摘要目的 探讨提升专科护士业务能力,规范专科护士岗位管理的有效方法.方法 湖南省儿童医院自2015年起采取国家、省级、院级三级合一的专科护士培训与管理方案,培养院级新生儿、重症监护、感染等专科护士.按照医院、大科和本科室3个层次进行培训,从专科理论知识、操作和学术能力3个方面进行考核.统计2015—2016年专科护士学术能力及专科业务开展情况,计算专科护士学术能力及专科业务开展的环比发展速度和环比增长速度.统计专科护士转岗率.结果 2015年202名专科护士合格率95.5%,2016年244名专科护士合格率96.7%;专科护士主持院级护理查房会诊11次,科内护理查房209次,院内新技术立项19项,院级及以上课题立项7项,发表论文综述153篇,院外公开发表科普文231篇.结论 国家、省级、院级三级合一的专科护士培训与岗位管理方案,能有效提高儿童医院专科护士业务能力,促进专科护理队伍稳定,确保专科护理质量和专科影响力的提升.

abstractsObjective To explore effective methods to improve specialized nurses' professional ability and standardize the post management. Methods Since 2015, Hu'nan Children's Hospital has adopted the the three-level (including the national, provincial and hospital level) specialized nurses training and management program to cultivate the hospital-level specialized nurses in neonatology, intensive care, infection and other departments. The training program was carried out in three-level, including the whole hospital, big departments and their own department (small departments). The assessment of the program also covered three parts, including the specialized theoretical knowledge, technical and academic competence. From 2015 to 2016, the professional academic ability and the development of professional technique were censused. The development speed with link relative method and the comparative growth on moving base of specialized nurses' academic and technical competence were calculated. At the same time transfer rate of specialized nurses was censused. Results The qualification rate of 202 hospital-level nurses reached 95.5% in 2015, and that of 244 nurses reached 96.7% in 2016. Over the past two years, the specialized nurses have been responsible for the hospital-level nursing rounds and consultation for 11 times and the department-level nursing ward rounds for 209 times. A total of 19 new technique projects have been approved by the hospital, and 7 hospital-level and above-hospital-level projects have been set up. The number of the overview published have reached 153 and that of published scientific articles beyond the hospital was 231. Conclusions The three-level (including the national, provincial and hospital level) training and post management program of specialized nurses can effectively improve the ability of specialized nurses from the children's hospitals, promote the stability of specialized nursing team, and guarantee the improvement of the quality and influence of specialized nursing.