重症监护病房护士培训现状

从医院在职教育及政策制度方面阐述了重症监护病房护士培训中存在的问题,并提出了完善、规范重症护理教育培训体系的对策。     

浅谈重症监护病房护士的继续教育

重症监护病房（ＩＣＵ）是各种重病人集中的场所,而护士在对与病人抢救治疗和护理中占举足轻重的位置,因此,如何进行ＩＣＵ护士的继续教育,以适应ＩＣＵ发展的需要,是护理继续教育领域的新课题,本文通过对ＩＣＵ护士的素质教育ＩＣＵ专业知识教育和综合教育三方面的培训,旨在提高护士的心理适应能力和工作责任心,较快掌握ＩＣ 能和理论知识,具有独挡一面,配合默契处理各种抢救治疗工作的能力。     

重症监护病房在职护士分层次培训实践的探讨

[目的]探讨重症监护病房(ICU)在职护士分层次培训的实践及效果。[方法]对24名ICU在职护士进行分层次培训,评价培训效果。[结果]培训后住院病人的满意度、医生对护士的抢救配合满意度、护士对护理工作的满意度、护理措施落实良好率、护士专科护理技术掌握率均较培训前明显提高。[结论]对ICU在职护士进行分层次培训可提高护理质量。     

重症监护病房专科护士培训面临的困境与对策

临床实践教学质量是决定专科护理人才培养质量的关键。由于医院职能向服务型转变，相关法规的制定以及临床实践教学效果评价体系的缺乏，对临床实践教学构成影响与冲击。通过完善临床实践教学法规建设、创新教学内容、加强教学质量控制、拓展教学空间等对策，切实提高重症监护病房（ICU）专科护士临床实践的教学质量。     

重症监护病房护理人员培训需求的调查研究

目的通过调查重症监护病房(ICU)护理人员对专业培训的需求,为合理设置ICU护士专科培训及继续教育课程提供参考依据。方法 2011年1—2月采用自行设计的问卷,调查上海某3级甲等医院ICU护士130名,内容包括综合专业能力培训需求、ICU护士培训现状等。结果 ICU护士进入ICU工作前缺乏相对培训;进入ICU后培训不系统、无层次;ICU护士对综合能力和专业技能方面的培训需求较高;不同工作年限的ICU护士对培训需求的程度不同。结论为提高ICU护理人员的专科业务能力与操作技能,开展高质量、多层次和全方位的培训尤为重要,需要尽快建立ICU护士规范的培训体系,有助于推动医院ICU的护理质量。     

重症监护病房在职护士分层次培训实践的探讨

[目的]探讨重症监护病房(ICU)在职护士分层次培训的实践及效果。[方法]对24名ICU在职护士进行分层次培训,评价培训效果。[结果]培训后住院病人的满意度、医生对护士的抢救配合满意度、护士对护理工作的满意度、护理措施落实良好率、护士专科护理技术掌握率均较培训前明显提高。[结论]对ICU在职护士进行分层次培训可提高护理质量。     

重症监护病房医护合作培训模式在提升聘用护士重症监护能力中的应用

[目的]探讨重症监护病房(ICU)医护合作培训模式在提升聘用护士重症监护能力中的应用效果.[方法]将140名聘用护士按照其工号重新排序之后的编号单双情况分为两组,对照组采取传统带教模式培训,观察组采取医护合作带教模式培训,比较两组护士培训结束后对ICU监护相关知识的了解情况、监护能力以及考核小组的满意度.[结果]观察组对ICU中护理、疾病、急救以及监护等知识评分、对病情观察分析等各项ICU监护能力评分、考核小组对轮班护士的培训结果满意度高于对照组(P＜0.05).[结论]ICU医护合作培训模式能提高聘用护士的监护能力,作用效果优于传统带教模式培训.     

某三甲医院重症监护病房护士疲劳现状的调查

目的了解重症监护病房（ICU）护士疲劳现状,为管理者提供参考。方法采用疲劳自评量表（FSAS）对北京某三甲医院的115名ICU护士进行调查。结果不同年龄护士在躯体疲劳（1．34±0．94vs2．15±1．36;t=4．197,P〈0．05）,疲劳后果（1．72±0．83VS2．26±0．84;t=4．945,P〈0．05）,疲劳对睡眠／休息的反应（1．18±0．90vs1．89±1．09;t=7．064,P〈0．01）方面差异均有统计学意义;不同工作护士在疲劳的情境性方面差异有统计学意义（2．30±0．78vs2．61±0．74;t=2．985,P〈0．01）,不同编制、婚姻状况、有无子女、护士在躯体疲劳、疲劳对睡眠／休息反应等方面差异均有统计学意义（P〈0．05）。结论疲劳在ICU护士中普遍存在,应重视ICU护士的疲劳问题,采取相应措施,帮助ICU护士缓解疲劳,改善身心健康状况,以提高护理质量。     

重症监护病房专科护士培训面临的困境与对策

临床实践教学质量是决定专科护理人才培养质量的关键。由于医院职能向服务型转变,相关法规的制定以及临床实践教学效果评价体系的缺乏,对临床实践教学构成影响与冲击。通过完善临床实践教学法规建设、创新教学内容、加强教学质量控制、拓展教学空间等对策,切实提高重症监护病房(ICU)专科护士临床实践的教学质量。     

重症监护病房医生与护士同情心疲乏现状调查

[目的]了解重症监护病房（ICU）医生与护士同情心疲乏水平。[方法]采用医护同情心疲乏量表对188名 ICU 医护人员进行调查。[结果]医生职业倦怠总分为（28.00±3.44）分,护士职业倦怠总分为（29.86±2.11）分,医生和护士的同情心疲乏为中等水平,护士的疲乏水平略高于医生（P〈0.05）。[结论]管理者应根据同情心疲乏的影响因素采取针对性措施,以降低医护人员的同情心疲乏水平,从而提高医疗质量。     

ICU护士评判性思维的现状及影响因素分析

目的 调查ICU护士评判性思维的现状,并探讨其相关影响因素.方法 采用一般资料调查表及评判性思维能力量表对长沙市7所三级甲等医院ICU的324名护士进行横断面调查.结果 ICU护士的评判性思维能力总分为（284.22±23.62）分;职称、第一学历、从事ICU工作年限、参加活动频率和学习频率是ICU护士评判性思维能力的影响因素.结论 ICU护士的评判性思维能力总体表现为正性,但离评判性思维能力强的标准还有很大的差距,还有待进一步培养和强化.     

Oral care practices of intensive care nurses: A descriptive study

The aim of this study was to investigate intensive care unit (ICU) nurses’ views and practices on oral care and to define the factors related to oral care measures. A study was carried out in eight ICUs of a teaching hospital in 2008. One hundred one nurses constituted the study sample. The data were collected using ‘Oral Care Practices Survey’ which included demographic characteristics (5 items) and current oral care practices (13 items). Oral care was given the highest priority by nearly 60% of the nurses. The most commonly used solution was sodium bicarbonate (79.2%), and the most frequently used equipment was foam swab (82.2%). Oral care was carried out less than every 4 h per day by 44.5% of the nurses. The oral care products and solutions were reported to be different in almost every unit. The relationship between the use of toothpaste and the place of employment was statistically significant (x² = 24.566, d.f. = 6, P = 0.000). There was a statistical significance between the clinics and frequency of oral care (x² = 81.486, d.f. = 42, P = 0.000). This study suggests that there is a wide variety of type and frequency of oral care measures among ICU nurses. Optimal oral care supported by evidence is an effective prevention method for eliminating oral complications.     

中国ICU专科护士培养模式的研究现状与展望

目的探讨中国ICU专科护士培养模式,并提出今后的研究和实践方向。方法回顾性分析和总结中国ICU专科护士培养模式及其存在的问题。结果ICU专科护士的培养主要有临床培养和院校承办两种模式。ICU专科护士培训中主要存在缺乏统一的认证机制、培训重点参差不齐、培训师资薄弱和ICU缺乏发展平台等问题。结论规范ICU专科护士资格认证制度、结合临床实际寻求最佳的培养模式、建全临床师资培训制度和明确专科护士的职责和待遇,这些将是ICU专科护士今后研究和实践的方向。     

重症监护室护士心理健康状况的调查研究

[目的]了解重症监护室（ICU）护士心理健康状况。[方法]采用抑郁自测量表（SDS）和焦虑自测量表（SAS）对30名ICU护士心理健康进行测评。[结果]ICU护士的SAS、SDS评分均高于常模（P〈0.05）,10年～20年护龄、已婚已育、中专学历的ICU护士焦虑、抑郁情况比较明显。[结论]ICU护士压力大,存在明显的焦虑、抑郁情绪,应采取有效的措施减轻ICU护士的压力。     

Factors affecting quality of oral care in intensive care units

AIMS: This paper presents a study to assess to nurses' attitudes and practices concerning oral care and to determine predictors of the quality of oral care in intensive care units. BACKGROUND: The oropharynx of critically ill patients becomes colonized with potential respiratory pathogens; oral care has been shown to reduce oropharyngeal bacteria and ventilator-associated pneumonia. METHODS: In April 2002, a random and national sample of 420 intensive care unit directors was asked to participate in the survey. Of invited directors, 126 (30%) agreed to participate and were sent questionnaires to be completed anonymously by their staff, and 102 institutions returned 556 surveys. This gave a response rate of 83% of those who consented to participate. RESULTS: The path model shows that nurses' oral care education, having sufficient time to provide care, prioritizing oral care, and not viewing oral care as unpleasant had direct effects on the quality of provided care. Intensive care unit experience, oral care education, and having sufficient time had indirect effects. CONCLUSION: Improving the quality of oral care in intensive care units is a multi-layered task. Reinforcing proper oral care in education programmes, de-sensitizing nurses to the often-perceived unpleasantness of cleaning oral cavities, and working with hospital managers to allow sufficient time to attend to oral care are recommended.     

新生儿重症监护病房高级实践护士职能的临床作用与期望度分析

目的 探讨新生儿重症监护病房高级实践护士职能的临床作用和发展期望度,为今后培养高级实践护士提供理论依据.方法 通过自制新生儿重症监护病房高级实践护士职能问卷,对本地区238名新生儿重症监护病房医护人员进行问卷调查,并对结果进行多维尺度分析.结果 新生儿重症监护病房高级实践护士6大职能主要分布在临床作用和职能期望度两个维度上,临床作用最大和职能期望度最高的是临床实践职能.结论 发展新生儿重症监护病房高级实践护士应着重培养护士的临床实践、教育、研究和管理职能.