以质量求发展，以服务铸品牌

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

PDF (PC)

130

赞

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
[1] 刘伟,黄清波,丁素云,等.两种带教模式在急诊科新护士临床综合能力培训管理中的应用[J].国际护理学杂志,2017,36(12):1692-1696.
[2] 李莼,周春兰.临床护理师资管理和培训体系的构建[J].护理学报,2013,20(6B):14-16.
[3] 王倩. 带教制在护理人员操作培训中的应用[J].河南医学高等专科学校学报,2016,28(3):256-258.
[4] 魏莹. 情景模拟教学法在内科护理带教中的应用效果[J].医药,2015(12):212.
[5] 陈彩青,谭张红.开放式互动教学模式在妇产科护理教学中的应用效果观察[J].齐齐哈尔医学院学报, 2016,37(12):1594-1595.
[6] Christiansen A, Prescott T, Ball J.Learning in Action:Developing Safety Improvement Capabilities Through Action Learning[J]. Nurse Educ Today,2014, 34(2):243-247.
[1] 徐慧娜, 桂意华. ICU护士血液净化技术培训应用PBL教学法结合能力进阶模式的效果观察[J]. 护理学报, 2020, 27(12): 1-5.
[2] 严晓晶, 陈璐, 陈雁. 社区专科护士培训现状及研究进展[J]. 护理学报, 2020, 27(12): 14-17.
[3] 田凡立, 李惠玲, 杜美兰, 蒋芳琴, 张新梅, 殷雪群. 新型冠状病毒肺炎下援鄂男护士情绪体验的质性研究[J]. 护理学报, 2020, 27(12): 46-49.
[4] 陈娟慧, 陈燕萍, 蒙昱妃, 林绍英, 陶艳玲. 社区护士对老年人家庭访视的知信行评价指标体系构建[J]. 护理学报, 2020, 27(12): 73-78.
[5] 刘伟权, 熊杰, 肖琦, 江燕, 刘俊雅. PBL结合医学模拟教学法在培养ICU专科护士临床能力中应用[J]. 护理学报, 2019, 26(4): 10-13.
[6] 杜丽, 毛红波. 1 423名临床护士薪酬公平感水平现状及影响因素分析[J]. 护理学报, 2019, 26(4): 43-48.
[7] 邓慧芳, 张莉, 颜文贞, 邓伟英, 何少丽, 李素霞, 陈秀云, 陈丽富, 庞志明, 方艳红, 邹舒倩. 282名肿瘤科护士临终关怀态度调查分析[J]. 护理学报, 2019, 26(4): 49-52.
[8] 吴凡, 绳宇, 张玉筠, 朱玲玲, 李秀华. 灾害响应过程中护士救援体验质性研究的Meta整合[J]. 护理学报, 2019, 26(3): 28-33.
[9] 米元元, 董江, 刘欢. 护士职业倦怠真实体验的质性Meta整合[J]. 护理学报, 2019, 26(3): 34-39.
[10] 熊芳芳, 丁福, 赵庆华, 姜玲. 护理专业人员短期国际培训体验的质性研究[J]. 护理学报, 2019, 26(16): 17-21.
[11] 徐娜, 张永爱, 张晓娜, 李菲. 1640名陕西省综合医院护士职业满意度现状及影响因素分析[J]. 护理学报, 2019, 26(16): 46-51.
[12] 刘于, 于明峰, 张文艳. 基于ADDIE模型的在职护士岗位培训的应用与效果研究[J]. 护理学报, 2019, 26(15): 18-21.
[13] 吉加梅, 罗彩凤, 徐剑鸥. 护士情域能力评价量表的编制及信度效度检验[J]. 护理学报, 2019, 26(15): 46-50.
[14] 章琼, 朱芳, 沈元春. 103名院前急救科护士创伤后应激反应筛查现状及影响因素分析[J]. 护理学报, 2019, 26(15): 60-64.
[15] 刘园园, 石福艳, 崔娟, 牛杰, 尹崇高. 新入职规范化培训护士工作环境感知现状及影响因素分析[J]. 护理学报, 2019, 26(14): 1-4.
Viewed
Full text


Abstract

Cited
  Shared   
[1] 张冬妮,刘永军. 老年人自我健康管理综合策略研究进展[J]. 护理学报, 2013, 20(11): 25 -27 .
[2] 王新,李桂友,邓美莲. 1095例孕妇盆腔脏器脱垂影响因素分析[J]. 护理学报, 2013, 20(11): 28 -30 .
[3] 李媛, 张瑞, 卢艳艳, 宁佩, 李雪, 孟庆慧. 师生不同视角下危重症护理硕士专业学位研究生学习方法研究[J]. 护理学报, 2020, 27(11): 1 -5 .
[4] 赵迪, 赵梦璐, 王娜, 付明晶, 梁凤, 张伟, 王爱敏. 青岛市592名社区老年人社会隔离现状及影响因素研究[J]. 护理学报, 2020, 27(11): 6 -10 .
[5] 高莹, 吴玉娥, 张建荣, 崔鑫浩, 陈淑玲, 叶丽芳, 杜秀珍. 基于循证构建轻症急性胰腺炎患者早期经口进食时机评估及管理方案[J]. 护理学报, 2020, 27(11): 11 -15 .
[6] 谢延真, 李壮苗, 张佳宇, 纪秋露, 吴宇欣. 灸法治疗脑卒中后偏瘫的文献计量学分析[J]. 护理学报, 2020, 27(11): 16 -20 .
[7] 练巧兰, 欧阳红莲. 成人ICU患者探视管理研究进展[J]. 护理学报, 2020, 27(11): 21 -25 .
[8] 张爱琴, 陈俊杉, 余金甜. ICU患者谵妄非药物管理相关指南的系统评价[J]. 护理学报, 2020, 27(11): 26 -32 .
[9] 叶冬婷, 张沁莲, 景霜, 郭佳, 邢雁芬. 家属对ICU患者转出体验的Meta整合[J]. 护理学报, 2020, 27(11): 33 -39 .
[10] 刘敏, 刘安诺, 吴德全, 高宇, 陈国红, 朱桂月, 张萌, 马雯, 丁翠路. 运动干预对2型糖尿病老年患者步行功能影响的Meta分析[J]. 护理学报, 2020, 27(11): 40 -45 .