Objective To investigate the training expectations and training strategies of orthopedic clinical specialist nurses (OCSN).Methods Totally 5 020 orthopedic nurses from 342 hospitals from 30 provinces and cities were selected bv convenience sampling.Participants were investigated hy WeChat platform with self-designed questionnaire.Results A total of 4 982 effective questionnaires were collected.Among investigated nurses,13.7％ of them received orthopedic specialist nurses training;91.4％ believed that training should be carried out.Qualifications should be:college degree and above,senior nurse and above,at least 3 ～5 years of nursing experience,1～3 years of nursing experience in orthopedic department.For curriculum,public courses expected to be arranged were communieation skills,nursing teaching,nursing management,and nursing research;expected professional courses were functional exercises,pain management,extremity injury nursing,common treatment techniques in orthopedic department,traction nursing,and position nursing.It was suggested that training was divided into subspecialties and off-duty;classroom teaching,teaching rounds,case discussion and experience exchange were expected training methods;"theory-practice-theory-practice" was most preferable traiuing mode.The preferred teachers were orthopedic doctors,orthopedic head nurses,orthopedic specialist nurses,and senior orthopedic nurses.The length of training was expected to be three months,time for clinical practice should be greater than or equal to theoretical teaching,and the practice bases should be tertiary hospitals.Evaluation should be performed before completion,recertification could be later than completion,and the interval time of recertification should be within 5 years.Conclusion Training needs of orthopedic nurses for OCSN are strong.Training expectations(contents,length,modes and teachers) of orthopedic nurses should be considered when designing systematic training program on OCSN.%目的 了解骨科护士对骨科专科护士资质培训的期望及培养策略的需求.方法 在全国7个地理分区,根据医院级别、地点、性质按比例分层抽取全国30个省市342所医院的5020名骨科护士为研究对象,使用微信平台发放和回收自制问卷.结果 共回收有效问卷4982份.13.7％的骨科护士接受过骨科专科护士培训;91.4％的骨科护士认为有必要开展骨科专科护士培训;综合调查结果,骨科专科护士资质培训的准入标准应为大专及以上学历、护师及以上职称、至少具有3～5年护理工作经验、1～3年骨科工作经验.期望安排的公共课课程是沟通技巧、护理教学、护理管理和护理科研;希望设置的专业课课程是功能锻炼、疼痛管理、四肢损伤护理、骨科常见治疗技术、牵引护理和体位护理.建议分亚专科培训、脱产培训,较期望课堂授课、教学查房、病例讨论和经验交流的培训方式,最希望采取“理论—实践—再理论—再实践”的培训模式.较为认可的师资是骨科医生、骨科护士长、骨科专科护士和骨科资深护士希望培训总时长为3个月,临床实践时长应大于等于理论授课时长,实践基地设在三级医院.结业前需要考核,支持结业后再认证,再认证间隔时间为5年内.结论 骨科护士对骨科专科护士培训需求强烈,在设计培训模式时要考虑护士对培训内容、时长、方式、师资等方面的需求,建立系统化的骨科专科护士培训体系.
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