基于柯克帕特里克模型对临床护士康复护理培训效果的评估。
Evaluation of the effectiveness of rehabilitation nursing training for clinical nurses based on the Kirkpatrick model.
作者信息
Yang Manzhou, Zhang Xiuying, Han Ruiyang, Ding Xiao, Gao Runguo, Jing Qi, Cai Weiqin, Ma Anning, Gao Qianqian, Li Hongmei
机构信息
School of Public Health, Shandong Second Medical University, Weifang, China.
Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, China.
出版信息
BMC Nurs. 2025 Apr 4;24(1):374. doi: 10.1186/s12912-025-02889-1.
BACKGROUND
According to the "National Nursing Development Plan (2021-2025)" issued by the National Health Commission of China, it was crucial to address the limited research available on rehabilitation nursing training. By 2025, it was expected that at least 90% of urgently needed professional nurses, including rehabilitation nursing, would participate in training. Therefore, it was necessary to explore the effects of rehabilitation nursing training for clinical nurses and provide reference suggestions for rehabilitation nursing training.
METHODS
The Kirkpatrick model was used as an evaluation tool to conduct a questionnaire survey of 79 clinical nurses who participated in the 5th term of rehabilitation nursing training in Shandong Province. Paired t tests, factor analysis, and qualitative interviews were used to analyze the participants' responses, learning styles, behaviors, and results. Four levels were used to evaluate training effectiveness.
RESULTS
The overall satisfaction rate of the trainees was high. There were significant differences in theoretical scores, operational examination scores and related nursing abilities before and after training; these scores before training were significantly lower than scores after training (P < 0.05). Four themes were extracted from the semi structured interviews: improving relevant capabilities, optimizing training, improving safety management awareness and crisis awareness, and expanding career development space.
CONCLUSIONS
Rehabilitation nursing training significantly improved the rehabilitation skills and knowledge of clinical nurses. Therefore, it was recommended that the methods and programs used in this study be adopted for the rehabilitation nursing training of clinical nurses in all specialty areas of nursing to improve their nursing skills.
背景
根据中国国家卫生健康委员会发布的《全国护理事业发展规划（2021-2025年）》，解决康复护理培训方面现有研究有限的问题至关重要。到2025年，预计至少90%的急需专业护士，包括康复护士，将参加培训。因此，有必要探索康复护理培训对临床护士的效果，并为康复护理培训提供参考建议。
方法
采用柯克帕特里克模型作为评估工具，对79名参加山东省第五期康复护理培训的临床护士进行问卷调查。采用配对t检验、因子分析和定性访谈来分析参与者的回答、学习方式、行为和结果。使用四个层次来评估培训效果。
结果
学员的总体满意度较高。培训前后理论成绩、操作考核成绩及相关护理能力存在显著差异；培训前这些成绩显著低于培训后（P < 0.05）。从半结构化访谈中提取了四个主题：提高相关能力、优化培训、提高安全管理意识和危机意识、拓展职业发展空间。
结论
康复护理培训显著提高了临床护士的康复技能和知识。因此，建议将本研究中使用的方法和方案应用于所有护理专业领域的临床护士康复护理培训，以提高他们的护理技能。
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