厦门市基层医疗卫生机构护理人员培训需求及培训模式探讨
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摘要
目的探讨厦门市基层卫生医疗机构护理人员培训需求及培训模式。方法选取2016年7月—2018年7月厦门基层卫生医疗机构的护理人员468例,其中厦门城市社区卫生服务中心护理人员224例,乡镇卫生院244例。采用自制的基层医疗卫生机构护理人员培训需求调查表调查。结果厦门城市社区卫生服务中心和乡镇卫生院的护理人员的年龄、学历结构、职称结构、社区工作年限、岗位培训参加情况之间的差异无统计学意义(P> 0. 05)。厦门城市社区卫生服务中心和乡镇卫生院的护理人员期望参加的培训项目、培训方式、培训实践、理论和实践学习比重之间的差异有统计学意义(P <0. 05),但培训愿望、培训要求之间的差异无统计学意义(P> 0. 05)。结论城市社区卫生服务中心和乡镇卫生院的护理人员的培训需求不同,应该将分层、分区域的培训模式建立起来,对社区护理培训进行进一步完善。
Objective To investigate the training needs and model of nurses from primary health care institutions in Xiamen. Methods Totally 468 nurses from primary health care institutions in Xiamen were recruited by random sampling method,in which 224 cases form urban areas and 244 from rural areas. The self-made questionnaire was used to investigate the training needs of nurses. Results There was no significant difference in age,education level,professional title,working age in community healthcare center,participation in on-the-job training between nurses form urban areas and those from rural areas( P > 0. 05). There was a significant difference in training program,training method,training practice and balance between theoretical and practical learning between nurses form urban areas and those from rural areas( P < 0. 05),but was no significant difference in willing of training and training requirement between two groups( P > 0. 05).Conclusion Given the difference of training needs between nurses from urban areas and from rural areas,it is required to establish a hierarchical and sub-regional training model and to improve the quality of training for nurses in community healthcare centers.
Objective To investigate the training needs and model of nurses from primary health care institutions in Xiamen. Methods Totally 468 nurses from primary health care institutions in Xiamen were recruited by random sampling method,in which 224 cases form urban areas and 244 from rural areas. The self-made questionnaire was used to investigate the training needs of nurses. Results There was no significant difference in age,education level,professional title,working age in community healthcare center,participation in on-the-job training between nurses form urban areas and those from rural areas( P > 0. 05). There was a significant difference in training program,training method,training practice and balance between theoretical and practical learning between nurses form urban areas and those from rural areas( P < 0. 05),but was no significant difference in willing of training and training requirement between two groups( P > 0. 05).Conclusion Given the difference of training needs between nurses from urban areas and from rural areas,it is required to establish a hierarchical and sub-regional training model and to improve the quality of training for nurses in community healthcare centers.
引文
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[12]周春美,吴黎明,吴晓璐,等.不同社区卫生服务机构护理人员培训需求及培训模式探讨[J].中国全科医学,2013,16(19):2277-2279.
[13]GRUNDY A C,WALKER L,MEADE O,et al.Evaluation of a co-delivered training package for community mental health professionals on service user-and carerinvolved care planning[J].J Psychiatr Ment Health Nurs,2017,24(6):358-366.
[14]张丽娟,王翠翠,陈婷.国内外社区护理队伍建设研究进展[J].护理学杂志,2014,29(7):89-91.
[2]李黎明,王秀琴,胡玉华.厦门市公共卫生专业人才队伍建设现况调查[J].中国公共卫生,2016,32(11):1560-1562.
[3]潘芳,叶然,徐桂华.养老机构养老护理人员培训学习需求[J].中国老年学,2017,37(4):1006-1007.
[4]李文萍.城市社区卫生服务中心建设模式的探索与思考[J].中华全科医学,2013,11(8):1265-1266.
[5]郭敏璐,张明吉,王伟,等.我国四省市社区卫生技术人员的工作满意度及其影响因素研究[J].中国全科医学,2017,20(4):406-410.
[6]DIB H H,SUN P,MINMIN Z,et al.Evaluating community health centers in the City of Dalian,China:how satisfied are patients with the medical services provided and their health professionals?[J].Health Place,2010,16(3):477-488.
[7]方律颖,蒋曼,万和平,等.上海市老年护理人员配置及其培训教育调查分析[J].中国卫生资源,2017,20(5):384-389.
[8]张志伟,陈丽梅,谢莉玲,等.以提升社区护士核心能力为导向的培训课程指标体系构建[J].护理研究,2017,31(27):3392-3396.
[9]韩婷婷,关红,张来军,等.我国医院-社区-家庭护理模式应用现状的文献分析[J].中华现代护理杂志,2017,23(16):2087-2091.
[10]张永爱,荆亚茹,宋梅,等.社区护士和三级医院护士的职业满意度、组织亲和力、离职意图的比较研究[J].护理研究,2011,25(5):1156-1158.
[11]张欢,潘文,闫镝,等.乡镇卫生院护理人员工作现状及离职意愿研究[J].中国卫生政策研究,2015,8(8):23-28.
[12]周春美,吴黎明,吴晓璐,等.不同社区卫生服务机构护理人员培训需求及培训模式探讨[J].中国全科医学,2013,16(19):2277-2279.
[13]GRUNDY A C,WALKER L,MEADE O,et al.Evaluation of a co-delivered training package for community mental health professionals on service user-and carerinvolved care planning[J].J Psychiatr Ment Health Nurs,2017,24(6):358-366.
[14]张丽娟,王翠翠,陈婷.国内外社区护理队伍建设研究进展[J].护理学杂志,2014,29(7):89-91.