支持新手护士过渡到独立实践:使用柯克帕特里克模型评估TIPS计划
Charissa Cordon1,2,3, Desa Dlugosz1, Lorena Lopez4
1William Osler Health System, Brampton, ON L6R 3J7, Canada.
Nursing reports (Pavia, Italy)
|February 25, 2025
概括
过渡到独立实践支持 (TIPS) 计划显著提高了护士的信心和技能,导致护士周转率下降. 这个倡议支持急性护理机构的新护士.
科学领域:
- 护理教育 护理教育
- 医疗保健劳动力发展工作人员
- 临床能力 临床能力
背景情况:
- 护士,特别是早期职业生涯专业人员的高流动率和倦怠率对医疗保健系统构成重大挑战.
- 经验丰富的护士也面临着因需求增加和指导责任而导致的倦怠.
- 特里健康合作伙伴 (THP) 确定需要加强对其护理工作人员的支持,其中50%的护理工作经验不到五年.
研究的目的:
- 评估向独立实践转型支持 (TIPS) 计划在促进新手护士向独立实践转型方面的有效性.
- 评估该计划对护士知识,信心,临床能力和保留能力的影响.
- 确定该计划对患者护理质量的影响.
主要方法:
- 开发和实施TIPS计划,包括网络研讨会,模拟,临床圆和指导,基于Meleis的过渡理论.
- 使用柯克帕特里克模型进行评估,评估参与者的反应,学习,行为变化和保留.
- 数据收集包括参与者满意度调查,自我报告的信心指标,模拟表现,能力检查清单和护理人员流动率分析.
主要成果:
- 参与者对TIPS计划的满意度很高 (平均反应分数为4.80/5),95%的会议发现相关,98%的评级辅导员知识博.
- 在所有主题中,护士自我报告的信心显著增加 (从2.94到4.52,p < 0.0001),表明了强大的技能获取.
- 通过在模拟期间100%的护理技能的遵守来证明临床表现的改善,并在三个月的随访中保持信心. 护理业的营业额从9.52%下降到7.7%.
结论:
- 该TIPS计划有效地解决了知识差距,并提高了新手护士的临床能力.
- 该TIPS计划的多方面方法明显提高了护士的信心,技能和留守率.
- 初步结果表明,它对新毕业的护士进入急性护理的过渡有积极影响,有助于劳动力稳定.
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