护理表现六维量表用于新护士规范化培训的效果评价

目的 探讨6-D量表用于评价新护士规范化培训效果的可行性,为完善培训计划提供依据.方法 选取我院2013年216名新聘护士为研究对象,进行3个月基于新护士护理能力的院科两级规范化培训,通过考核准入独立上岗.在培训开始前与培训3个月上岗后分别发放6-D量表,进行自评及所在科室护士长的他评,分析新护士护理能力的变化情况.结果 培训后新护士护理能力明显提高,其6-D量表自评得分显著高于培训前,（142.34±19.92）分vs （135.81±18.30）分,其中领导能力、危重患者监护、教学与合作、计划评估、沟通交流5个方面的能力培训后得分均显著高于培训前,专业维度培训前后得分比较差异无统计学意义.培训后新护士护理能力6个维度的自评得分均显著高于护士长他评得分.结论 应用6-D量表对培训效果进行科学评价,证明新护士上岗前3个月的院科两级规范化培训,对新护士适应临床工作,提高护理能力有较大的帮助.

An evaluation research for new nurses six dimensional scales in pre-service training

Objective To investigate the feasibility of Six Dimensions Scale （6-D scale） of Nursing Performance used for evaluating the effect of standardized hospital-department training on new graduate nurses.Methods 6-D Scale of Nursing Performance was conducted to evaluate the nursing ability of 216 new graduate nurses （2013） of our hospital pre and post the three-month intervention,including the self-appraisal and appraisals by head nurses.Results The nursing ability was improved significantly after the training.The total score of self-appraisal 6-D scale were significantly higher than that before the training （142.34±19.92 vs 135.81±18.30）,in which the subscales scores within the dimensions of leader-ship,critical care,teaching/collaboration,planning/evaluation,interpersonal relations/communication were increased significantly,while the increase of professional development was not significant.Six-D Scale and six subscales scores based on self-appraisal were higher than that based on the head nurses＇ appraisals.Conclusions The application of 6-D scale is scientific to evaluate the effect of standardized nurse training.We had demonstrated that standardized hospital-department training is of great benefit for new graduates to improve the nursing ability and adapt to the clinical circumstances.