基于深港合作的专科助产士培训方案的制订与应用

doi:10.3761/j.issn.0254-1769.2023.19.013

摘要/Abstract

摘要：

目的制订基于深港合作的专科助产士培训方案，并评价其应用效果。方法基于深港合作特色制订专科助产士培训体系与考核标准。采用便利抽样法，选取2021年及2022年参加由中国妇幼保健协会举办的“专科助产士培训班”和深圳市某医院专科助产士培训的32名学员作为研究对象，接受为期2个月的助产专科培训，收集学员对教学的满意度，通过比较和分析学员理论考核成绩、临床实践技能考核成绩对方案进行评价。结果学员教学满意度调查表总分为（93.41±5.14）分；培训后学员理论考核成绩为（77.03±4.60）分，高于培训前的（60.38±4.99）分，差异具有统计学意义（t=13.89，P<0.001）；临床实践技能考核成绩为（87.56±4.23）分，均达标，学员顺利取得结业证书。结论具有深港合作特色的专科助产士培训方案的应用，有助于提升学员自我学习能力及教学质量，提高其临床实践水平，可促进深港合作的专科助产士培训的推广。

关键词: 深港合作, 助产士, 培训方案, 护理管理研究

Abstract:

Objective To discuss the development and application of Hong Kong-Shenzhen cooperated standardized specialty midwife training program，and to evaluate the effectiveness. Methods A retrospective study was conducted based on the checking standard of Hong Kong-Shenzhen cooperated standardized specialty training system. 32 trainees who have attended the specialist midwifery training program of our hospital were selected as study subjects from 2021 to 2022，and all trainees received a 2-month long individualized specialty training. After the collection of the satisfaction survey from participants，the program was evaluated from 2 aspects by comparing and analyzing the trainees’s theoretical scores and clinical practice skill scores. Results All participants had a high satisfaction of the training quality of（93.41±5.14）. Scores of theoretical examinations were（77.03±4.60） after training，which were higher than（60.38±4.99） before training，with statistically significant differences（t=13.89，P<0.001）. Scores of clinical practice skill assessment were all above the standard of（87.56±4.23）. All trainees achieved the certificates of completion successfully. Conclusion The development and application of Shenzhen-Hong Kong cooperated standardized specialty midwife training program helped to improve the self-learning ability，training quality and the clinical practice levels of midwives，and promoted the training system of Shenzhen-Hong Kong cooperated specialty midwives.

Key words: Shenzhen-Hong Kong Cooperation, Midwife, Training Programs, Nursing Administration Research

谢倩, 张贤丹, 林静纯, 秦岚, 都继微. 基于深港合作的专科助产士培训方案的制订与应用[J]. 中华护理杂志, 2023, 58(19): 2395-2400.

XIE Qian, ZHANG Xiandan, LIN Jingchun, QIN Lan, DU Jiwei. Construction and application of a specialized midwife training program based on Shenzhen-Hong Kong cooperation[J]. Chinese Journal of Nursing, 2023, 58(19): 2395-2400.

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参考文献 16

[1]	许荣华, 沈佩君, 李灵芳, 等. 基于核心胜任力的助产方向专科护士培训实践[J]. 中华护理教育, 2021, 18(3):222-226.
	Xu RH, Shen PJ, Li LF, et al. The practice of specialty nurse training of midwifery based on core competence[J]. Chin J Nurs Educ, 2021, 18(3):222-226.
[2]	蔡锋成, 徐萌艳, 吴映瑛, 等. 专科助产士培训体验的质性研究[J]. 护士进修杂志, 2022, 37(16):1528-1531.
	Cai FC, Xu MY, Wu YY, et al. Qualitative research on training experience of specialist midwives[J]. J Nurses Train, 2022, 37(16):1528-1531.
[3]	胡蕾, 姜梅, 徐鑫芬, 等. 中国助产士人力资源现状调查研究[J]. 中华护理杂志, 2020, 55(2):192-197. DOI
	Hu L, Jiang M, Xu XF, et al. Investigation on the current situation of midwives human resources in China[J]. Chin J Nurs, 2020, 55(2):192-197. DOI
[4]	国务院. “健康中国2030”规划纲要[EB/OL].(2016-10-25)[2022-10-11]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
	The CPC Central Committee and the State Council. The outline of the “Healthy China 2030” plan[EB/OL]. (2016-10-25)[2022-10-11]. http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm..
[5]	张晓宇, 任蓁, 于欣欣, 等. 助产教育与处方权现状及启示[J]. 中华护理教育, 2019, 16(5):381-384.
	Zhang XY, Ren Z, Yu XX, et al. Present situation and enlightenment of midwifery education and prescription right[J]. Chin J Nurs Educ, 2019, 16(5):381-384.
[6]	马悦, 康健, 江星. 美国助产教育对我国助产教育的启示[J]. 全科护理, 2022, 20(10):1425-1427,1440.
	Ma Y, Kang J, Jiang X. Enlightenment of American midwifery education to Chinese midwifery education[J]. Chin Gen Pract Nurs, 2022, 20(10):1425-1427,1440.
[7]	刘君儿, 曹卫洁, 李珑. 我国大陆、台湾地区助产教育与临床实践分析与启示[J]. 全科护理, 2021, 19(17):2324-2328.
	Liu JE, Cao WJ, Li L. Analysis and enlightenment of midwifery education and clinical practice in mainland China and Taiwan province[J]. Chin Gen Pract Nurs, 2021, 19(17):2324-2328.
[8]	梁妙玲, 吴颂仪. 香港助产护士职责及助产护理新动向[J]. 中国护理管理, 2007, 7(8):19-20.
	Liang ML, Wu SY. Responsibilities of midwifery nurses in Hong Kong and new trends of midwifery nursing[J]. Chin Nurs Manag, 2007, 7(8):19-20.
[9]	Kroezen M, van Dijk L, Groenewegen PP, et al. Nurse prescribing of medicines in Western European and Anglo-Saxon countries:a systematic review of the literature[J]. BMC Health Serv Res, 2011, 11(1):1-17. DOI URL
[10]	陈敏, 陈立斌, 梁德杨, 等. 香港助产士完成的中孕期胎儿结构畸形超声筛查:回顾及评价[J]. 中国产前诊断杂志(电子版), 2010, 2(2):12-18.
	Chen M, Chen LB, Liang DY, et al. Ultrasonographic screening for fetal structural abnormalities performed by trained midwives in the second trimester in a low risk population[J]. Chin J Prenat Diagn Electron Version, 2010, 2(2):12-18.
[11]	黄雪燕, 张尹, 冯莺, 等. 柯氏模型在杭州市中医护理培训效果评价中的应用[J]. 中华护理杂志, 2018, 53(1):71-75.
	Huang XY, Zhang Y, Feng Y, et al. Evaluation of effects of Traditional Chinese Medicine nursing training based on Kirkpatrick’s model[J]. Chin J Nurs, 2018, 53(1):71-75.
[12]	程建云, 林琳, 许玉杰, 等. 新疆地区助产专科培训的实践与效果[J]. 护理管理杂志, 2014, 14(12):874-875.
	Cheng JY, Lin L, Xu YJ, et al. Practice and effects of midwifery training in Xinjiang[J]. J Nurs Adm, 2014, 14(12):874-875.
[13]	晏玲丽, 张莉莉, 骆金铠, 等. 西藏自治区助产士规范化培训体系的构建及效果评价[J]. 中国护理管理, 2020, 20(12):1770-1775.
	Yan LL, Zhang LL, Luo JK, et al. Construction of standardized training system for midwives and the evaluation of their job competency in Tibet[J]. Chin Nurs Manag, 2020, 20(12):1770-1775.
[14]	侯睿, 黄静, 胡寅初, 等. 国际助产士联合会助产核心胜任力标准的发展以及在我国的应用[J]. 中国护理管理, 2020, 20(5):650-654.
	Hou R, Huang J, Hu YC, et al. Development of ICM essential competencies for midwifery practice and its adaptation and utilization in China[J]. Chin Nurs Manag, 2020, 20(5):650-654.
[15]	李倩, 杭琤. 助产士层级培训效果评价[J]. 中华护理教育, 2021, 18(3):218-222.
	Li Q, Hang C. Evaluation of training for midwives with different levels[J]. Chin J Nurs Educ, 2021, 18(3):218-222.
[16]	陈梦云, 蔡莹莹. 医联体内护士中心静脉导管维护同质化培训[J]. 中华护理教育, 2020, 17(4):333-338.
	Chen MY, Cai YY. The effects of PICC training of nurses within the medical partnerships[J]. Chin J Mod Nurs, 2020, 17（4）：333-338.