麻醉专科护士在职培训体系的构建与实践

摘要

[目的]构建麻醉专科护士培训体系,并在本院进行实践探索,为我国麻醉专科护士培训提供参考.[方法]通过文献研究,麻醉专科护士培训需求调查,借鉴国外麻醉护士培训体系,结合我国国情和本院麻醉专科护士具体工作拟定麻醉专科护士培训体系框架,并将麻醉专科培训知识和技术培训资料模块化,形成初步体系后进行两轮德尔菲专家咨询,最终构建较为完整的麻醉护理专科护士在职培训体系并初步实施.[结果]初步形成了包括5个一级指标、24个二级指标、74个三级指标的麻醉专科护士在职培训体系,并在本院进行了初步实践,完成了34人次的培训工作,培训参与率、满意度和考核成绩得到提升.[结论]本研究建立的麻醉专科护士在职培训体系涵盖了麻醉护理的主要工作,结构较为合理,有助于麻醉专科护士专业素质的提高和与麻醉医师科学化精细化分工的实现.%Objective:To construct training system for nurse anesthetist and conduct practical exploration in this hospital to provide a reference for training of nurse anesthetist in China.Methods:The survey on demand of nurse anesthetist was conducted through literature research.The training system framework for nurse anesthetist was established by referencing the training systems from other countries,combined with the status quo of China,and the specific work in our hospital.The anesthesia specialist training knowledge and technical information were modular to construct a fine on-the-job(OTJ) training system through 2 rounds of Delphi's expert consultation.Results:The OTJ training system for nurse anesthetist initially formed including 5 primary indexes,24 secondary indexes,and 74 third-level indexes,which carried out in our hospital among 34 cases.The training participation,satisfaction degree,and examination results were increased.Conclusions:The constructed OTJ training system for nurse anesthetist covered the main job of anesthesia nursing,with a reasonable structure,which could help improve the professional quality of nurse anesthetist and the reality of scientific and fine division of anesthesiologists labor.