ISSN 1672-9234 CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
   中国期刊全文数据库
   中国核心期刊(遴选)数据库
   中文科技期刊数据库

中华护理教育 ›› 2023, Vol. 20 ›› Issue (7): 835-839.doi: 10.3761/j.issn.1672-9234.2023.07.012

• 继续教育 • 上一篇    下一篇

三级医院ICU护士连续性肾脏替代治疗培训现状及需求调查研究

黄家懿(),吴志山,姜丽萍()   

  1. 200092 上海市 上海交通大学医学院附属新华医院
  • 收稿日期:2022-08-15 出版日期:2023-07-15 发布日期:2023-07-14
  • 通讯作者: 姜丽萍,博士,教授,主任护师,E-mail:yvonne_12_10@163.com
  • 作者简介:黄家懿,女,硕士,主管护师,E-mail:gongzuo610@126.com
  • 基金资助:
    上海交通大学医学院公共卫生事件应急处置“护理预备队”建设项目(GWV-5-NRF003);上海交通大学中国医院发展研究院医院发展战略研究所项目(HDSI-2022-A-003)

Investigation of status and demands of continuous renal replacement therapy training for ICU nurses

HUANG Jiayi(),WU Zhishan,JIANG Liping()   

  • Received:2022-08-15 Online:2023-07-15 Published:2023-07-14

摘要:

目的 了解三级医院ICU护士连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)培训现状及培训需求,为针对性开展ICU护士CRRT培训提供依据。 方法 2021年10月—12月,采用便利抽样法选取上海市6所三级医院的241名ICU护士为调查对象,通过网络平台发放自行设计的ICU护士CRRT培训现状及培训需求调查表进行调查。 结果 194名(80.5%)护士参加CRRT培训的途径为“临床实践中学习”;176名(73.0%)护士参加CRRT培训累积时长≤4周;137名(56.8%)护士参加CRRT培训无具体培训方案;67名(27.8%)护士表示接受的CRRT培训能满足临床需求。ICU护士对CRRT培训内容需求由高到低依次为实践技能、临床思维判断能力、理论知识、个人职业素养与意识、沟通协作能力、专业发展能力,得分率为86.6%~88.6%。135名(56.0%)护士选择“理论教学与操作示教各占一半”的培训模式;186名(77.2%)护士选择“理论课程与实践课程交叉进行”的课程安排;182名(75.5%)护士希望有“培训考核及评分”。 结论 目前三级医院ICU护士CRRT培训方案不完善、培训需求较高,亟待构建ICU护士CRRT专项培训体系,在培训内容、培训形式、考核制度等方面应进一步优化,以保证培训的科学性与系统性,提高培训效果。

关键词: 护士, 重症监护病房, 在职培训, 问卷调查, 连续性肾脏替代治疗

Abstract:

Objective To understand the status and training needs of continuous renal replacement therapy (CRRT) for nurses in ICU in tertiary hospitals,so as to provide reference for the implementation of targeted training for ICU nurses. Methods From October to December 2021,241 ICU nurses from six tertiary hospitals in Shanghai were recruited by convenience sampling. A self-designed questionnaire was used and launched through the online platform. Results Among the nurses,80.5% of them participated in CRRT training by clinical practice; 73.0% participated in CRRT training for less than four weeks,56.8% participated in CRRT training without a specific training program,and 27.8% indicated the CRRT training received could meet clinical needs. From high to low in proportion,ICU nurses’ demand for CRRT training content was listed as in order of practical skills,clinical thinking and judgment ability,theoretical knowledge,personal professional literacy and awareness,communication and collaboration ability,and professional development ability,with a scoring rate of 86.6% to 88.6%. For the suggestions,56.0% of nurses expected the training mode of “half of the theoretical courses and half of the practical courses”,77.2% of nurses chose the course arrangement of “alternation of theory course and practice course”,and 75.5% of nurses supported assessment and scoring after training. Conclusion At present,the training program of CRRT for ICU nurses in tertiary hospitals is inadequate,and the training demand of nurses is high. It is urgent to establish a special training system of CRRT for ICU nurses,with optimized training content,training form,and assessment system so as to ensure the scientificity and systematization of training and improve its effectiveness.

Key words: Nurses, Intensive Care Units, Inservice Training, Questionnaires, Continuous renal replacement therapy