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护理学报 ›› 2018, Vol. 25 ›› Issue (24): 5-8.doi: 10.16460/j.issn1008-9969.2018.24.005

• 护理教育 • 上一篇    下一篇

全员分层带教模式在神经内科护理带教中的应用体会

李洋, 秦小欢, 周芸, 张诞萍, 徐卓珺   

  1. 同济大学附属东方医院南院 神经内科,上海 200120
  • 收稿日期:2018-04-28 出版日期:2020-07-09 发布日期:2020-07-09
  • 通讯作者: 徐卓珺（1983-）,女,上海人,本科学历,主管护师,护士长。E-mail：bernice_xzj@163.com
  • 作者简介:李洋（1983-）,女,上海人,本科学历,主管护师。
  • 基金资助:
    上海市浦东卫生系统重点学科群建设资助（PWZxq2017-08）; 上海市浦东新区卫生系统重要薄弱学科建设资助（PWZbr2017-13）

Application of Hierarchical Full-crew Teaching Mode in Nursing Teaching in Neurology Department

LI Yang, QIN Xiao-huan, ZHOU Yun, ZHANG Dan-ping, XU Zhuo-jun   

  1. Dept. of Neurology, South Branch of East Hospital, Tongji University, Shanghai 200120, China
  • Received:2018-04-28 Online:2020-07-09 Published:2020-07-09

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摘要： 目的 观察全员分层带教模式在神经内科护理带教中的应用效果。方法 选择在我院神经内科新入职护士共计96名,按入科批次先后顺序分为2组,其中观察组51名,对照组45名,观察组采用全员分层带教模式,对照组采用传统的“一带一”师徒关系带教模式。比较入科后护理部首月考核成绩（理论、操作）、护士满意率、入科首月考核成绩合格后护士独立当班时限以及医护合作体验。结果 对照组入科后护理部首月考核成绩:基础护理（80.20±4.32）分,专科护理（86.74±4.42）分,制度与流程（82.20±3.50）分,护士满意率（带教内容安排合理24%、带教老师能力胜任97%、带教方法合理24%、带教方法结合临床35%）、护士独立当班时限:护士独立当班所需带教时长（10.36±2.38）d,医护合作（医嘱及时执行42%、医嘱执行质量满意率44%、医护交流顺畅24%、业务素质满意率33%）。观察组入科后护理部首月考核成绩:基础护理（93.40±5.80）分,专科护理（90.25±4.50）分,制度与流程（92.19±3.58）分,护士满意率（带教内容安排合理84%、带教老师能力胜任96%、带教方法合理100%、带教方法结合临床100%）,护士独立当班时限（7.64±3.68）天,医护合作（医嘱及时执行94%、医嘱执行质量满意率80%、医护交流顺畅94%、业务素质满意率94%）体验均优于对照组（P<0.05）。结论 全员带教模式有利于科室管理和发展,保障护理工作安全,提高护士整体能力,增进神经内科整体带教效果。

关键词: 分层带教模式, 护士, 培训, 神经内科

Abstract: Objective To observe the application effect of hierarchical full-crew teaching mode in nursing teaching of neurology department. Methods A total of 96 newly admitted nurses of in-turn in neurology department of our hospital were selected and divided into observation group (n=51) and control group (n=45). The observation group adopted the hierarchical teaching mode, while the control group the traditional one-to-one tutorial mode. The assessment results (theory and operation) of the nursing department in the first month after the admission, the satisfaction rate of nurses, the time limit of the nurses to be independently on duty after passing the first month assessment, and the cooperation with doctors were compared. Results In the control group, the score of primary care, specific nursing, and system and process was 80.20±4.32, 86.74±4.42 and 82.20±3.50 respectively and satisfaction rates of reasonable arrangement of teaching content, teacher's capacity, reasonable teaching method and teaching method combining with clinical practice were 24%, 97%, 24%, and 35% respectively. The time limit for independent duty was (10.36±2.38)d. Doctor-nurse cooperation rates were 42% for timely execution of orders, 44% for satisfaction rate of orders execution quality, 24% for smooth communication, and 33% for quality satisfaction. In the observation group, the score of primary care, specific nursing, and system and process was 93.40±5.80, 90.25±4.50 and 92.19±3.58 respectively satisfaction rates of reasonable arrangement of teaching content, teacher's capacity, reasonable teaching method and teaching method combining with clinical practice were 84%, 96%, 100% and 100% respectively. The time limit for independent duty was (7.64±3.68)d; Doctor-nurse cooperation rates were 94% for timely execution of orders, 80% for satisfaction rate of orders execution quality, 94% for smooth communication, and 94% for quality satisfaction. The teaching effect of the observation group was better than that of the control group (P<0.05). Conclusion The full-crew teaching mode is conducive to the management and development of the department, to ensuring the safety of nursing work, improving the overall ability of nurses, and the overall teaching effect of neurology department.

Key words: hierarchical teaching mode, nurse, training, neurology department

中图分类号: 

  • G424
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