能力进阶培训模式在ICU护士培训中的应用

目的探讨能力进阶培训模式在重症监护病房（intensive care unit，ICU）护士培训中的应用效果。方法在77名ICU护士培训中采用能力进阶培训模式，包括设定护士专业能力进阶层级，明确护士专业能力各能级的标准、进阶的条件、实践范围、建立和实施能级课程设置，并定期评价、定级和再培训。结果培训后护士专科理论和技能合格率较培训前高；患者主要并发症发生率均低于培训前，差异具有统计学意义（均P＜0.05）。结论采用能力进阶培训模式，在保证临床培训持续运行和护士能力持续增长的同时，使各级护士能各尽其责，提高了工作积极性和综合素质，进而提高了护理质量。

Application of nursing clinical ladder program in training of nurses in ICU

Objective To investigate the effect of nursing clinical ladder program on the training of nurses in ICU.Methods Seventy seven nurses in ICU were trained with nursing clinical ladder program including defining the ladder system of nurse’s ability, regulating the standard of each level,conditions for promotion,range for practice,establishing courses.Regular assessment,classification and retraining were performed.Result After training,the qualification rate in special theory and skills was increased.The incidences of major complications were significantly lower than that before training（P〈0.05）.Conclusions Nursing clinical ladder program is good for the development of personal career and specialization.It may promote the improvement of positivity and the quality of nursing.