基于角色转变冲击模型ICU新护士培训课程体系的构建
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摘要
目的构建基于角色转变冲击模型的ICU新护士培训课程体系,用于指导护理实践,科学评价ICU新护士的培训质量。方法以角色转变冲击模型为理论依据,采用文献检索法、专家小组讨论、德尔菲专家函询、半结构访谈等方法,建立ICU新护士培训课程体系。结果 2轮专家函询的问卷有效回收率分别为100%和94.44%,专家权威程度系数为0.890,专家意见的协调系数为0.412。最终确定的培训课程体系包括一级指标4个、二级指标17个、三级指标126个。结论基于角色转变冲击模型构建的ICU新护士培训课程体系的科学性和实用性较好,为ICU新护士的培训提供了参考。
Objective To construct training curriculum system for ICU new nurses based on transition shock model,so as to guide clinical nursing practice and evaluate training quality for ICU new nurses. Methods Based on transition shock model,the training curriculum system were established by literature review,expert group discussion,Delphi method and semi-structured interviews with 9 nursing staff. Results The rates of return of questionnaire in the first and second round expert consultation were 100% and 94.44%. The authority coefficient of experts was 0.890,and the coordination coefficient of experts' opinion was 0.412. The system included 4 first-level indexes,17 second-level indexes,and 126 third-level indexes. Conclusion The results of the study is reliable and the system can provide reference for training of new nurses in ICU.
Objective To construct training curriculum system for ICU new nurses based on transition shock model,so as to guide clinical nursing practice and evaluate training quality for ICU new nurses. Methods Based on transition shock model,the training curriculum system were established by literature review,expert group discussion,Delphi method and semi-structured interviews with 9 nursing staff. Results The rates of return of questionnaire in the first and second round expert consultation were 100% and 94.44%. The authority coefficient of experts was 0.890,and the coordination coefficient of experts' opinion was 0.412. The system included 4 first-level indexes,17 second-level indexes,and 126 third-level indexes. Conclusion The results of the study is reliable and the system can provide reference for training of new nurses in ICU.
引文
[1]张含凤,李秋洁,吕冬梅.新毕业护士角色转变的研究进展[J].中华护理杂志,2011,46(11):1142-1145.
[2]Duchscher JE.Transition shock:the initial stage of role adaptation for newly graduated registered nurses[J].J Adv Nurs,2009,65(5):1103-1113.
[3]钟新娥.新入职护士转型冲击对工作适应障碍的影响[J].护理学杂志,2017,32(6):67-69.
[4]张瑜.急诊科新护士转型冲击现状调查及影响因素分析[J].中国护理管理,2018,18(4):507-510.
[5]Salera-Vieira J.The collegial clinical model for orientation of new graduate nurses:a strategy to improve the transition from student nurse to professional nurse[J].J Nurses Staff Dev,2009,25(4):174-181.
[6]Duchscher JE.A process of becoming:the stages of new nursing graduate professional role transition[J].J Contin Educ Nurs,2008,39(10):441-450.
[7]Duchscher JE.Out in the real world newly graduated nurses in acute-care speak out[J].J Nurs Adm,2001,31(9):426-439.
[8]肖喜娥,杨文群,姚娟,等.模块化教学法在ICU新护士岗前培训中的应用[J].护理学杂志(外科版),2015,30(7):20-21.
[9]俞超,高春华,冯洁惠,等.以需求为导向的ICU新护士渐进式培训方案的制订与实施[J].中华护理教育,2017,15(10):128-131.
[10]赵艳丽,杨娟,赵星.ICU新入职护士多元化培训方法及效果观察[J].齐鲁护理杂志,2016,22(20):112-113.
[11]李艳梅,郭爱敏,郭欣颖.ICU新护士焦虑状况及相关因素的调查分析[J].中华护理杂志,2006,42(4):371-372.
[12]刘丹,林平,仰曙芬,等.基于转型冲击模型构建情境模拟方案的初步研究[J].中华护理教育,2016,13(1):16-20.
[13]Dearholt SL,Dang D.Johns Hopkins nursing evidence-based practice:model and guidelines[J].Center for Nurse,2012,22(20):112-113.
[14]张华芳,冯志仙,邵乐文,等.护理质量敏感性指标的构建[J].中华护理杂志,2015,50(3):287-291.
[15]Forum TNQ.National voluntary consensus standards for nursing sensitive care:an initial performance measure set[J].JHealth Qual,2004,26(4):152-157.
[16]崔金锐,陈英,徐蓉,等.呼吸内科护理敏感性质量指标体系的构建[J].中华护理杂志,2016,51(11):1285-1291.
[17]卫生部.专科护理领域护士培训大纲[J].中国护理管理,2007,7(7):4-8.
[18]Zuyeva T,Amendolair D.Perceptions of graduate students transitioning into nursing positions[J].Ninth Annual SC Upstate Research Symposium,2013,4(19):47-48.
[19]Hoarea KJ,Millsc J,Francis K.Becoming willing to role model.Reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand:a constructivist grounded theory[J].Collegian,2013,20(2):87-93.
[20]周厚秀.护理本科生临床能力评价指标体系的研究[D].重庆:第三军医大学,2006.
[21]郭秀花.医学现场调查技术与统计分析[M].北京:人民卫生出版社,2009:61.
[22]成守珍,彭刚艺,刘华平,等.我国16所三级甲等综合医院ICU护士专业核心能力的调查[J].解放军护理杂志,2008,25(17):34-36.
[23]解读《全国护理事业发展规划(2016-2020年)》[J].护理研究,2016,30(36):4608.
[24]田海燕,王斌全.应用Delphi法构建ICU专科护士核心能力评价指标体系[J].中国医学创新,2013,10(16):137-139.
[25]Prahalad CK,Hamel G.The core competence of the corporation[J].Intern Library Crit Writ Econom,2003,163(10):210-222.
[26]赵国琴.护理学导论[M].北京:北京出版社,2007:10.
[2]Duchscher JE.Transition shock:the initial stage of role adaptation for newly graduated registered nurses[J].J Adv Nurs,2009,65(5):1103-1113.
[3]钟新娥.新入职护士转型冲击对工作适应障碍的影响[J].护理学杂志,2017,32(6):67-69.
[4]张瑜.急诊科新护士转型冲击现状调查及影响因素分析[J].中国护理管理,2018,18(4):507-510.
[5]Salera-Vieira J.The collegial clinical model for orientation of new graduate nurses:a strategy to improve the transition from student nurse to professional nurse[J].J Nurses Staff Dev,2009,25(4):174-181.
[6]Duchscher JE.A process of becoming:the stages of new nursing graduate professional role transition[J].J Contin Educ Nurs,2008,39(10):441-450.
[7]Duchscher JE.Out in the real world newly graduated nurses in acute-care speak out[J].J Nurs Adm,2001,31(9):426-439.
[8]肖喜娥,杨文群,姚娟,等.模块化教学法在ICU新护士岗前培训中的应用[J].护理学杂志(外科版),2015,30(7):20-21.
[9]俞超,高春华,冯洁惠,等.以需求为导向的ICU新护士渐进式培训方案的制订与实施[J].中华护理教育,2017,15(10):128-131.
[10]赵艳丽,杨娟,赵星.ICU新入职护士多元化培训方法及效果观察[J].齐鲁护理杂志,2016,22(20):112-113.
[11]李艳梅,郭爱敏,郭欣颖.ICU新护士焦虑状况及相关因素的调查分析[J].中华护理杂志,2006,42(4):371-372.
[12]刘丹,林平,仰曙芬,等.基于转型冲击模型构建情境模拟方案的初步研究[J].中华护理教育,2016,13(1):16-20.
[13]Dearholt SL,Dang D.Johns Hopkins nursing evidence-based practice:model and guidelines[J].Center for Nurse,2012,22(20):112-113.
[14]张华芳,冯志仙,邵乐文,等.护理质量敏感性指标的构建[J].中华护理杂志,2015,50(3):287-291.
[15]Forum TNQ.National voluntary consensus standards for nursing sensitive care:an initial performance measure set[J].JHealth Qual,2004,26(4):152-157.
[16]崔金锐,陈英,徐蓉,等.呼吸内科护理敏感性质量指标体系的构建[J].中华护理杂志,2016,51(11):1285-1291.
[17]卫生部.专科护理领域护士培训大纲[J].中国护理管理,2007,7(7):4-8.
[18]Zuyeva T,Amendolair D.Perceptions of graduate students transitioning into nursing positions[J].Ninth Annual SC Upstate Research Symposium,2013,4(19):47-48.
[19]Hoarea KJ,Millsc J,Francis K.Becoming willing to role model.Reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand:a constructivist grounded theory[J].Collegian,2013,20(2):87-93.
[20]周厚秀.护理本科生临床能力评价指标体系的研究[D].重庆:第三军医大学,2006.
[21]郭秀花.医学现场调查技术与统计分析[M].北京:人民卫生出版社,2009:61.
[22]成守珍,彭刚艺,刘华平,等.我国16所三级甲等综合医院ICU护士专业核心能力的调查[J].解放军护理杂志,2008,25(17):34-36.
[23]解读《全国护理事业发展规划(2016-2020年)》[J].护理研究,2016,30(36):4608.
[24]田海燕,王斌全.应用Delphi法构建ICU专科护士核心能力评价指标体系[J].中国医学创新,2013,10(16):137-139.
[25]Prahalad CK,Hamel G.The core competence of the corporation[J].Intern Library Crit Writ Econom,2003,163(10):210-222.
[26]赵国琴.护理学导论[M].北京:北京出版社,2007:10.
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