PDCA循环在初级职称护理人员规范化培训中的应用

孙丽+孙伟燕+李艳+甘春红+陈晓

[摘要] 目的 比较 PDCA循环与传统教学法在初级职称护士培训中教学效果的差异性。 方法 以我院初级职称护士为研究对象；研究组按照PDCA循环步骤，运用头脑风暴法、鱼骨图等教学方法，对照组采用传统教学方法。比较两组初级职称护士出科理论考试成绩、临床技能操作、学习积极性的差异。 结果 研究组出科各项成绩及学习积极性均高于對照组。研究组带教老师和患者满意度高于对照组。 结论 PDCA循环教学法实施效果满意，能让初级职称护士系统掌握专科理论知识及临床操作技能，提升专业素质和综合能力。

[关键词] PDCA循环；初级职称护士规范化培训；教学效果

[中图分类号] R471 [文献标识码] B [文章编号] 1673-9701（2017）22-0121-03

[Abstract] Objective To compare the differences of educational effect of PDCA cycle and traditional educational method in the training of nurses with primary professional title（specializing in neurology）. Methods The nurses with primary professional title in our hospital were selected as study subjects. The study group was given the PDCA cycle procedure， and educational methods such as brainstorming and fish bone map were applied. The control group was given traditional teaching method. The differences of the scores of the theoretical test， clinical skills， learning initiatives were compared between the two groups of nurses with primary professional title. Results The test scores and learning initiative in the study group were higher than those in the control group. The satisfaction degree of the teachers and patients in the study group was better than that in the control group. Conclusion The effects of PDCA cycle teaching method are satisfactory， which enables the nurses with primary professional title to systematically master the theoretical knowledge and clinical operation skills of neurology， and enhance the professional quality and comprehensive ability.

[Key words] PDCA cycle； Standardized training of nurses with primary professional title； Educational effect

初级职称护士的规范化培训是护理专业学生毕业后继续教育的重要阶段，是保障临床安全护理的迫切要求，也是护理学科发展和人才梯队培养的关键环节，占据了护理终身教育承前启后的重要地位[1-2]。由于各专科特殊性，对护士的理论知识、病情监测、护理操作能力等提出了更高的要求[3-6]。因医疗系统的临床教学环境、教学任务重、轮转时间较短等方面原因，给初级职称护理人员的临床实践、教学质量造成困难，提出新的挑战[7-8]。所以在有限时间内提高初级职称护理人员规范化培训在轮转期间的教学质量，临床教学工作者需进一步思考及探讨。PDCA 循环由美国W.E.Deming提出，简称为计划（P/Plan）、执行（D/Do）、检查（C/Check）、行动（A/Action）。本文研究我院初级职称护理人员规范化培训人员在轮转期间采用PDCA循环教学前后的教学情况，比较教学效果、学习积极性、带教老师和患者满意度等，探讨其应用价值上，现报道如下。……