基于柯氏模型评价新入职护士规范化培训效果-现代医学

基于柯氏模型评价新入职护士规范化培训效果

单位：首都医科大学宣武医院护理部, 北京 100053

分类号：R471

出版年·卷·期（页码）：2020·39·第三期（421-426）

摘要：

目的：通过对护士规范化培训效果的调查研究，分析护士规范化培训中存在的问题，为优化培训提供有效反馈信息，为完善护士规范化培训效果评价模式提供借鉴和参考，为推进全面开展新入职护士培训工作奠定基础。方法：基于柯氏模型，从反应层、学习层、行为层和成果层4个层面进行护士规范化培训效果评价。结果：护士规范化培训带教教师及护士对培训总体反馈满意度较高，新入职护士经历了规范化培训后，均以优良的成绩通过北京市医院管理中心护士规范化培训结业考核，自身综合能力得到提高，不仅体现在关系自身职业发展的职称考核通过率，同时在个人专业发展方面表现出了明显的优势，获得了社会认可。结论：基于柯氏4级评估模型的评估方法可科学、全面地评价新护士规范化培训效果。

Objective: To analyze the problems in the standardized training of nurses and to provide effective feedback information for the optimization of training,as well as the reference for improving the evaluation model of the effect of standardized training of nurses, thus lay the foundation for the further training of new entry nurses in the next step. Methods: Base on the Kirkpatrick model, the effect of standardized training of nurses was evaluated from four levels:reaction level,learning level, behavior level and result level. Results: Nurses standardized training teachers and nurses had higher overall feedback satisfaction. After the standardized training, the new nurses had passed the standardized training examination of nurses in Beijing Hospital Management Center, and their comprehensive ability had been improved, which not only reflected in the passing rate of professional title assessment related to their own professional development, but also showed obvious advantages in personal professional development and gained social recognition. Conclusion: The evaluation method of Kirkpatrick's four level evaluation model provides a scientific and comprehensive basis to evaluate the effect of standardized training for new nurses.

参考文献：

[1] 《新入职护士培训大纲(试行)》[S/OL].http://www.nhfpc.gov.cn/zwgk/jdjd/201602/b90cabf3478f4761b142819228f5cf68.shtml.
[2] 全国护理事业发展规划(2016-2020年)[J].中国护理管理,2017,17(1):1-5.
[3] 谷水,贾明艳,骆金铠,等.借鉴住院医师规范化培训模式建立护士规范化培训体系[J].中国护理管理,2015,15(2):133-135.
[4] 骆金铠,陈静,谷水,等.北京市属医院护士规范化培训模式介绍[J].中国护理管理,2015,15(2):129-132.
[5] KIRKPATRICK D L,KIRKPATRICK J D.Evaluating training programs:the four levels[M]. 3rd ed.San Francisco:Berrett-Koehler Publishers,1996.
[6] EBRAHIMI S,KOJURI J.Assessing the impact of faculty development fellowship in Shiraz University of Medical Sciences[J].Arch Iran Med,2012,15(2):79-81.
[7] KOJURI J,AMINI M,KARIMIAN Z,et al.Needs assessment and evaluation of a short course to improve faculties teaching skills at a former World Health Organization regional teacher training center[J].J AdvMed Educ Prof,2015,3(1):1-8.
[8] ROOS M,KADMON M,KIRSCHFINK M,et al.Developing medical educators-a mixed method evaluation of a teaching education program[J].Medical Education Online,2014,19:1,23868.
[9] 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.
[10] 孙同琳,王岩青,徐晓凤,等.应用柯氏评估模型分析住院医师规范化培训效果的研究[J].中华医学教育探索杂志,2014,13(1):31-33.
[11] 耿笑微,王亚亚,娄方丽,等.北京市属医院护士规范化培训效果评价[J].中国护理管理,2015,15(2):141-144.
[12] 刘明,殷磊,马敏燕,等.注册护士核心能力测评量表结构效度验证性因子分析[J].中华护理杂志,2008,43(3):204-206.
[13] 刚婷婷,董婷婷,于春妮,等.角色扮演教学法在新入职护士症状护理教学中的应用效果分析[J].卫生职业教育,2018,36(13):95-97.
[14] 罗黎力,屈艺,母得志.医学生人文素质的培养[J].东南大学学报(医学版),2013,32(3):300-301.
[15] 韩斌如,杨莘.客观结构化临床考试在低年资护士规范化培养中的应用[J].中华现代护理杂志,2014,20(35):4501-4504.
[16] 柴源,郑一宁.北京市属医院护士规范化培训对提高护士批判性思维能力的效果评价[J].中华医学教育杂志,2018,5(38):791-796.
[17] 姜小鹰,刘敦.临床护士规范化培训现状与需求分析[J].中国护理管理,2012,12(1):50-52.
[18] 焦静.美国临床护理教学见闻[J].中国护理管理,2015,15(7):894-896.
[19] 武倩,赵庆华,肖明朝,等.综合医院新毕业护士规范化培训管理的实践[J].中国护理管理,2016,16(8):1091-1094.
[20] CARVALHO D P S R P,AZEVEDO I C,CRUZ G K P,et al.Strategies used for the promotion of critical thinking in nursing undergraduate education:a systematic review[J].Nurse Education Today,2017,10(57):103-107.
[21] YUE M,ZHANG M,ZHANG C,et al.The effectiveness of concept mapping on development of critical thinking in nursing education:a systematic review and meta-analysis[J].Nurse Education Today,2017,5(52):87-94.
[22] 张义静,邹蓉蓉,孙丽.个案追踪流程图在护理质量管理和护士培训中的应用[J].现代医学,2018,46(12):1416-1418.
[23] 董婷婷,刚婷婷.新入职护士规范化培训模式及教学管理初探[J].中华医学教育探索杂志,2018,17(7):694-698.
[24] 习近平.决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利——在中国共产党第十九次全国代表大会上的报告[R/OL].http://www.xinhuanet.com/politics/2017-10/27/c_1121867529.htm.

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