进行为期3个月的应急综合能力培训.培训前后临床实地考核综合能力,进行焦虑量表评估,并进 行满意度调查.结果培训后低年资护士急救操作技能及发现问题,解决问题,危重护理记录书写得分均较培训 前明显提高(Plt;0.01),焦虑量值明显降低(Plt;0.01),医生,患者对护土工作的满意率明显提高(Plt;0.01). 结论采用专科轮转培训可有效提高低年资护士的应急综合能力. 关键词:护士;应急能力;培养 中图分类号:R47文献标志码:A文章编号:1000—2065(2010)11—0770—03 Studyofthepathwaysandapproachestothecultivationofthecompetence todealwithemergencyinnurseswithlowseniority LIMeiying (DepartmentofNursing,PeopleSHospitalofFengCounty,FengCounty,Jiangsu221700,China) Abstract:0bjectiveToinvestigatethepathwaysandapproachestothecultivationofthecompetenceinemergency responseinnurseswithlowseniority,andenhancetheircomprehensivecompetenceindealingwithemergency.Method FromJan.,2007toDec.,2009,128licensednursepractitionerswithtwotofiveyearsclinicalworkexperiencewere recruitedinathree—monthtrainingprogramoncomprehensivecompetenceinemergencyresponse,includingrotationsin ICU,ECUandoutpatienttransfusionroom.Theircomprehensivecompetencewasevaluatedbyclinicalon—sitetestsand theanxietyevaluationscaleaswellquestionnairesofsatisfactionratebeforeandafterthetraining.ResultTheresuhsof testsshowsthatthenurseswithlowseniorityhavesignificantenhancementinthescoresoffirst—aidoperationskills, problemfinding,problemsolvingandwritingofcriticalcarenut-singdocuments(Plt;0.O1).Thesatisfactionrateabout nursingfromdoctorsandpatientsmarkedlyincreased(Plt;0.01),andthescoresontheanxietyscaleofnursesevidently decreased(Plt;0.01).ConclusionTrainingprogramswithrotationsinspecialdepartmentscaneffectivelyenhancethe comprehensivecompetenceinemergencyresponseinnurseswithlowseniority. Keyword:nurse;competenceinemergencyresponse;cultivation 低年资护士是指工作时间lt;5年的护士,由于 工作时间短,经验不足,而将其界定为低年资护 士J.应急能力是指在临床工作中,当患者病情发 生变化或突发意外时,护士能够及时发现,正确判断 及处理,用熟练的技能沉着果断地配合抢救的能 力2.由于疾病谱的变化,疑难,重症患者不断增 加,加上患者法律意识的增强