手术护理场景分割视频结合反思法在新入职护士培训中的应用研究

doi:10.3761/j.issn.1672-9234.2025.06.011

摘要/Abstract

摘要：

目的探讨手术护理场景分割视频联合ALACT（Action行动、Looking back回顾、Awareness认知、Creating创造、Trial试行）反思模型在轮转至手术室的新入职护士培训中的应用效果。方法便利选取2018年8月—2020年7月至我院手术室轮转的31名新入职护士为对照组，2021年8月—2023年8月入科轮转的33名新入职护士为试验组。对照组接受常规新入职护士培训，试验组在常规新入职护士培训基础上接受基于手术护理场景分割视频联合ALACT反思模型的培训。比较两组过程及结业理论、操作考核成绩，护士核心能力及手术团队对其的满意度。结果试验组过程及结业理论、操作考核成绩优于对照组（P<0.05），自评和他评护士核心能力各维度条目均分高于对照组（P<0.05）；手术医师、麻醉医师对试验组满意度评分高于对照组（P<0.05）。结论手术护理场景分割视频联合ALACT反思模型的运用有助于巩固新入职护士专科知识，提高其核心能力，提升手术团队对其的满意度。

关键词: 手术室, 新入职护士培训, 场景分割视频, ALACT反思模型

Abstract:

Objective To explore the effect of surgical nursing scene segmentation video combined with ALACT reflection model in the training of newly recruited in the operating room. Methods Using convenience sampling，31 new nurses who rotated in the operating room from August 2018 to July 2020 were enrolled as the control group，while 33 newly recruited nurses rotating from August 2021 to August 2023 were assigned to the experimental group. The control group received routine orientation training，whereas the experimental group received training that integrated surgical nursing scene segmentation video with the ALACT reflection model，in addition to the standard orientation program. The two groups were compared in terms of training processes，final theoretical and practical assessment scores，nurses’ core competencies，and the operating room team’s satisfaction with their performance. Results The experimental group had better training process and final theoretical and practical assessment scores than the control group（P<0.05），and the mean item scores of each dimension of self-rated and other-rated core competencies were higher in the experimental group than those in the control group（P<0.05）；the satisfaction scores of surgeons and anesthesiologists were higher in the experimental group than those for the control group（P<0.05）. Conclusion The training of surgical nursing scene segmentation video combined with ALACT reflection model helps to consolidate newly recruited nurses’ specialist knowledge and operational skills，improve core competencies，and enhance the satisfaction of the surgical team.

Key words: Operating room, Training for newly recruited nurses, Scene segmentation video, ALACT model

喻晓芬, 丁筱燕, 蔡敏依, 沈飞燕. 手术护理场景分割视频结合反思法在新入职护士培训中的应用研究[J]. 中华护理教育, 2025, 22(6): 705-711.

YU Xiaofen, DING Xiaoyan, CAI Minyi, SHEN Feiyan. Application of surgical nursing scene segmentation video combined with reflection method in the training of newly recruited nurses[J]. Chinese Journal of Nursing Education, 2025, 22(6): 705-711.

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