基于柯式四级评估法的南京市浦口区基层卫生人员培训效果及影响因素分析

目的 采用柯氏四级评估法，系统评价南京市浦口区基层卫生人员的培训效果，为基层卫生人员在职培训方案设计提供依据。方法 通过问卷调查浦口区所有基层医疗卫生机构在岗工作人员的基本情况、培训现况和培训效果，共收集有效问卷428份。采用SPSS 16.0软件进行统计分析，二元或有序Logistic回归筛选相关因素。结果 反映评估中，49.6%（192/387）的人认为参加培训很有意义；学习评估中，51.4%（220/428）的人了解本专业的前沿知识；行为评估中，40.3%（156/387）的人广泛应用了培训的内容；结果评估中，41.3%（177/428）的人表示自己的工作质量非常高。培训频率、时长、专业类别和职称是培训效果的影响因素。结论 总体来看，基层卫生人员培训效果并不理想。提高培训的频率、加强卫生人员对培训重要性的认知、延长培训时长可以有效增强培训效果。

Analysis of the training effect and influencing factors of primary health workers in Pukou District, Nanjing City based on the Kirkpatrick's four-level model of evaluation

Objective To systematically evaluate the effect of on-the-job training of primary health workers in Pukou District, Nanjing City by using the Kirkpatrick''s four-level model of evaluation, and to provide a basis for the design of on-the-job training programs for primary health workers.Methods A questionnaire was conducted to investigate the basic information, training status, and training effects of the staff in all primary medical and health service institutions in Pukou District. A total of 428 valid questionnaires were collected. SPSS 16.0 software was used for statistical analysis, binary or ordinal Logistic regression was used to screen related factors.Results In the response evaluation, 49.6% (192/387) of trainees thought that it was meaningful to participate in the training; in the learning evaluation, 51.4% (220/428) understood the frontier knowledge of their profession; in the behavior evaluation, 40.3% (156/387) had widely used the content of the training; in the result evaluation, 41.3% (177/428) said that the quality of their work was very high. Comprehensively, training frequency, training duration, professional category and professional title were the influencing factors of training effect.Conclusion Overall, the training effect of primary health workers is not satisfactory. In a word, increasing the frequency of training, enhancing health personnel''s awareness of the importance of training, and extending the duration of training can effectively improve the training effect.