通过内部ACLS培训增强急诊室护理人员的保留能力:一个质量改善倡议
Zachary MacDonald1,2, Nicholas Costain3,4, Matthew Lipinski3,4
1Department of Emergency Medicine, University of Ottawa, Civic Campus, Ottawa, ON, Canada. zmacdonald@toh.ca.
CJEM
|January 16, 2026
概括
在急诊室提供可访问的,内部的高级心血管生命支持 (ACLS) 培训,提高了护理人员的留守率和工作满意度. 这一举措减少了认证障碍,增强了临床信心,成为其他医院的典范.
科学领域:
- 紧急医疗 紧急医疗
- 护理教育 护理教育
- 提高质量 提高质量
背景情况:
- 在急诊室保留护士是一个重大挑战.
- 获得高级认证的障碍,例如高级心血管生命支持 (ACLS),可能会影响工作满意度和信心.
- 可访问的内部培训可以解决这些障碍,并改善急诊室护理经验.
研究的目的:
- 评估内部高级心血管生命支持 (ACLS) 培训计划对急诊室护理人员保留时间的影响.
- 评估该计划对护士工作满意度和临床信心的影响.
- 为了确定ACLS认证的混合学习模型的有效性.
主要方法:
- 一项质量改善计划提供了为期两年的补贴ACLS课程 (全额和重新认证).
- 混合学习模式将在线模块与实践,紧急部门特定的场景相结合.
- 172名护士完成了该计划,其中65名参与者回答了计划后的调查.
主要成果:
- 73%的受访者表示该计划影响了他们留在急诊室的决定.
- 92%的人表示对ACLS技能有了更大的信心,98%的人认为实践足够.
- 对该计划的满意度很高 (98%),其中83%的人更喜欢混合学习模式.
结论:
- 内部ACLS培训对护理人员的留守,工作满意度和技能信心产生了积极的影响.
- 混合学习模型和ED特定场景得到了很好的接待.
- 这个倡议提供了一个可复制的模型,以提高重症监护机构的护理人员保留率.
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