首页|30所三级医院开展ICU护士入职培训的现况调查

30所三级医院开展ICU护士入职培训的现况调查

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目的:调查三级医院开展ICU护士入职培训现况,为探索更有效的ICU护士入职培训提供参考.方法:2022年7月—8月,采用便利抽样法选取全国11个省份30所三级医院57个ICU的护理管理者及583名ICU护士作为调查对象,使用自行设计的ICU护士入职培训情况调查问卷进行调查.结果:参与调查的57个(100.0%)ICU均制定了新护士入职培训计划并规定经过带教期后方可独立上岗,但培训形式多样、带教期时长尚不统一,仅32个(56.1%)ICU有资质准入制度和相关考核;52名(91.2%)护理管理者将规范化培训后的新护士视为最优选;应届毕业生新护士占总护士人数的比例与非计划性拔管的发生率呈正相关(r=0.341,P<0.05).参与调查的583名护士中364名(62.4%)认为3~6个月的带教时长最为合适,339名(58.1%)倾向于毕业后先掌握普通患者护理技能,再入职ICU;回归分析显示入职培训期间ICU护士适应工作压力的影响因素为ICU类型、临床实践带教形式与带教时长.结论:目前ICU资质准入制度仍不完善,入职培训尚无统一的方案,带教时长仍需要进一步讨论,未来仍需要制定纲领性文件指导ICU开展护士入职培训工作.
The training status of new nurses in Intensive Care Units in 30 tertiary hospitals
Objective:To investigate the current status of nurse's induction training in Intensive Care Units(ICUs)conducted in 30 tertiary hospitals.Methods:From July to August 2022,583 ICU nurses from 57 ICUs belonging to 30 tertiary hospitals in 11 provinces across China were investigated by convenient sampling.A self-designed questionnaire established using the Delphi method was adopted for investigation.Results:Among the 57 ICUs surveyed,all the enrolled ICUs had induction training programmes for new nurses and stipulated that they could work independently after the training period.However,the training forms were diverse and the duration of the training period was not uniform,and only 32(56.1%)required entry qualifications for new nurses.Totally 91.2%of the head nurses tended to recruit nurses who had received standardized training.The proportion of new nurses in the total number of nurses was positively correlated with the incidence of unplanned extubation(r=0.341,P<0.05).Among the 583 nurses surveyed,364(62.4%)believed that 3-6 months of training time was the most appropriate,and 339(58.1%)nurses were inclined to master general nursing skills before entering ICU.Regression analysis showed that the influencing factors of ICU nurses'adaptation to work stress during induction training were the type of ICU,the form of clinical practice training,and the length of their training.Conclusion:At present,there is a lack of ICU qualification access system and no unified scheme for induction training.The training duration still needs to be further discussed,and programmatic documents are still needed to guide the implementation of induction training for ICU nurses in the future.

intensive care unitinduction trainingclinical practice teachingnew graduatesstandardized trainingcross-sectional study

李宇轩、王晓杰、马雪倩、于淼、李葆华

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北京大学第三医院危重医学科,100191北京市

北京大学第三医院护理部,100191北京市

ICU 入职培训 临床实践带教 应届毕业生 规范化培训 横断面调查

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(2)
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