江苏省母婴护理专科护士培训的实践

总结3届母婴护理专科护士培训班的培训经验,为我国母婴护理专科护士的规范化培训提供借鉴。主要方法:建立多层级带教培训模式,指导教师一对一带教,指导教师组长对学员作业审核、把关,基地负责人全面负责。采取分阶段集中式的培训方法,学员通过分组教学实践、师生共同参与型小讲座、自主式护理查房、小组讨论等形式学习。结果3届学员共40名通过答辩,对培训均表示满意。     

探讨在职护士多元化培训的方法及效果

目的 探讨在职护士多元化培训的方法及效果,为在职护士继续教育改革提供参考依据.方法 采用护理查房、外出学习、能级管理等方式对在职护士人文素质、病情观察、护理流程3个方面进行了多元化培训,同时注重专科护理发展.采用问卷调查法,调查患者、护士长、医生3方面对护士的多元化培训效果的评价.结果 患者满意度、护理综合素质、医生满意度培训前后得分差异有统计学意义(P＜0.05).结论 提升护理队伍的专业水平及综合素质是开展优质护理服务的基础,有助于提高优质护理服务质量.     

南京市麻醉护理专科护士培训实践

目的探讨南京市麻醉护理专科护士培训的实施效果。方法对南京市22名麻醉科护士进行培训,包括公共基础课程1周(40学时)、专业课程4周(176学时)、临床实践7周,然后评价护士考核成绩和对培训的满意度。结果培训后护士理论考核成绩高于培训前,差异有统计学意义(t=2.690,P=0.012),操作和实践考核均达标(>80分);护士对于培训的总体满意度为94.8%。结论南京市麻醉护理专科护士培训可有效提升护士对于麻醉护理相关知识和技能水平,为建立科学的、系统化的麻醉护理专科护士培养模式奠定了基础,值得推广。     

一年资护士不同培训方式的效果评价

目的 比较一年资护士集中式培训和分散式培训的效果.方法 对2008级毕业生采用分散式培训方法,2009级毕业生采用集中式操作培训,采用自行调查问卷的方式对2008、2009级毕业生进行临床工作效果调查.结果集中式培训方式在诸多方面优于分散式培训方式,效果良好.结论集中式培训的方式能统一护士的操作规程,在临床上能够得心应手.     

上海市急诊专科护士培训的发展阶段概述

2006年—2019年,上海市急诊专科护士培训按照中国护理事业发展纲要十一五十二五十三五的要求,不断地调整培养方案、培养方法及评价模式,共培训2 700余名上海市急诊适任专科护士,满足了不同阶段急诊护理发展的需求。该文从依据、培养方案、培训教材、效果评价4个方面对3个阶段专科护士培养的特点进行概述。     

神经内科护士实施目标管理培训效果分析

目的 通过培训提高神经内科护士的综合素质和护理质量.方法 对<3 a的18名护士进行目标管理培训.结果 0.5 a内18名护士的专科理论知识考试合格率由原80%提高到96%.1 a内技术操作合格率由原80%提高到95.5%.专科仪器的使用熟练率由原87%提高到100%.护理质量名列全院前茅.患者满意度由90%提高到98%,院内理论考试,技术操作考核均获得第一.结论 目标管理培训有利于提高护理质量和护士的综合素质.     

急诊实训护士培训的探讨

急诊护理是一门与内、外、妇、儿科护理学并驾齐驱的3级学科,具有病情急、病种多、治疗和抢救复杂的特点。随着急诊医学的迅速发展,急诊科要求配备业务面广、应变能力强、急救护理技能熟练的专业护士。如何培养一支具有高素质、高效能的急救护理队伍,已成为各大医院越来越重视的一个问题,本文就急诊实训基地对急诊护士技能提高的具体内容进行探讨。     

脑损伤后吞咽功能障碍患者康复护理干预及效果评价

目的：评价综合康复治疗和康复护理干预对脑损伤后吞咽功能障碍患者的效果。方法：脑损伤致吞咽功能障碍患者60例,随机分为A、B 2组各30例,均接受药物治疗、吞咽功能训练、球囊扩张术及低频电刺激等综合康复治疗。A组同时实施摄食直接训练、摄食行为训练、食物调节与营养及心理康复等护理干预。治疗前后评定2组吞咽功能。结果：治疗1个月后,2组洼田饮水试验改善程度和X线透视（VFSS）评分均明显高于治疗前;A组高于B组（均P〈0.05,0.01）。临床疗效比较,A组总有效率明显高于B组（93.3%与73.3%,P〈0.05）。结论：综合康复治疗结合康复护理干预能更加有效促进脑损伤后吞咽功能障碍的恢复。     

手术室护士继续教育和培训

护理人员的在职教育是开发智力、培养人才的重要途径。随着医学的迅速发展，新的理论、新的知识、新的技术日益增多，大量信息高速度的出现，使知识的更新加快，对护理人员的要求越来越高，而护理继续教育也是保持护士个人工作能力、促进个人成长和业务水平提高的基本途径，因此护士接受继续教育和培训既是一种权利也是一种义务。     

口腔专科护士分层培训模式与探讨

目的使护士很快地适应口腔专科护理工作,护理操作规范化,全面提高护理业务水平和综合素质。方法将护士按入科年限和学历不同分别进行培训,培训形式有理论授课、影像学习、技能规范训练、理论考试、技能考核、外出进修学习、参加继续教育学习班等。结果通过护士分层培训,护士整体素质逐年提高,护理质量稳步上升,护理专业技能、教学等方面均获得一定成效。结论护士分层培训后护士很快进入角色,提高了护理质量。     

The development of a collaborative stroke training programme for nurses

The effectiveness of multidisciplinary stroke rehabilitation may be enhanced by nurses and therapists adopting a single consistent approach to the positioning and mobilizing of patients. As patients can spend as little as 4% of the waking day receiving 'therapy' there is considerable potential for a more dynamic nursing intervention, which may contribute to improving patient care. We aimed to investigate whether physiotherapists could step back from direct patient treatment in order to participate in a structured training programme for nurses involved with patients recovering from stroke on an established elderly care rehabilitation ward in a district general hospital. Qualitative methods were used within a participatory action research framework to describe the development process and content of the training programme. Nursing staff, physiotherapists and their respective managers were interviewed to identify perceived training needs. This informed the structure and content of the training course and allowed insight into interprofessional working.     

Translating change: The development of a person-centred triage training programme for emergency nurses

Within health care, there has been a change in practice from an illness-orientated service to one that is more health-focused and person-centred. The concept of person-centredness is frequently espoused by practitioners as being not only a desirable, but a necessary element of health care provision. Indeed, nationally and internationally, person-centred care has underpinned many healthcare documents and policies. Person-centred practice focuses on providing care, utilising a variety of processes that operationalise person-centred nursing and include working with patients′ beliefs and values, engagement, presence, sharing decision-making and providing for physical needs.In the field of emergency nursing, the incorporation of person-centred care and its holistic foundation may require a significant shift in practice. There is evidence to suggest that emergency nurses view their role as one, which is predominantly concerned with providing urgent physical care, rather than one, which espouses the theories of holistic healthcare. To this extent, being person-centred in the context of emergency care, requires the nurse to move beyond the traditional notions of his/her role and to embrace the more holistic aspects of patient care. The aim of this article is to critically analyse how a change in nurse-led triage training in one Irish Emergency Department facilitated an improved person-centred approach in practice.     

基于岗位胜任力的机动库护士培训大纲的构建研究

目的 构建一套科学、实用、可行的机动库护士培训大纲.方法 在岗位胜任力理论指导下,运用质性研究法和德尔菲专家咨询法,确立培训的项目、内容、学时与方式,建立机动库护士培训大纲.结果 以机动库护士岗位需具备的知识、技能、能力、特质为框架,构建的培训大纲涵盖6个培训项目共20项具体内容,并确定了相应的培训学时和授课方式.结论 在岗位胜任力理论框架指导下构建的培训大纲,为规范机动库护士岗位培训提供了科学依据,本研究结果表明,专家咨询代表性和可信度高.     

Music therapy protocol development to enhance swallowing training for stroke patients with dysphagia

Considering the devastating condition of dysphagia, it is necessary to provide intensive therapeutic regimen based on interdisciplinary approach. In this aspect, music-enhanced swallowing protocol was developed through a pilot study. Then, the modified protocol from a pilot study was examined with 8 stroke patients in a local hospital. The protocol was designed to improve oral motor control, laryngeal elevation, breathing, and swallowing functions. The dependent variables measured included reflex, respiration, and laryngeal functions using the Frenchay Dysarthria assessment. Results from the initial to the midevaluation showed that pitch in the laryngeal category were statistically significant after 6th sessions. After the 12th session, when the final evaluation was compared with the initial assessment, additional categories revealed statistically significant changes. It is recommended that this study should be replicated with a control group and a larger sample using either FEES or video fluoroscopy for scientific data to further substantiate music therapy outcomes in stroke rehabilitation.     

递进式培训在ICU护士培养期中的应用

目的 探讨递进式培训在ICU护士培养期中的作用.方法 将2012年1月至2013年1月菏泽市立医院重症医学科、急诊ICU、神经外ICU、儿童ICU工作3年内的护士进行递进式培训,并与2011年1月至2012年1月的培养期护士进行每个阶段对比.具体方法包括理论授课、操作示范、播放录像、临床实习、个案研究、阶梯式评价(个人自评、带教教师评价、综合评价)6个方面,对ICU培养期护士进行有计划、有目标、有重点的将危重症护理知识理论联系实践的延续性培训.结果 递进式培训后各阶段的理论与操作考试成绩、核心能力测评分值、各阶段培训前后护理工作质量评价分值均显著高于传统组,差异具有统计学意义(P<0.05).结论 递进式培训能提高ICU培养期护士的培训效果,提高护理质量,可在ICU培训中推广应用.     

Efficacy of swallowing training for residents following stroke

BACKGROUND: The presence of dysphagia is associated with an increased risk of mortality, malnutrition, dehydration, compromised pulmonary function, and disability. Appropriate swallowing training can establish optimal nutritional status and eliminate or reduce the risk of developing medical complications associated with swallowing impairment. AIM(S) OF THE STUDY: The aim of this study was to examine the functional swallowing and nutritional outcomes of swallowing training in institutionalized stroke residents with dysphagia. DESIGN AND METHODS: A quasi-experimental parallel cluster design was used. Seven institutions with similar bed sizes were selected. All subjects in the experimental group received a structured swallowing training programme. The subjects in the experimental group (n = 40) received 30 minutes of swallowing training each day for 6 days per week for 8 weeks. The control group (n = 21) did not receive any training. RESULTS: After swallowing training, mean differences in volume per second, volume per swallow, mid-arm circumference and body weight between pre- and post-training of the experimental group were significantly higher than for the control group, while mean differences in neurological examination and choking frequency during meals for the experimental group were significantly lower than in the control group. CONCLUSION: This study used objective timed swallowing tests, a swallowing questionnaire, and a neurological examination to evaluate the effects of swallowing training. However, videofluroscopy is generally considered the best method for evaluating the pharyngeal and esophageal stages of swallowing, and introducing this technique is recommended for future studies. Furthermore, it is recommended that nursing professionals should conduct swallowing training protocols in stroke patients to help prevent aspiration from dysphagia.     

新入职护士培训体系建设

新时期健康中国战略、公立医院改革和人民多样化的护理服务需求,对护理人员基本素质和专业能力都提出了更高要求。新入职护士培训是护理继续教育体系中的重要组成部分,是培养和发展新入职护士核心能力、帮助其快速适应工作环境、完成角色转变的有效手段。河南省人民医院建立了新入职护士培训组织管理体系、制度建设体系、培训保障体系、培训管理体系、师资管理体系和质量控制体系六大体系并应用于实践,为国内其他医院新入职护士培训模式的构建和实施提供借鉴。     

Effects of a spiritual care training for nurses

Despite the fact that spiritual care is an essential part of nursing care according to many nursing definitions, it appears to be quite different in practice. A spirituality training for nurses may be necessary to give spiritual care the attention it deserves. In a trial a pre-tested "spirituality and nursing care" training was provided to nurses from four different nursing wards in a non-academic, urban hospital. Prior to the training and six weeks after the training, nurses and all patients were asked to fill up a questionnaire. In addition, the number of referrals from nurses to the chaplaincy was examined. Compared to before (n=44 patients), after the training (n=31), the patients from the intervention wards experienced more receptiveness and support when asking questions about illness and meaning. There were also specific changes in nurses' attitudes and knowledge, changes in clinical practice such as documenting spiritual needs and the number of referrals to the chaplains was higher. The results indicate that a training in spiritual care for nurses may have positive effects on health care that patients can experience.     

Management training for nurses

Pauline Werhun and her colleagues describe an innovative approach to nurse management training in their health authority. The course they devised, which lasts a total of 18 months, received such a positive response from senior and charge nurses that there is now a waiting list for entry. Evaluations from participants also suggested areas where the course might be improved.