以能级为基础的急诊科护士岗位培训研究进展
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摘要
文章指出了急诊科岗位设置情况与特点,以及急诊科护士的能级特点,并对N1～N5级护士定义、岗位培训目标、护士学习方法、岗位培训方法、培训内容、考核等方面进行综述。在此基础上,对以能级为基础的急诊科护士岗位培训进行展望,以期为各大医院急诊科护士的岗位培训及护士的职业发展提供参考。
This article reviewed the characteristic of the position,the characteristic of nursing levels,and on-the-job training including the definitions from N1 nurse to N5 nurse,the position training aims,the methods for nurses to study,the methods for training,training contents and evaluation in the emergency department.On the bases,it forecasts on-the-job training of nurses based on competency level,and expected to provide a base reference for on-the-job training and development of nurses in emergency department.
This article reviewed the characteristic of the position,the characteristic of nursing levels,and on-the-job training including the definitions from N1 nurse to N5 nurse,the position training aims,the methods for nurses to study,the methods for training,training contents and evaluation in the emergency department.On the bases,it forecasts on-the-job training of nurses based on competency level,and expected to provide a base reference for on-the-job training and development of nurses in emergency department.
引文
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[3]CHU W,HSU L.The process of acquiring practical knowledge by emergency nursing professionals in Taiwan:a phenomenological study[J].Journal of Emergency Nursing,2011,37(2):126-131.DOI:10.1016/j.jen.2009.12.019.
[4]ANDERSSON H,SUNDSTR?M B W,NILSSON K,et al.Competencies in Swedish emergency departments-The practitioners’and managers'perspective[J].Journal of E-mergency Nursing,2015,22(2):81-87.DOI:10.1016/j.ienj.2013.06.005.
[5]陈燕雅,李泽楷.护士职业生涯成功的研究进展[J].中国护理管理,2015,15(12):1488-1491.DOI:10.3969/j.issn.1672-1756.2015.12.020.
[6]周伟娇,万巧琴,陈静,等.护理岗位评价的研究进展[J].中国护理管理,2015,15(10):1226-1229.DOI:10.3969/j.issn.1672-1756.2015.10.020.
[7]刘喜红,杨会琴,秦霞,等.岗位管理下成组护理模式在急诊抢救室的应用[J].护理研究,2013,27(31):3555-3556.DOI:10.3969/j.issn.1009-6493.2013.31.045.
[8]张沁莲,董金彦,罗珊,等.急诊科以岗位管理为基础的护士绩效考核效果[J].护理研究,2013,27(30):3428-3429.DOI:10.3969/j.issn.1009-6493.2013.30.053.
[9]朱继红.急诊医学[M].第2版.北京:北京大学医学出版社,2015:22.
[10]BENNER P.From novice to expert[J].American Journal of Nursing,1982,82(3):402-407.
[11]FLINKMAN M,LEINO-KILPI H,NUMMINEN O,et al.Nurse Competence Scale:a systematic and psychometric review[J].Journal of Advanced Nursing,2017,73(5):1035-1050.DOI:10.1111/jan.13183.
[12]VALDEZ A M.Transitioning from novice to competent:what can we learn from the literature about graduate nurses in the emergency setting?[J].Journal of Emergency Nursing,2008,34(5):435-440.DOI:10.1016/j.jen.2007.07.008.
[13]甘红霞,赵庆华.临床护士对工作任务重要性认知的层级差异性分析[J].护理管理杂志,2017,17(2):101-103.
[14]胡建利,盛芝仁,周红娣,等.扁平化护理模式下低年资责任护士工作体验的研究[J].中国护理管理,2015,15(12):1492-1495.DOI:10.3969/j.issn.1672-1756.2015.12.021.15(12):1492-1495.DOI:10.3969/j.issn.1672-1756.2015.12.021.
[15]关丽丽,李晓飞,宋舒,等.不同工作年限护士能力的调查研究[J].护理研究,2014,28(28):3496-3499.DOI:10.3969/j.issn.1009-6493.2014.28.015.
[16]林翠.不同年限护士的核心能力水平差异及其针对性培训研究[J].护理实践与研究,2018,15(9):4-6.DOI:10.3969/j.issn.1672-9676.2018.09.002.
[17]国家卫生计生委办公厅.国家卫生计生委办公厅关于印发《新入职护士培训大纲(试行)》的通知[S/OL].[2018-12-10].http://www.nhfpc.gov.cn/yzygj/s3593/201602/91b5a8fa3c9a45859b036558a5073875.shtml.
[18]常稳重.应用岗前培训创新体系提高新护士岗位胜任力的效果评价[J].护理管理杂志,2016,16(8):587-588.
[19]MISSEN K,MEKENNA L,BEAUEHAMP A.Satisfaction of newly graduated nurses enrolled in transition to practice programmes in their first year of employment:a systematic review[J].Journal of Advanced Nursing,2014,70(11):2419-2433.DOI:10.1111/jan.12464.
[20]吉云兰,崔秋霞,张亚云,等.基于实境的案例分析法在急诊低年资护士临床实践能力培训中的应用研究[J].护士进修杂志,2016,31(23):2141-2143.DOI:10.16821/j.cnki.hsjx.2016.23.011.
[21]郑敏,龚静,毕科,等.急诊6大病种情景演练培训模式对低年资护士的培训效果研究[J].重庆医学,2016,45(20):2763-2764.DOI:10.3969/j.issn.1671-8348.2016.20.008.
[22]赵清石,王维维,孙海云,等.急诊科分级培训及考核的实践与效果[J].护理管理杂志,2014,14(12):879-880.
[23]张阳春,季学丽,李玫,等.双向选择模式下的导师小组制在急诊新护士规范化培训中的应用[J].中国护理管理,2016,16(3):358-362.DOI:10.3969/j.issn.1672-1756.2016.03.019.
[24]丁娟,张凤勤,陈红宇,等.成功能力模型在新护士规范化培训中的应用研究[J].护理管理杂志,2018,18(9):657-660.DOI:10.3969/j.issn.1671-315x.2018.09.012.
[25]蔡婷婷,曹梅娟.国内外新护士角色转变培训项目的研究进展[J].护理管理杂志,2016,16(10):696-698.
[26]汪晖,尹世玉,杜杏利,等.临床护理岗位分层培训管理模式的构建及成效[J].护理学杂志,2014,29(21):51-53.DOI:10.3870/hlxzz.2014.21.051.
[27]姚正娟,张翠保.典型案例护理查房模式对年轻护士评判性思维能力的影响[J].护理实践与研究,2015,12(12):114-115.DOI:10.3969/j.issn.1672-9676.2015.12.061.
[28]COLE F L,RAMIREZ E,LUNA-GONZALES H.Scope of practice of nurse practitioners in emergency care[M].Des Plaines(IL):Emergency Nurses Association,1999:35.
[29]金学勤,胡乃民,黄群,等.护士分层次岗位培训的方法与效果[J].护理管理杂志,2012,12(11):811-812.DOI:10.3969/j.issn.1671-315X.2012.11.021.
[30]谢咏湘,李映兰,石莲桂,等.急诊预检分诊护士核心能力评价指标体系的构建[J].中国护理管理,2018,18(5):641-646.DOI:10.3969/j.issn.1672-1756.2018.05.014.
[31]王芝,许燕,施银,等.反思性学习在急诊护士业务学习培训中的应用[J].中华护理杂志,2013,48(12):1119-1120.DOI:10.3761/j.issn.0254-1769.2013.12.022.
[32]张学萍,沈莹,庄海峰,等.多模式护理教学查房在专科护士临床带教中的应用[J].中国护理管理,2014,14(3):312-314.DOI:10.3969/j.issn.1672-1756.2014.03.029.
[33]龙春花,陈桂兰.急救体系应急能力培训的教师标准化患者队伍建设与培养[J].护士进修杂志,2017,32(23):2165-2167.DOI:10.16821/j.cnki.hsjx.2017.23.018.
[34]郭玉丽,张晓红,崔丽萍,等.国家级专科护士资格认证后考核标准的构建[J].护理研究,2018,32(2):256-258.DOI:10.3969/j.issn.1009-6493.2018.02.022.
[35]李小金,陈雪霞,林少玲,等.柏拉图分析法在临床案例安全风险识别中的应用[J].中国实用护理杂志,2016,32(29):2302-2306.DOI:10.3760/cma.j.issn.1672-7088.2016.29.018.
[36]王淑良,段志光,张艺鸣,等.临床护理专家核心能力评价指标体系的构建[J].护理研究,2017,31(13):1569-1572.DOI:10.3969/j.issn.1009-6493.2017.13.009.
[37]章芳芳,黄丽华,胡一宇,等.护理岗位培训评价标准的构建[J].中华护理杂志,2016,51(1):11-14.DOI:10.3761/j.issn.0254-1769.2016.01.002.
[38]金静芬,陈水红,张茂,等.急诊预检分级分诊标准的构建研究[J].中华急诊医学杂志,2016,25(4):527-531.DOI:10.3760/cma.j.issn.1671-0282.2016.04.030.
[39]李宁,王玉玲,宋海楠,等.新入职护士一般自我效能感与焦虑抑郁状况调查及分析[J].解放军医学院学报,2017,38(6):545-547.DOI:10.3969/j.issn.2095-5227.2017.06.014.
[40]刘金兰.分层培训在急诊护士规范化培训中的应用[J].护理研究,2014,28(18):2274-2275.DOI:10.3969/j.issn.1009-6493.2014.18.055.
[41]杨剑,赵剡,田钰,等.定期视频反馈学习法对急诊护士岗位胜任力的影响[J].护理学杂志,2018,33(1):71-73.DOI:10.3870/j.issn.1001-4152.2018.01.071.(:2018-10-07;:2019-01-04)
[2]RYLE G.The Concept of Mind[M].Harmondsworth,UK:Penguin Books,2000:102.
[3]CHU W,HSU L.The process of acquiring practical knowledge by emergency nursing professionals in Taiwan:a phenomenological study[J].Journal of Emergency Nursing,2011,37(2):126-131.DOI:10.1016/j.jen.2009.12.019.
[4]ANDERSSON H,SUNDSTR?M B W,NILSSON K,et al.Competencies in Swedish emergency departments-The practitioners’and managers'perspective[J].Journal of E-mergency Nursing,2015,22(2):81-87.DOI:10.1016/j.ienj.2013.06.005.
[5]陈燕雅,李泽楷.护士职业生涯成功的研究进展[J].中国护理管理,2015,15(12):1488-1491.DOI:10.3969/j.issn.1672-1756.2015.12.020.
[6]周伟娇,万巧琴,陈静,等.护理岗位评价的研究进展[J].中国护理管理,2015,15(10):1226-1229.DOI:10.3969/j.issn.1672-1756.2015.10.020.
[7]刘喜红,杨会琴,秦霞,等.岗位管理下成组护理模式在急诊抢救室的应用[J].护理研究,2013,27(31):3555-3556.DOI:10.3969/j.issn.1009-6493.2013.31.045.
[8]张沁莲,董金彦,罗珊,等.急诊科以岗位管理为基础的护士绩效考核效果[J].护理研究,2013,27(30):3428-3429.DOI:10.3969/j.issn.1009-6493.2013.30.053.
[9]朱继红.急诊医学[M].第2版.北京:北京大学医学出版社,2015:22.
[10]BENNER P.From novice to expert[J].American Journal of Nursing,1982,82(3):402-407.
[11]FLINKMAN M,LEINO-KILPI H,NUMMINEN O,et al.Nurse Competence Scale:a systematic and psychometric review[J].Journal of Advanced Nursing,2017,73(5):1035-1050.DOI:10.1111/jan.13183.
[12]VALDEZ A M.Transitioning from novice to competent:what can we learn from the literature about graduate nurses in the emergency setting?[J].Journal of Emergency Nursing,2008,34(5):435-440.DOI:10.1016/j.jen.2007.07.008.
[13]甘红霞,赵庆华.临床护士对工作任务重要性认知的层级差异性分析[J].护理管理杂志,2017,17(2):101-103.
[14]胡建利,盛芝仁,周红娣,等.扁平化护理模式下低年资责任护士工作体验的研究[J].中国护理管理,2015,15(12):1492-1495.DOI:10.3969/j.issn.1672-1756.2015.12.021.15(12):1492-1495.DOI:10.3969/j.issn.1672-1756.2015.12.021.
[15]关丽丽,李晓飞,宋舒,等.不同工作年限护士能力的调查研究[J].护理研究,2014,28(28):3496-3499.DOI:10.3969/j.issn.1009-6493.2014.28.015.
[16]林翠.不同年限护士的核心能力水平差异及其针对性培训研究[J].护理实践与研究,2018,15(9):4-6.DOI:10.3969/j.issn.1672-9676.2018.09.002.
[17]国家卫生计生委办公厅.国家卫生计生委办公厅关于印发《新入职护士培训大纲(试行)》的通知[S/OL].[2018-12-10].http://www.nhfpc.gov.cn/yzygj/s3593/201602/91b5a8fa3c9a45859b036558a5073875.shtml.
[18]常稳重.应用岗前培训创新体系提高新护士岗位胜任力的效果评价[J].护理管理杂志,2016,16(8):587-588.
[19]MISSEN K,MEKENNA L,BEAUEHAMP A.Satisfaction of newly graduated nurses enrolled in transition to practice programmes in their first year of employment:a systematic review[J].Journal of Advanced Nursing,2014,70(11):2419-2433.DOI:10.1111/jan.12464.
[20]吉云兰,崔秋霞,张亚云,等.基于实境的案例分析法在急诊低年资护士临床实践能力培训中的应用研究[J].护士进修杂志,2016,31(23):2141-2143.DOI:10.16821/j.cnki.hsjx.2016.23.011.
[21]郑敏,龚静,毕科,等.急诊6大病种情景演练培训模式对低年资护士的培训效果研究[J].重庆医学,2016,45(20):2763-2764.DOI:10.3969/j.issn.1671-8348.2016.20.008.
[22]赵清石,王维维,孙海云,等.急诊科分级培训及考核的实践与效果[J].护理管理杂志,2014,14(12):879-880.
[23]张阳春,季学丽,李玫,等.双向选择模式下的导师小组制在急诊新护士规范化培训中的应用[J].中国护理管理,2016,16(3):358-362.DOI:10.3969/j.issn.1672-1756.2016.03.019.
[24]丁娟,张凤勤,陈红宇,等.成功能力模型在新护士规范化培训中的应用研究[J].护理管理杂志,2018,18(9):657-660.DOI:10.3969/j.issn.1671-315x.2018.09.012.
[25]蔡婷婷,曹梅娟.国内外新护士角色转变培训项目的研究进展[J].护理管理杂志,2016,16(10):696-698.
[26]汪晖,尹世玉,杜杏利,等.临床护理岗位分层培训管理模式的构建及成效[J].护理学杂志,2014,29(21):51-53.DOI:10.3870/hlxzz.2014.21.051.
[27]姚正娟,张翠保.典型案例护理查房模式对年轻护士评判性思维能力的影响[J].护理实践与研究,2015,12(12):114-115.DOI:10.3969/j.issn.1672-9676.2015.12.061.
[28]COLE F L,RAMIREZ E,LUNA-GONZALES H.Scope of practice of nurse practitioners in emergency care[M].Des Plaines(IL):Emergency Nurses Association,1999:35.
[29]金学勤,胡乃民,黄群,等.护士分层次岗位培训的方法与效果[J].护理管理杂志,2012,12(11):811-812.DOI:10.3969/j.issn.1671-315X.2012.11.021.
[30]谢咏湘,李映兰,石莲桂,等.急诊预检分诊护士核心能力评价指标体系的构建[J].中国护理管理,2018,18(5):641-646.DOI:10.3969/j.issn.1672-1756.2018.05.014.
[31]王芝,许燕,施银,等.反思性学习在急诊护士业务学习培训中的应用[J].中华护理杂志,2013,48(12):1119-1120.DOI:10.3761/j.issn.0254-1769.2013.12.022.
[32]张学萍,沈莹,庄海峰,等.多模式护理教学查房在专科护士临床带教中的应用[J].中国护理管理,2014,14(3):312-314.DOI:10.3969/j.issn.1672-1756.2014.03.029.
[33]龙春花,陈桂兰.急救体系应急能力培训的教师标准化患者队伍建设与培养[J].护士进修杂志,2017,32(23):2165-2167.DOI:10.16821/j.cnki.hsjx.2017.23.018.
[34]郭玉丽,张晓红,崔丽萍,等.国家级专科护士资格认证后考核标准的构建[J].护理研究,2018,32(2):256-258.DOI:10.3969/j.issn.1009-6493.2018.02.022.
[35]李小金,陈雪霞,林少玲,等.柏拉图分析法在临床案例安全风险识别中的应用[J].中国实用护理杂志,2016,32(29):2302-2306.DOI:10.3760/cma.j.issn.1672-7088.2016.29.018.
[36]王淑良,段志光,张艺鸣,等.临床护理专家核心能力评价指标体系的构建[J].护理研究,2017,31(13):1569-1572.DOI:10.3969/j.issn.1009-6493.2017.13.009.
[37]章芳芳,黄丽华,胡一宇,等.护理岗位培训评价标准的构建[J].中华护理杂志,2016,51(1):11-14.DOI:10.3761/j.issn.0254-1769.2016.01.002.
[38]金静芬,陈水红,张茂,等.急诊预检分级分诊标准的构建研究[J].中华急诊医学杂志,2016,25(4):527-531.DOI:10.3760/cma.j.issn.1671-0282.2016.04.030.
[39]李宁,王玉玲,宋海楠,等.新入职护士一般自我效能感与焦虑抑郁状况调查及分析[J].解放军医学院学报,2017,38(6):545-547.DOI:10.3969/j.issn.2095-5227.2017.06.014.
[40]刘金兰.分层培训在急诊护士规范化培训中的应用[J].护理研究,2014,28(18):2274-2275.DOI:10.3969/j.issn.1009-6493.2014.18.055.
[41]杨剑,赵剡,田钰,等.定期视频反馈学习法对急诊护士岗位胜任力的影响[J].护理学杂志,2018,33(1):71-73.DOI:10.3870/j.issn.1001-4152.2018.01.071.(:2018-10-07;:2019-01-04)