目的 开发切实可行、系统、有效的应急处置护理培训课程,探索该课程的实施效果。方法 以医学教育课程开发六步法为指导,以胜任力为导向进行突发公共卫生事件应急处置护理培训课程的开发和应用。通过文献回顾确定问题,调研评估学习者需求,通过专家咨询确认胜任力指标体系为导向的学习目的,进而针对性地进行教学策略的开发（课程为66学时）,实施混合式教学,通过突发公共卫生事件应急知识调查、在线课程评估、线下案例教学与演练评估进行课程评估与反馈。结果 共有532名学员完成了培训课程,396名学员突发公共卫生事件应急知识得分为（3.92±0.71）分。在线答题测试平均成绩≥84.88分,得分最高和最低的分别是心理应激反应与突发公共卫生事件的监测、报告。学员对课程内容整体反馈良好,条目均分为（3.92±0.42）分;39名遴选的培训教师认为案例教学与演练可培养团队合作与整体实战能力。学员反馈意见主要包括在线课程的时长较长、趣味性不足、参与度不够、演练情景的代入感不足等。 结论 基于六步法设计的突发公共卫生事件应急处置护理课程符合护理预备队队员的需求,对提高其应急护理处置的能力具有有效性,但也需对课程进一步优化。

Objective To develop a practical,systematic and effective nursing training course to enhance nurses’ response ability to public health emergencies. Methods Development and application of the course was guided by the six-step approach and competency-oriented philosophy. Problems were identified through literature review and needs of learners were investigated. The learning objectives were confirmed by the competency index system through expert consultation. Then targeted teaching strategies were developed（66 hours for classroom teaching）. The blended teaching was implemented. The teaching effects were assessed by the public health emergency knowledge survey,online course evaluation,offline case teaching and exercise evaluation. Results A total of 532 participants completed the training,and the score of 396 participants’ knowledge of public health emergencies was（3.92±0.71）. The mean score of online course assessment was greater than or equal to 84.88. The highest and lowest scores were the psychological stress response and monitoring and reporting of public health emergencies. The overall course feedback was good,and the total mean score of items was（3.92±0.42）. Thirty-nine trainers believed that cultivating teamwork and overall practical ability were well cultivated by case teaching and practice. The feedback mainly included long duration of online courses,lack of attraction,insufficient participation,insufficient sense of substitution,etc. Conclusion The nursing course on response to public health emergencies is developed based on six-step approach. The course meets the needs of public health emergency nurses and is effective to improve their emergency response ability. But the course needs to be further optimized.