Barczak N, Spunt D
University of Maryland Medical System, Baltimore 21201, USA.
J Contin Educ Nurs. 1999 Nov-Dec;30(6):254-9; quiz 284-5. doi: 10.3928/0022-0124-19991101-05.
Providing patient care by using the most cost effective means has compelled skill mix changes in many hospitals. The need for educational programs are crucial to prepare unlicensed assistive personnel (UAP) for their new roles.
Using a competency-based approach, an educational program was designed to develop specific technical skills to target complex competencies and to improve the participants' knowledge and skill performance. The educational program met the five program objectives.
Unlicensed assistive personnel gained knowledge and competency in new skills, as assessed in the education program and when applied in the clinical units. The most important outcome was the participants' expressed eagerness to learn more and their desire to work as contributing members of the health care team.
The educational program adequately trained UAP and created a foundation of relationships and teamwork that enhanced the patient care delivery with cost efficiency.
通过采用最具成本效益的方式提供患者护理，促使许多医院进行技能组合调整。教育项目对于让无执照辅助人员（UAP）为其新角色做好准备至关重要。
采用基于能力的方法，设计了一个教育项目，以培养特定的技术技能，针对复杂能力，并提高参与者的知识和技能表现。该教育项目实现了五个项目目标。
如在教育项目中评估以及应用于临床科室时所示，无执照辅助人员在新技能方面获得了知识和能力。最重要的成果是参与者表现出渴望学习更多知识，以及他们希望成为医疗团队中有贡献的成员。
该教育项目对无执照辅助人员进行了充分培训，并建立了关系和团队合作基础，以具有成本效益的方式加强了患者护理服务。
