摘要
目的调查分析重庆市三级甲等医院临床护士的高警示药品医嘱识别能力及培训需求。方法采用分层随机整群抽样法，抽取重庆市三级甲等医院3029名临床注册护士，运用《临床护理人员高警示药品医嘱识别能力问卷》，对临床护士的高警示药品医嘱识别能力及培训需求进行调查。结果82．70％（1946／2353）的临床护士能正确判断12道测试题中的8道题，盐酸哌替啶注射液测试题的正确率最高为97．11％（2285／2353），盐酸多巴胺注射液测试题的正确率最低为28．56％（672／2353）。不同性别、工作年限、科室、年收入水平临床护士的高警示药品医嘱识别能力得分比较差异有统计学意义（JP〈0．10）。问卷中24个错误医嘱，81．34％（1914／2353）的护士能够正确判断错误原因的有11个。岗前培训、医嘱处理相关知识及案例学习分别为最佳的培训时间、内容及形式。结论重庆市三级甲等医院临床护士的高警示药品医嘱识别能力不高，不同性别、工作年限、科室、年收入水平护士的高警示药品医嘱识别能力不同，应规范地予以针对性的培训。
Objective To investigate the recognition of physicians＇ advice about high-alert medications among clinical nurses from grade three and first-class hospitals in Chongqing and to analyse the relevant training requirements. Methods Using a multistage stratified cluster sampling strategy, the physicians＇ advice recognition questionnaire of High-alert medications for clinical nurses was administered to 3 029 nurses in eight hospitals, to test the nurses＇ advice recognition of high-alert medication and collecte training suggestions. Results More than 82.70% （1 946/2 353） of nurses responded correctly for 8 out of the 12 questions, the accuracy rate of pethidine hydrochloride injection test was 97.11% （2 285/2 353） and the dopamine hydrochloride injection test was only 28.56% （672/2 353）. The nurses＇ recognition of physicians＇ advice of high-alert medications in gender, department, working time and annual income was statistically significant （P〈0.10）. 81.34%（1 914/2 353） of the nurses were able to recognize ll out of the total 24 wrong advices. Pre-job training, theoretical knowledge related to physicians＇ advice and case-based learning are the best training time, content and form. Conclusions The recognition level of high-alert medications by clinical nurses from grade three and first-class hospitals in Chongqing was not high and the clinical nurses with different gender, department, working time and annual income had different abilities, the targeted training for clinicalnurses should be provided.
作者
江颖
肖明朝
赵庆华
谢莉玲
王富兰
Jiang Ying;Xiao Mingzhao;Zhao Qinghua;Xie Liling;Wang Fulan(Obstetrics and Gynecology Department of the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China)
出处
《中国实用护理杂志》
2018年第14期1092-1097,共6页
Chinese Journal of Practical Nursing
基金
国家科技支撑计划（2015BA106800）
重庆医科大学附属第一医院护理科研项目（HLJJ2015-04）
关键词
护士
三级甲等医院
高警示药品
医嘱识别能力
问卷调查
Nurses
Grade three and first-class hospital
High-alert medications
Physician＇sadvice reeogoition
Questionnaire
