基于专科护士核心能力的兵团手术室专科护士培训方案研究

发布时间：2018-09-13 16:30

【摘要】：目的:以手术室专科护士核心能力培养为目标导向,构建兵团手术室专科护士培训方案,包括学员入选标准、师资要求、培养时间、方式、培训目标、培训考核、培训内容等。并运用德尔菲专家咨询法进行评价,最终确定一套标准、统一的兵团手术室专科护士培训方案,可为手术室专科护士的培养提供参考依据,使培训工作系统化,提高培训质量和效果。方法:1.文献分析法:通过查阅文献,确定手术室专科护士核心能力的框架,包括专业品质、围手术期护理能力、评判性思维能力、管理能力、交流沟通能力、专业发展能力,六个核心能力。2.专家咨询法:基于兵团手术室专科护士培训现况,以专科护士核心能力为目标指引,拟定培训方案,并运用两轮德尔菲法进行评价,通过专家咨询的积极系数、权威系数、变异系数、协调系数等指标,对咨询结果进行可靠性和科学性的检验,最终确定兵团手术室专科护士培训方案。结果:1.函询专家:第一轮36名,第二轮35名,包括临床护理专家、护理管理专家、护理教育专家和临床外科手术医生,均来自西北地区(陕西、甘肃、青海、宁夏、新疆)手术室专科护士培训基地的三级综合医院,具有较高的学科代表性和地区代表性。2.两轮专家咨询结果可靠性:两轮专家咨询的积极系数分别为100%、97.2%,表明专家的积极性高;专家权威程度系数Cr为0.901和0.908,可信度较高,具有较好的学科代表性;第二轮培训方案专家协调系数为0.505(P0.00),理论课程专家协调系数0.533(P0.00),实践课程专家协调系数为0.392(P0.00),显著性检验具有统计学意义,表明专家意见协调程度较好,咨询结果的可靠性强。3.确定了兵团手术室专科护士培训方案,包括学员入选标准、师资要求、培养时间、方式、培训目标、培训考核、培训内容等。共49个条目,重要性性评分均值范围在4.30~5.00之间,标准差为0.000~0.531,变异系数为0.000~0.136。4.确定了具体的培训内容:理论课程和实践课程:理论课程共70个内容,重要性性评分均值范围在4.06~4.97之间,标准差为0.148~0.613,变异系数为0.029~0.145,实践课程38个内容,重要性性评分均值范围在4.14~4.96之间,标准差为0.209~0.560,变异系数为0.042~0.135。结论:本研究构建的兵团手术室专科护士培训方案具有可靠性和科学性,可为兵团手术室专科护士培训提供参考依据。
[Abstract]:Objective: to set up a training program for operating room nurses, including the selection criteria, teachers' requirements, training time, methods, training objectives, training assessment, training contents and so on, based on the training of operating room nurses' core competence. Using Delphi expert consultation method to evaluate and finally determine a set of standards, a unified training program for specialized nurses in the operating room of the corps, which can provide a reference basis for the training of specialized nurses in operating rooms, and systematize the training work. Improve the quality and effect of training. Method 1: 1. Literature analysis: through literature review, the framework of core competence of operating room nurses was determined, including professional quality, perioperative nursing ability, critical thinking ability, management ability, communication ability, professional development ability, etc. Six core competencies. The method of expert consultation: based on the present situation of specialist nurse training in the operating room of the Corps, taking the core competence of the specialist nurse as the target guide, the training program is drawn up and evaluated by using two rounds of Delphi method. The positive coefficient and authority coefficient of expert consultation are adopted. Variation coefficient, coordination coefficient and other indexes, the reliability and scientific test of consultation results were carried out, and the training scheme of specialized nurses in operating room of the corps was finally determined. The result is 1: 1. Letter experts: 36 in the first round, 35 in the second, including clinical nursing experts, nursing management experts, nursing education experts and clinical surgeons, all from the Northwest Territories (Shaanxi, Gansu, Qinghai, Ningxia, Xinjiang) operating room specialized nurse training base level 3 general hospital, has the higher discipline representativeness and the district representative. The reliability of the results of two rounds of expert consultation: the positive coefficient of the two rounds of expert consultation is 100 ~ 97.22, which indicates that the enthusiasm of the expert is high, the expert authority coefficient Cr is 0.901 and 0.908, the credibility is high, and the expert is representative of the subject. The coordination coefficient of experts in the second round of training programs is 0.505 (P0.00), the coordination coefficient of experts in theoretical courses is 0.533 (P0.00), and the coordination coefficient of experts in practical courses is 0.392 (P0.00). The significance test shows that the coordination degree of expert opinions is good and the reliability of consultation results is strong. 3. The training scheme of specialized nurses in the operating room of the corps was determined, including the selection standard, the requirement of teachers, the training time, the way, the training target, the training examination, the training content and so on. A total of 49 items, the mean range of importance score was between 4.30 and 5.00, the standard deviation was 0.000 ~ 0.531, and the coefficient of variation was 0.000 ~ 0.136.4. The specific training contents were determined: theory course and practice course: there were 70 contents in theory course, the mean value of importance score was between 4.06 and 4.97, the standard deviation was 0.1480.6313, the coefficient of variation was 0.0290.145, and the content of practical course was 38. The mean range of importance score was 4.14 ~ 4.96, the standard deviation was 0.209 ~ 0.560, and the coefficient of variation was 0.042 ~ 0.135. Conclusion: the training scheme of special nurses in operating room is reliable and scientific, which can provide reference for the training of special nurses in operating room of corps.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【参考文献】