基于柯氏模型的在职护士分层级培训效果评价
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摘要
目的:以柯氏模型为向导对医院在职护士分层级培训效果进行评估,为构建具有科学性、可测性、实用性的在职护士培训效果评价体系提供新思路。方法:选取2015年10月-2016年9月笔者所在医院在职培训的护理人员198名,按照随机数字表将其分为对照组和观察组,各99名。对照组采用传统的分层级培训,观察组采用基于柯氏模型的分层级培训,均培训1年,结束后从反应层、学习层、行为层和结果层4个层面进行分层级培训的效果评价,比较两组培训效果。结果:在反应层方面,观察组对培训时间安排、内容设计、带教老师及培训条件方面的满意率均高于对照组(P<0.05);在学习层方面,观察组理论知识、操作技能、思想态度评分均高于对照组(P<0.05);在行为层方面,观察组临床护理、教学能力、科研能力评分均高于对照组(P<0.05);在结果层方面,观察组在患者满意度、护理管理满意度及护士归属感方面均高于对照组(P<0.05),两组护理不良事件、教学科研成果比较差异均无统计学意义(P>0.05)。结论:柯氏评估模型运用于护士的分层级培训中,提高了护士在态度、技能等方面的能力,保证了护士专业技能和服务质量,提高了患者满意度,促进了护理学科的建设与发展。
Objective:To evaluate the effect of hierarchical training for in-service nurses with the Kirkpatrick model as a guide,to provide a new idea for the construction of a scientific,measurable and practical evaluation system of in-service nurses' training effect.Method:A total of 198 nursing staff in in-service training in our hospital from October 2015 to September 2016 were selected.According to the random number table,they were divided into control group and observation group,99 cases in each group.The control group was trained by traditional hierarchical training,and observation group was trained by hierarchical training based on Kirkpatrick model,they were trained for one year,after the end of the training,the effect of the hierarchical training was evaluated from the reaction level,learning level,behavior level and result level,the training effects of two groups were compared.Result:On the reaction level,the satisfaction rate of training schedule,content design,teachers and training conditions in observation group were higher than those of control group(P<0.05).On the learning level,the scores of theoretical knowledge,operational skills and thinking attitude in observation group were higher than those of control group(P<0.05).On the behavioral level,the scores of clinical nursing,teaching ability and scientific research ability in observation group were higher than those of control group(P<0.05).On the result level,the patients' satisfaction,nursing management satisfaction and the sense of belonging of nurses in observation group were higher than those of control group(P<0.05),the nursing adverse events,teaching and scientific research achievements in two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:The application of Kirkpatrick model in the hierarchical training of nurses has improved nurses' abilities in attitude and skills,ensured nurses' professional skills and service quality,improved patients' satisfaction,and promoted the construction and development of nursing discipline.
Objective:To evaluate the effect of hierarchical training for in-service nurses with the Kirkpatrick model as a guide,to provide a new idea for the construction of a scientific,measurable and practical evaluation system of in-service nurses' training effect.Method:A total of 198 nursing staff in in-service training in our hospital from October 2015 to September 2016 were selected.According to the random number table,they were divided into control group and observation group,99 cases in each group.The control group was trained by traditional hierarchical training,and observation group was trained by hierarchical training based on Kirkpatrick model,they were trained for one year,after the end of the training,the effect of the hierarchical training was evaluated from the reaction level,learning level,behavior level and result level,the training effects of two groups were compared.Result:On the reaction level,the satisfaction rate of training schedule,content design,teachers and training conditions in observation group were higher than those of control group(P<0.05).On the learning level,the scores of theoretical knowledge,operational skills and thinking attitude in observation group were higher than those of control group(P<0.05).On the behavioral level,the scores of clinical nursing,teaching ability and scientific research ability in observation group were higher than those of control group(P<0.05).On the result level,the patients' satisfaction,nursing management satisfaction and the sense of belonging of nurses in observation group were higher than those of control group(P<0.05),the nursing adverse events,teaching and scientific research achievements in two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:The application of Kirkpatrick model in the hierarchical training of nurses has improved nurses' abilities in attitude and skills,ensured nurses' professional skills and service quality,improved patients' satisfaction,and promoted the construction and development of nursing discipline.
引文
[1]胡星兰,陈祎,聂梦君.基于柯氏模型的住院医师规范化培训效果评价指标体系的构建[J].现代医院,2016,16(4):583-585.
[2]贾薇,杜亚平.基于柯氏模型的全国社区护理师资培训效果研究[J].中国全科医学,2018,21(1):77-81.
[3]魏芳,王芳,王爱霞,等.进阶模式下分层培训对护士专业能力的影响[J].中国实用护理杂志,2014,30(16):67-69.
[4]张虹,郑翠红,范颖,等.基于Benner理论的护理人员分层培训研究[J].护理学杂志,2015,30(14):9-11.
[5]冯艳,朱跃平,杨君,等.分层级培训在老年科护士在职培训中的运用[J].现代医药卫生,2018,34(6):946-948.
[6]赵书敏,侯荣丹,辛华,等.参与行动研究的临床护士分层级培训效果研究[J].护理研究,2013,27(22):2410-2412.
[7]郝艳青,孙铮.基于柯氏模型的继续护理学教育效果评价指标体系的构建研究[J].中华护理教育,2014,11(9):645-649.
[8]张云红,郭爱梅.柯氏模型在能级护士培训效果评估中的应用[J].教育教学论坛,2016(47):222-223.
[9]薛宁宁,康凤英,呼亚丽,等.柯氏模型在专科护士培训效果评估中的应用进展[J].护理研究,2016,30(31):3848-3850.
[10]唐慧.基于柯氏模型的护士岗前培训效果评价与影响因素分析[D].哈尔滨:黑龙江中医药大学,2017.
[11]黄雪燕,张尹,冯莺,等.柯氏模型在杭州市中医院护理培训效果评价中的应用[J].中华护理杂志,2018,53(1):71-75.
[12]潘耘,黄坚芳,林锦芬.分层管理法在护理管理中的应用效果观察[J].当代护士(下旬刊),2015(2):171-173.
[13]周玉琛.专业培训手册在肿瘤科护士分层级培训中的应用[J].齐鲁护理杂志,2016,22(13):96-97.
[14]王秀兰,徐艳,华桂珍,等.基于柯氏模型的新入职护士规范化培训效果研究[J].护士进修杂志,2017,32(24):2216-2219.
[15]薛宁宁.基于柯氏模型的危重症专科护士培训效果评价研究[D].太原:山西医科大学,2016.
[16]鲜敏,周指明,吴礼康,等.基于柯氏模型和CIPP模型的健康教育人员专业化培训效果评估模型构建[J].人力资源管理,2016(5):50-51.
[17]赵亚南.柯氏模型基本原则在提高培训有效性中的应用研究[J].继续教育,2015,29(5):47-48.
[18]郝艳青,张敏,孙铮.基于柯氏模型的护理管理学情境模拟教学效果评价[J].中华护理教育,2013,10(8):351-353.
[19]谭昌菊.柯氏评估模型在提升临床护士岗位胜任能力中的应用探讨[J].重庆医学,2013,42(21):2562-2564.
[20]徐凤琴,顾则娟,张海林,等.基于柯氏模型构建肿瘤专科护士培训效果评价体系[J].江苏医药,2014,40(21):2563-2565.
[21]孙同琳.住院医师规范化培训模式效果的分析研究[D].青岛:青岛大学,2014.
[2]贾薇,杜亚平.基于柯氏模型的全国社区护理师资培训效果研究[J].中国全科医学,2018,21(1):77-81.
[3]魏芳,王芳,王爱霞,等.进阶模式下分层培训对护士专业能力的影响[J].中国实用护理杂志,2014,30(16):67-69.
[4]张虹,郑翠红,范颖,等.基于Benner理论的护理人员分层培训研究[J].护理学杂志,2015,30(14):9-11.
[5]冯艳,朱跃平,杨君,等.分层级培训在老年科护士在职培训中的运用[J].现代医药卫生,2018,34(6):946-948.
[6]赵书敏,侯荣丹,辛华,等.参与行动研究的临床护士分层级培训效果研究[J].护理研究,2013,27(22):2410-2412.
[7]郝艳青,孙铮.基于柯氏模型的继续护理学教育效果评价指标体系的构建研究[J].中华护理教育,2014,11(9):645-649.
[8]张云红,郭爱梅.柯氏模型在能级护士培训效果评估中的应用[J].教育教学论坛,2016(47):222-223.
[9]薛宁宁,康凤英,呼亚丽,等.柯氏模型在专科护士培训效果评估中的应用进展[J].护理研究,2016,30(31):3848-3850.
[10]唐慧.基于柯氏模型的护士岗前培训效果评价与影响因素分析[D].哈尔滨:黑龙江中医药大学,2017.
[11]黄雪燕,张尹,冯莺,等.柯氏模型在杭州市中医院护理培训效果评价中的应用[J].中华护理杂志,2018,53(1):71-75.
[12]潘耘,黄坚芳,林锦芬.分层管理法在护理管理中的应用效果观察[J].当代护士(下旬刊),2015(2):171-173.
[13]周玉琛.专业培训手册在肿瘤科护士分层级培训中的应用[J].齐鲁护理杂志,2016,22(13):96-97.
[14]王秀兰,徐艳,华桂珍,等.基于柯氏模型的新入职护士规范化培训效果研究[J].护士进修杂志,2017,32(24):2216-2219.
[15]薛宁宁.基于柯氏模型的危重症专科护士培训效果评价研究[D].太原:山西医科大学,2016.
[16]鲜敏,周指明,吴礼康,等.基于柯氏模型和CIPP模型的健康教育人员专业化培训效果评估模型构建[J].人力资源管理,2016(5):50-51.
[17]赵亚南.柯氏模型基本原则在提高培训有效性中的应用研究[J].继续教育,2015,29(5):47-48.
[18]郝艳青,张敏,孙铮.基于柯氏模型的护理管理学情境模拟教学效果评价[J].中华护理教育,2013,10(8):351-353.
[19]谭昌菊.柯氏评估模型在提升临床护士岗位胜任能力中的应用探讨[J].重庆医学,2013,42(21):2562-2564.
[20]徐凤琴,顾则娟,张海林,等.基于柯氏模型构建肿瘤专科护士培训效果评价体系[J].江苏医药,2014,40(21):2563-2565.
[21]孙同琳.住院医师规范化培训模式效果的分析研究[D].青岛:青岛大学,2014.