不同等级医院整复外科专科护士培训课程核心知识体系的构建

目的结合我国具体国情,以不同级别医院整复外科护士需求调查结果为基础,构建整复外科专科护士培训课程核心知识体系。方法在查阅文献的基础上,拟定整复外科专科护士培训课程知识需求调查表,按照重要程度分为5个等级,依据Likert-5分级评分法予以评分,调查来自全国8所医院的413名整复外科护士的知识需求,依据调查结果评估不同层级护士的需求。结果初步拟定包括伤口管理、美容外科手术护理、围术期患者管理、颅颌面外科护理、整复外科护理起源与建立、显微外科护理等6个方面,共77个知识点的整复外科专科护士培训课程核心知识体系。调查结果显示,一、二级医院培训知识需求集中在美容外科手术护理和伤口管理方面,三级医院护士培训需求集中在伤口管理、显微外科护理、颅颌面外科护理等方面。相关性分析显示,护士的年龄、职称、学历、工作医院等级,与整复外科护理起源与建立、伤口管理、颅颌面外科护理呈正相关;工作医院等级与显微外科护理呈正相关。结论不同级别医院的护理人员对整复外科专科护士培训知识均表现出较高程度的需求,不同医院护士群体对知识的需要、熟悉程度不同,构建针对不同层次护士需要的自由组合、模块化的培训内容具有实践意义。

Construction of the core knowledge system of training courses for specialized nurses of Plastic and Reconstructive Surgery in different grade hospitals

Objective Combined with the specific national conditions of China,the core knowledge system of surgical nurse training courses was constructed based on the survey results of the needs of nurses in Plastic and Reconstructive Surgery in different levels of hospitals.Methods On the basis of literature review,a questionnaire of knowledge needs of training courses for specialized plastic surgery nurses was developed,which was divided into 5 grades according to the importance and scored according to likert-5 grading method.The knowledge needs of 413 plastic surgery nurses in 8 hospitals nationwide were investigated,and the needs of nurses at different levels were evaluated according to the survey results.Results The core knowledge system of the training course for specialized plastic surgery nurses was preliminatively developed,including wound management,aesthetic surgical nursing,perioperative patient management,cranio-maxillofacial nursing,origin and establishment of plastic surgery nursing,and microsurgical nursing,with a total of 77 knowledge points.According to the analysis of the survey results,the training knowledge needs of primary and secondary hospitals focused on aesthetic surgical nursing and wound management,while the training needs of nurses in tertiary hospitals focused on wound management,microsurgical nursing and cranio-maxillofacial nursing.Correlation analysis showed that age,professional title,educational background,working hospital grade of nurses were positively correlated with the origin and establishment of surgical nursing,wound management and cranio-maxillofacial nursing.Working hospital grade was positively correlated with microsurgical nursing.Conclusion Nursing staff at different levels of hospitals all have a high degree of demand for the training knowledge of specialized nurses in Plastic and Reconstructive Surgery.However,due to the different knowledge needs and familiarity of nurses in different hospitals,it is of practical significance to construct a free combination and modular training content for nurses at different levels.