Fan Weihong, Tian Bei, Xu Pei, Zou Zuoli, Zhou Xiaoling, Wu Yan, Wu Lianbao, Wu Yingbiao, Tang Peifeng, Liu Weiqun
Zhoupu Hospital, Shanghai University of Medicine and Health Sciences, Shanghai, China.
School of Public Health, The Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, China.
Public Health Nurs. 2025 Mar-Apr;42(2):949-956. doi: 10.1111/phn.13479. Epub 2024 Nov 20.
To explore the application of the Kirkpatrick model in VTE prevention training among community nurses in the medical consortium.
A team of experts was established to formulate a VTE prevention ability training program for community nurses in the medical consortium. According to a literature review, the results of a questionnaire survey and the results of on-site supervision surveys of nurses in five community health service centers in the medical consortium. The Kirkpatrick model was applied to train 117 nurses in five community service centers, and the effects on the four dimensions (i.e., the reaction layer, learning layer, behavior layer, and results layer) were observed.
A total of 100% of nurses' reported satisfaction with the training, and the attendance rate was ≥98%. After the training, the theoretical knowledge of VTE prevention and the results of the skills assessment of community nurses in the medical consortium were significantly greater than the pretraining levels (p < 0.001). Three months after training, the nurses' VTE prevention execution score significantly improved compared with the pretraining scores (p < 0.001). The compliance rate and standard rate of ankle pump movement significantly improved compared with those before training (p < 0.001).
Training based on the offset model can effectively improve VTE prevention knowledge among community nurses in the medical consortium, thereby enhancing VTE prevention among patients and at improving the compliance and standardization of patients' self-prevention. These findings provide a reference for future in-service training programs targeting VTE prevention among nurses in community hospitals.
探讨柯克帕特里克模型在医疗联合体社区护士静脉血栓栓塞症（VTE）预防培训中的应用。
成立专家团队，为医疗联合体社区护士制定VTE预防能力培训方案。依据文献回顾、问卷调查结果以及对医疗联合体中5家社区卫生服务中心护士的现场监督调查结果。应用柯克帕特里克模型对5家社区服务中心的117名护士进行培训，并观察对四个维度（即反应层、学习层、行为层和结果层）的效果。
护士对培训的满意度达100%，出勤率≥98%。培训后，医疗联合体社区护士的VTE预防理论知识及技能考核结果显著高于培训前水平（p<0.001）。培训3个月后，护士的VTE预防执行得分较培训前显著提高（p<0.001）。与培训前相比，踝泵运动的依从率和规范率显著提高（p<0.001）。
基于柯克帕特里克模型的培训可有效提高医疗联合体社区护士的VTE预防知识，从而增强患者的VTE预防能力，并提高患者自我预防的依从性和规范性。这些发现为未来社区医院护士VTE预防在职培训项目提供了参考。
