發展重症單位加護新進人員教育訓練方案－通往成功的階梯

Ya-Ting KE; Hui-Ting KUO; Ching-Wen HSIEH; Yu-Ling HUNG; Hsiang-Yin CHEN

doi:10.6224/JN.202412_71(6).11

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P92 - 101

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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发展重症单位加护新进人员教育训练方案－通往成功的阶梯

Development of an Education and Training Program for New Intensive Care Unit Staff: Ladders to Success

柯雅婷(Ya-Ting KE) ；郭惠婷(Hui-Ting KUO) ；谢静文(Ching-Wen HSIEH) ；洪玉玲(Yu-Ling HUNG) ；陈乡尹(Hsiang-Yin CHEN)

护理杂志； 71 卷 6 期 (2024 / 12 / 01) ， P92 - 101

繁体中文;英文 DOI： 10.6224/JN.202412_71(6).11

新进人员；阶梯式训练方案；重症单位；照护技能；自信度； novice nurse ； ladderized training program ； intensive care unit ； clinical care skills ； self-confidence

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摘要 │ 参考文献 (25)

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Background & Problems: The nursing manpower shortage intensified during the COVID-19 pandemic. Moreover, inadequate clinical internship durations during this period led to recent nursing graduates reflecting insufficient clinical skills. These issues, coupled with the inherent complexity of work in intensive care units (ICUs), have increased stress and decreased self-confidence among new staff, leading to higher turnover rates. Purpose: This study was designed to develop and then evaluate the effectiveness of a tailored ladderized training program for improving clinical care skills and self-confidence in new ICU staff. Resolutions: An individualized ladderized training program for new staff was developed based on the conceptual PDDRO (plan, design, do, review, outcome) framework. In addition to the program, a 3-stage critical care training regimen was implemented to strengthen technical, physical assessment and judgment, and communication and teamwork skills. A multivariate evaluation approach was employed to evaluate the level to which participants improved in terms of clinical skills and self-confidence, and a competency-related personalized training model was used to guide their progress until all of the training goals were achieved. Results: Fifty new staff members completed the 3-stage critical care training program. In terms of program effectiveness, mean scores increased from 79.3 (pretest) to 92.3 (posttest) for awareness and 1.69 to 2.53 for work competency self-confidence. These increases were significant, and indicated the participants had collectively improved from "some self-confidence" to "a lot of self-confidence". Moreover, the retention rate of new staff increased from 75% before the intervention to 84% afterward. Interviews with the participants found the program had improved their mastery of clinical care skills and confidence in their future ability to perform care tasks. Conclusions: Advance implementation of ladderized training can facilitate the establishment of a new nursing staff training system in hospitals to improve the post-pandemic recovery and reconstruction of nursing manpower systems in Taiwan. This program may serve as a successful model for training new staff and retaining human resources as part of the ongoing effort to promote a stable and high-quality workplace environment for nurses.

参考文献 ( 25 ) 〈TOP〉

王佑琳、杨咏梅 ( 2020 )．应用情境模拟教学增进多元文化知识之成效与评价．台湾拟真医学教育期刊，7（1），14-29。[Wang, Y.-L., & Yang, Y.-M. (2020). The evaluation of situated simulation teaching strategies to increase cultural competence. Journal of Taiwan Simulation Society in Healthcare, 7(1), 14-29.] https://doi.org/10.6582/JTSSH.202006_7(1).0002
连结：
邱靖蓉（2012）．导入TTQS、PDCA循环与ISO 10015等训练品质管理概念於公民核心素养课程系统设计之应用．通识教育学刊，（10），83-120。[Chiu, C.-J. (2012). Apply TTQS' PDDRO, PDCA, ISO 10015 to systematic design of "citizens' core competence" course. Taiwan Journal of General Education, (10), 83-120.] https://doi.org/10.6360/TJGE.201212.0083
连结：
柯雅婷、郭丽玲、吴贞鋆、黄惠暄、江惠英（2018）．以拟真教学法提升新进护理人员输血反应处置与交班技巧之学习成效探讨．台湾拟真医学教育期刊，5（1），25-34。[Ke, Y.-T., Kuo, L.-L., Wu, C.-Y., Huang, H.-H., & Chiang, H.-Y. (2018). Utilization of simulation teaching to enhance new nurses' management of blood transfusion reaction and handoff skills. Journal of Taiwan Simulation Society in Healthcare, 5(1), 25-34.] https://doi.org/10.6582/JTSSH.201806_5(1).0003
连结：
张煦婕、洪佳铃、高玉玲、林佳慧（2017）．从新进护理学员观点探讨「教学医院教学费用补助计画」之成效．源远护理，11（2），30-40。[Chang, H.-C., Hung, C.-L., Kao, Y.-L., & Lin, C.-H. (2017). Evaluation of a teaching expense in teaching hospitals program: From viewpoints of new nurse staff. Yuan-Yuan Nursing, 11(2), 30-40.] https://doi.org/10.6530/YYN/2017.1.4
连结：
Christianson, J., Guttormson, J., McAndrew, N. S., & Calkins, K. (2022). Impact of COVID-19 on intensive care unit nurse duty of care and professional roles: A qualitative content analysis. SAGE Open Nursing, 8. https://doi.org/10.1177/23779608221113539
连结：

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