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目的:调查儿科ICU专科护士的工作现状,分析其培养成效的影响因素,进一步更好地发挥临床核心能力。方法 :自行设计调查问卷,对浙江省儿科ICU专科护士培训基地结业并取得资格证书的209名儿科ICU专科护士的基本资料和工作现状进行调查。结果:73.7%的儿科ICU专科护士回院后开展了PICC等新技术项目,54.5%的专科护士发表了论文,24.4%的专科护士承担或参与了课题研究,71.8%的专科护士岗位得到提升,担任了护士长、责任组长、带教老师等。不同医院等级及职务的专科护士新项目开展比例有统计学差异,不同职称、职务和ICU工作年限的专科护士论文发表情况有统计学差异,不同职称护士承担参与课题情况有统计学差异,不同职务护士岗位提升情况有统计学差异,不同职称、职务护士获得继续教育机会有统计学差异。结论 :经培训后,专科护士在临床工作中使用的成效明显,不同职称和职务的专科护士培训成效不同。医院应为专科护士制定激励政策、提供有效的支持系统,并予定期评价,进一步完善专科护士的培训管理体系,使其在ICU岗位上作出更大的业绩。
Objective: To investigate the current situation of pediatric ICU specialist nurses, analyze the influencing factors of their effectiveness in training, and further develop their clinical core competence. Methods: The questionnaire was designed by ourselves to investigate the basic information and working status of 209 pediatric ICU specialist nurses who had graduated from the pediatric ICU specialist nurse training base in Zhejiang Province and obtained the qualification certificates. Results: 73.7% of the pediatric ICU specialist nurses returned to the hospital after the PICC and other new technology projects, 54.5% of the specialist nurses published papers, 24.4% of the specialist nurses assumed or participated in the study, 71.8% of specialist nurses positions have been upgraded, Served as head nurse, team leader, teaching teacher. There were significant differences in the proportion of new nurses in different ranks and positions in different hospitals. There were statistically significant differences in the publication of specialist nurses with different titles, positions and ICU years of service. There were statistical differences in the topics of participation of nurses in different titles and in different positions There was a statistically significant difference in the promotion of nurses positions, and there were statistically significant differences in the chances of continuing education for different titles and job nurses. Conclusion: After training, the effectiveness of clinical nurses in clinical work is obvious, and the effectiveness of training of specialized nurses with different titles and positions is different. The hospital should formulate incentive policies for specialist nurses, provide an effective support system, and regularly evaluate and further improve the training management system of specialist nurses so that they can make greater achievements in ICU positions.