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(1)

endoscopy nurses in China

(2)

Contents

I. Current status of education & training of endoscopy nursing in China

II. Education & training for new endoscopy nurses

III. Exploration and thinking

(3)

Contents

I. Current status of education & training of endoscopy nursing in China

II. Education & training for new endoscopy nurses

III. Exploration and thinking

(4)

Development of Endoscopy in China

Semi rigid endoscopy

exam

First ERCP

Digestive endoscopy

Group In CSGE

Training center of digestive endoscopy

EUS2010

Fibro- endoscop

y

Endoscop y

Journal

Society of digestive endoscop

y

International

meeting Gastro20 13

(5)

顾对

论坛

护 学会 内镜护 学组 内镜

学组 内镜 护 学组

内镜护 学组 专业 员会

nursing

(6)

内镜 检查

内镜 带教 护 为 职

训教

传帮带 为

职内镜护 继续教 国 进纤

维内镜

内镜

世纪 年代 年 年

华护 学会举 办内镜护 继续

教 学习

endoscopy nursing training

内镜

带教 担内镜护

复旦大学护理学院

将内镜护理

纳入教学中

(7)

年代 年代 年代 年

endoscopy nursing training approach

(8)

中国消化内镜技术应用普查结果显示(2014年)

GI endoscopy nurse-to-doctor ratio

14532 GI endoscopy nurses

Nurse-to-doctor ratio1:0.55

Shortage of GI endoscopy nurses

(9)

Problems to solve

 Shortage of GI endoscopy nurses

 Education & training of new GI endoscopy nurses

(10)

III. How to Train

Endoscopy nurse qualifications & job descriptions Endoscopy nurse advanced level mode

Step-by-step training of new nurses Evaluation of new nurses

(11)

Contents

I. Current status of education & training of endoscopy nursing in China

II. Education & training for new endoscopy nurses

I I I . Exploration and thinking

(12)

Practice areas of endoscopy nurses

Providing patients with a comfortable, safe environment for endoscopic

Standardization of endoscopic and exam accessories cleaning, disinfection, maintenance

Involving in the entire process of

endoscopic diagnosis and treatment, from the simple diagnosis to the complex

treatment

1

2

3

(13)

The roles of endoscopy nurses

A C

D B

A s s i s t i n g e n d o s c o p i c d i a g n o s i s & t r e a t m e n t

I n s t r u m e n t s m a i n t e n a n c e Q u a l i t y C o n t r o l

E d u c a t i o n , t r a i n i n g

& r e s e a r c h

(14)

护 理 专 科 A

以 上 学 历

B C

D

注 册 护 士 临 床 工 作

大 于 两 年

具 有 急 诊 、 I C U 工 作 经 验 优 先 考 虑

Access standards of endoscopy nurses

(15)

Endoscopy nurse job description

基本要求 工作内容

工作概

配合上

工作职 内镜护士

岗位说明

年龄/学 历/工作

经历

从业资 质要求

其它要

入职前了解工作性质

(16)

Professional-level structure of endoscopy nurses

N3

N0

护士能级 工作经历 职称要求

资深专业护士 专科/管理/教学 高级/主管≥6年 专业护士 专科工作≥6年 主管/护师≥10年

护师/护士≥3年 专科工作3-5年

专业护士

护士2-3年 专科工作2-3年

专业护士

护士≤1年 专科工作≤1年

N0新护士

(17)

nursing qualifications & title

N3 N2

N1

N0

护 士 护 师 主 管 护 师

本 科 硕/博

注册/非注册护士

(18)

Professional level selection for advanced endoscopy nurses

遴 选

N3资深

N2b

专业护士

N1

N0

考 核

N2a

N3内镜中

心护士长 专 业

护 士

专 业

带 教

(19)

护士能级

内镜及相关附 件的清洗消毒

内镜预约 宣教

内镜诊疗 相关准备

资料整理

内镜检查 配合

内镜简单特殊 治疗的配合

排除简单内镜及相 关仪器设备故障

内镜下复杂治 疗的操作配合

急救组织 能力

带教下级护士内镜 检查及特殊治疗的 配合工作

质控员安 全员

科研能力

临床教学技能 培训

沟通协调 能力

N0护士 N1护士 N2a护士 N2b护士 N3护士

endoscopy nurses

(20)

入职培训(职业道德教育、服务理念、礼仪服务、慎 独”精神培养、医疗安全教育、法律法规、制度、职 责、沟通技巧等培训)

认知技能的学习(消化系统解剖病理生理理论知识、

消毒隔离和院感染知识、患者风险评估、熟悉内镜及 器械的功能、各项内镜检查的适应症及禁忌症等)

实践技能的学习(内镜洗消、普通胃肠镜检查的护理 配合、内镜诊疗的护理宣教、内镜特殊诊疗的护理配 合)

Phase 2 Phase 1

Phase 3

Phase of training new endoscopy nurses

(21)

Training approach

“讲-看-教-做-验收”

Hands –on training

(22)

Endoscopy nurse training program for level N0

courses

Trainingprogram

(23)

Endoscopy Nursing cooperation

EMR

EMR

(24)

Step-by-step evaluations

Specialty Knowledge

Specialty practice

Basic Knowledge

Basic practice

Essay

(25)

Evaluation of knowledge

Testpaper

(26)

Evaluation of practices

Criteria

(27)

Evaluation summary

Training Evaluation

PASS FAIL

Practise

(28)

Contents

I. Current status of education & training of endoscopy nursing in China

II. Education & training for new endoscopy nurses

I I I . Exploration and thinking

(29)

Flexible approaches to training new nurses

演讲法 课堂 操作

示范法 游戏

培训法 主题

培训法 多媒体 试听法 扮演法 职位 网上课程

学习法 阅读书籍法 案例

研讨法 咨询式 培训法 一对一 培训法 讨论法 现场

培训法 师徒式

培训法 专门指导 培训法 诊断式 培训法 工作中

学习法 互动 学习法

内部“上级”

辅导法 户外 训练法 培训法 模拟 宣传广告

培训法 动物

模型法 电子内镜模拟操作系统 培训法

已使用的培训方法

未使用的培训方法

可以开展的培训方法

内镜培训特有的方法

(30)

Thinking of education & training of endoscopy nurses

组 织 冰 山 图

知识技能部分(专业能力)

自我价值(发自内心)

海平面

激 发 潜 能 ( 创 新 )

(31)

Career plan

endoscopy nurses

Specializing Training direction

Professional level

assessment Implementing level training

(32)

Endoscopy nursing cooperation

Safety & risk management

Educatio n

&Trainin g

Quality control Health

education management

(33)

职业道德教育

服务理念

礼仪服务

“慎独”精神培养

医疗安全教育

法律法规、制度、

职责等培训

入职培训 能级培训 内镜仿真模拟操作系统 训练(动物试教)

Exploring & Thinking

(34)

感 谢 您 的 聆 听

Thank you for your attention

참조

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