目的 构建精神专科医院新入职护士培训方案。方法 以转型冲击模型为理论基础,进行文献回顾,对精神专科医院2名护理管理者、6名临床护理带教教师和4名正在接受培训的新入职护士进行半结构式访谈,初步形成精神专科医院新入职护士培训方案,采用德尔菲法对25名专家进行2轮函询。结果 2轮函询问卷有效回收率分别为96%（24/25）、100%（24/24）;专家权威系数为0.844;2轮函询的肯德尔协调系数分别为0.299、0.376。最终确定的精神专科医院新入职护士培训方案包括培训目标、培训内容、培训方式、考核内容及方式4个方面,其中培训内容包括一级指标4个、二级指标10个、三级指标37个。结论 本研究基于转型冲击模型构建的精神专科医院新入职护士培训方案有较好的科学性和整体性,体现了精神科护理特色,为精神专科医院新入职护士培训提供了依据。

Objective To develop a training program based on the transition shock model for new nurses in psychiatric hospitals. Methods Based on transition shock model,the training program was established by literature review and semi-structured interview with 2 nursing managers,6 clinical nursing teachers and 4 new nurses. Two-round Delphi technique was used to consult 25 experts. Results The positive coefficients of two-round experts consultation were 96% and 100%respectively. The authoritative degree coefficient of experts was 0.844,and the Kendall coordination coefficients of the two rounds were 0.299 and 0.376,respectively. The final training program for new nurses in psychiatric hospitals includes four aspects：training objectives,training contents,training methods,and assessment contents and methods. The training contents include 4 first-level indexes,10 second-level indexes and 37 third-level indexes. Conclusion The training programs for new nurses in psychiatric hospitals based on the transition shock model is highly scientific and holistic. The program reflects the characteristics of psychiatric nursing,and provides the basis for training of new nurses in psychiatric hospitals.