Abstract:

Objectives To explore the establishment and effects of a multilevel and inter-disciplinary management scheme for specialist nurses. Methods The multilevel and inter-disciplinary management scheme included establishing the pyramid hierarchical training model，exploring superimposed training mechanism for specialist nurses with horizontal expansion，vertical extension，and deep development，and constructing stereoscopic clinical evaluation and quantitative assessment system. Four hundred-forty two specialized nurses have been recruited to join the multilevel and inter-disciplinary management scheme from July 2021 to August 2023. The core competencies of specialized nurses were compared before and after the implementation of management scheme. Results The quality development of specialized nursing have been improved，and the total scores and the scores of 3 dimensions （research innovation，management，and professional development） in core competencies of specialized nurses after the intervention of multilevel and inter-disciplinary management scheme were higher than those before（P<0.05）. Conclusion The multilevel and inter-disciplinary management scheme can effectively improve the core competencies of specialized nurses，and promote the high-quality development of specialized nursing.

Key words: Specialist Nurse, Stratified Training Mode, Nursing Management Research

摘要：

目的 构建专科护士多层次复合型管理方案，并探讨其在专科护士培养中的实践效果。 方法 构建专科护士多层次复合型管理方案，包括设立金字塔分层培养模式，探索横向拓宽、纵向延伸、深向发展的专科护士叠加培养机制，构建多方位临床评价及量化考核体系，并于2021年7月—2023年8月应用于北京市某三级甲等综合医院442名专科护士管理中，比较该方案应用前后专科护士核心能力的差异。 结果 实施专科护士多层次复合型管理方案后，专科护理的质量明显提升，专科护士核心能力的总分及创新、管理、专业发展3个维度得分均高于应用前（P<0.05）。 结论 专科护士多层次复合型管理方案能够有效提升专科护士的核心能力，从而促进专科护理的高质量发展。

关键词: 专科护士, 分层培养, 护理管理研究