关键词: 护士, 在职培训, 培训模式, 岗位胜任力, 护理管理研究

Abstract:

Objective To explore the optimization strategies and implementation outcomes of an in-service training model for nurses in a public hospital，so as to provide references for improving training quality and efficiency. Methods Beginning in 2020，a systematic and continuous refinements were introduced to the in-service nurse training program at a tertiary general hospital in Sichuan Province，focusing on enhancing nurses’ job competency. This optimized training model encompassed 6 core elements，including systematized training content，talented training instructors，flexible training mechanisms，information-based training platforms，diversified training methods，and extensive training evaluations. Data on training participation，satisfaction，and clinical quality indicators （2019—2024） were collected and supplemented by assessment scores and competency evaluations（2021—2024） for comparative analysis. Results From 2019 to 2024，the annual training attendance，average training hours per nurse，and training satisfaction rates increased annually. In 2024，the total annual training attendance reached 258 191；the average training hours per nurse were 17.1，and training satisfaction rate was 97.3%. Theoretical knowledge，clinical practical skills，and job competency assessment scores from 2021 to 2024 showed a significant upward trend（P<0.001），with scores in 2024 being significantly higher than those in the previous 3 years（P<0.05）. The incidence of hospital-acquired pressure injuries （stage 2 or above） and the rate of fall-related injuries in 2024 were significantly lower than those in 2023（P<0.001）. Conclusion The optimized in-service training model for nurses in the public hospital effectively improved the utilization efficiency of training resources，enhanced the comprehensive professional competence of nurses，and contributed to the improvement of clinical nursing quality.

Key words: Nurse, In-Service Training, Training Model, Job Competency, Nursing Administration Rese-arch