重庆市重症医学专科护士实践培训体系的研究

发布时间：2018-10-11 11:26

【摘要】：目的:在了解国内外重症专科护士培训现状的基础上,建立重庆市重症医学专科护士实践培训体系,包括培训内容、课程设置、培训效果等方面的评价,最终形成对重症医学专科护士的专业技术水平、临床服务能力、教学能力及科研能力等综合素质的全面评价,为重症医学专科护士的培训提供客观的参照标准,促使人力资源的有效管理。方法:采用量性与质性研究相结合的方法构建重庆市重症医学专科护士实践培训体系。1.通过文献综述法了解国内外重症医学专科护士培训现状;2.通过量性研究(调查问卷)和质性研究(半结构式访谈)深入的了解重庆市重症医学专科护士的培训现状;3.通过两轮德尔菲法确定指标条目,并计算各指标权重。结果:(1)共调查已通过重症医学专科护士培训的509名专科护士,回收有效问卷435份,有效回收率为85.46%。其中女性占95.64%,(年龄在23~48岁),重症医学科工龄在2~5年占75.63%,大专及以上学历占99.31%。参加培训的临床实践时间均为2个月,其中对临床实践培训目的明确者占97.47%,对临床实践内容清楚者占96.55%,对临床实践效果满意者占93.57%。(2)两轮函询问卷的有效回收率皆为100%,两轮专家权威系数均为0.928,其中判断依据均为0.937,熟悉程度也均为0.920;第一轮一、二、三级指标的肯德尔协调系数分别为0.236、0.198、0.204,P0.001,第二轮分别为0.283、0.204、0.283,P0.001,最终构建的重庆市重症医学专科护士实践培训体系包括6项一级指标,28项二级指标和50项三级指标。结论:研制出的重庆市重症医学专科护士实践培训体系,具有较好的可操作性,权重设置具有较好的科学性,对各单位进行重症医学专科护士实践培训具有指导作用。
[Abstract]:Objective: to establish a practical training system for intensive care nurses in Chongqing on the basis of understanding the current situation of training of intensive care nurses at home and abroad, including the evaluation of training content, curriculum, training effect and so on. Finally, a comprehensive evaluation of the professional technical level, clinical service ability, teaching ability and scientific research ability of the specialized nurses in severe medicine is formed, which provides an objective reference standard for the training of the specialized nurses in severe medicine. To promote the effective management of human resources. Methods: the practical training system of Chongqing specialized nurses in critical medicine was constructed by combining quantitative and qualitative studies. 1. Through the literature review method to understand the domestic and foreign intensive medicine specialized nurses training status; 2. Research on throughput (questionnaire) and qualitative research (semi-structured interview) deeply understand the training status of Chongqing specialized nurses in critical medicine; 3. Through two rounds of Delphi method to determine the index items, and calculate the weight of each index. Results: (1) A total of 509 nurses trained in intensive medicine were investigated, 435 valid questionnaires were collected, and the effective recovery rate was 85.46%. Among them, 95.64% were female (aged 23 ~ 48), 75.63% were in intensive medicine for 2 ~ 5 years, 99.31% were college degree or above. The clinical practice time of training was 2 months. Among them, 97.47 have definite aim of clinical practice training, 96.55555 have clear clinical practice content, 93.577am are satisfied with clinical practice effect. (2) the effective recovery rate of two rounds of questionnaire is 100, and the expert authority coefficient of two rounds is 0.928, in which judgment is made. The basis is 0.937, and the familiarity is 0.920. Second, the Kendall coordination coefficient of the third grade index was 0.236U 0.1980.204g P0.001, and the second round was 0.283n0.2040.283mP0.001respectively. The training system of Chongqing specialized nurses in intensive medicine included 6 first class indexes, 28 second class indexes and 50 third grade indexes. Conclusion: the practical training system of Chongqing specialized nurses in critical medicine has good maneuverability and scientific weight setting. It can guide every unit to carry out practical training of specialized nurses in severe medicine.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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