Study on training and competence improvement of nursing staff in pediatric outpatient infusion room
门诊儿科输液室护理人员培训与能力提升研究

摘要

目的 针对单中心门诊儿科输液室护理人员能力短板，构建“场景化实战+精准化赋能”培训体系，解决护理人员在儿童静脉穿刺、亲子沟通及应急处置中的核心问题，提升护理服务质量与安全性，为基层医院儿科输液护理培训提供可复制的单中心实践方案。方法 选取2024年1-6月安徽医科大学第一附属医院门诊儿科输液室20名护理人员为研究对象，采用随机数字表法分为对照组与实验组，各10人。对照组实施常规培训（每月1次理论授课+季度1次操作考核）；实验组采用“三维实战”培训体系。结果 实验组静脉穿刺成功率高于对照（χ2=4.630，P=0.031）；实验组家长满意度评分高于对照组（t=8.562，P＜0.001）；实验组输液不良事件发生率低于对照组（χ2=3.934，P=0.047）。结论 “三维实战”培训体系可显著提升单中心门诊儿科输液室护理人员综合能力，降低不良事件风险，优化医患体验，适合基层医院小样本护理团队高效培训。

Abstract

Objective Aiming at the competence shortcomings of nursing staff in the pediatric outpatient infusion room of a single center, this study constructed a training system of "scenario-based practical training + targeted empowerment" to solve the core problems of nursing staff in pediatric venous puncture, parent-child communication, and emergency response. The objectives were to improve the quality and safety of nursing services, and provide a replicable single-center practical plan for pediatric infusion nursing training in primary hospitals.
Methods Twenty nursing staff from the pediatric outpatient infusion room of a tertiary hospital from January to June 2024 were selected as the research subjects. They were divided into a control group and an experimental group using a random number table method, with 10 participants in each group. The control group received conventional training (1 theoretical lecture per month + 1 operational assessment per quarter); the experimental group adopted the "three-dimensional practical" training system.
Results The success rate of venous puncture in the experimental group was higher than that in the control group (χ2=4.630, P=0.031); the parental satisfaction score in the experimental group was higher than that in the control group (t=8.562, P＜0.001); the incidence of adverse infusion events in the experimental group was lower than that in the control group (χ2=3.934, P=0.047).
Conclusion   The "three-dimensional practical" training system can significantly improve the comprehensive competence of nursing staff in the pediatric outpatient infusion room of a single center, reduce the risk of adverse events, and optimize the doctor-patient experience. It is suitable for efficient training of small-sample nursing teams in primary hospitals.