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Study On Establishment And Application Of Standardized Vocational Training Model Of Nursing Staff In Nursing Home

Posted on:2016-07-30Degree:MasterType:Thesis
Country:ChinaCandidate:L GaoFull Text:PDF
GTID:2284330479480587Subject:Care for the elderly
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Objective 1. To establish a standardized vocational training model for nursing staff in nursing home in Shaanxi province, so as to richen the training system and provide scientific basis for formulating policies. 2. To apply the model in nursing staff in nursing home in Shaanxi province, in order to enhance their nursing skills and comprehensive quality, and improve the quality of life of the elderly in nursing home.Methods 1. Literature reviewing was used to obtain the information of the latest status and developing trend of research about training of nursing staff in nursing home. 2. Interview with manager, nursing staff and elderly in nursing home was used to collect the message on training of nursing staff. The basic framework of standardized vocational training model was formulated by combing with interview and literature review. 3. Delphi method was used to develop the standardized vocational training model ofnursing staff in nursing home. 4. The standardized vocational training model was applied for 465 nursing staffs in 30 nursing homes in Shaanxi province. The nursing staffs were randomly divided into two groups. Compared with the control group trained by non-standardized training model and self-studying, the experimental group was trained by the standardized vocational training model. The targets were collected to evaluate effectiveness of the standardized vocational training model. The targets included three contents that were the knowledge, attitude, practice of nursing staff in nursing home, the survey of satisfction and the test score of nursing staff in nursing home. The self-designed questionnares were used to investigate the knowledge, attitude, practice of nursing staff and the survey of satisfction. In addition, the test score was adopted by using the same test paper.The statistical analysis was carried out with SPSS17.0. Chi-square test, t-Test and ANOVA were used in the process of analyzing. There was a significant difference at the 0.05 level(2-tailed).Results 1. The standardized vocational training model of nursing staff in nursing home in Shaanxi province was established, which included four contents:①the course system and settings in junior nursing staff.②the course system and settings in secondary nursing staff.③the course system and settings in senior nursing staff.④the course system and settings in technician of nursing staff. 2. The effect on the knowledge, attitude, practice of nursing staff in nursing home by standardized vocational training 2.1 Effect on knowledge: Compared with the control group(50.65±16.70 vs 71.20±14.75), the knowledge score of the experimental group(52.42±18.16 vs 78.70±14.21) was increased more significantly after intervention, and the difference was statistically significant(P <0.05). 2.2 Effect on attitude: Compared with the control group(16.75±1.03 vs 16.81±0.60), the attitude score of the experimental group(16.66±1.47 vs 16.88±0.51) was not increased significantly after intervention, and the difference was not statistically significant(P >0.05). 2.3 Effect on practice: Compared with the control group(47.40±17.55 vs 60.21±16.53), the practice score of the experimental group(48.69±17.19 vs 66.63±13.36) was increased more significantly after intervention, and the difference was statistically significant(P <0.05). 2.4 Effect on total score: Compared with the control group(114.80±32.88 vs 148.22±28.34), the total score of the experimental group(117.78±34.31 vs 162.21±25.95) was increased more significantly after intervention, and the difference was statistically significant(P <0.05). 3. The effect on the test score of nursing staff in nursing home by standardized vocational training Compared with the control group 69.60±12.54, the exam score of the experimental group was 74.61±12.50 after intervention, and the difference was statistically significant(P <0.05). 4. The effect on the satisfaction by standardized vocational training 4.1The effect on the satisfaction of nursing staff in nursing home The nursing staffs in the experimental group were satisfied with the standardized vocational training. The rate of satisfaction on gain, overall training content, content arrangement, mastery of knowledge and technology, training arrangement, training method, training textbook and training facility reached 97.35%, 97.05%, 96.17%, 95.58%, 93.81%, 92.92%, 91.74% and 90.86%. 4.2The effect on the satisfaction of the elderly in nursing home Compared with the control group, the satisfaction of the elderly on basic nursing(2.35±0.73), psychological nursing(2.42±0.79), rehabilitation nursing(2.32±0.79) in the experimental group was higher with the statistical difference(P <0.05). There was no statistical difference(P >0.05) between the two groups on life care(2.82±0.47 vs 2.68±0.69).Conclusions This study showed the standardized vocational training with Delphi method used to establish could effectively enhance nursing knowledge and skills of nursing staff in nursing home by standardized vocational training model with good training effect and high degree of satisfaction. The establishment and application of the model could provide scientific and reliable basis for formulating policies on nursing staff in nursing home with theoretical value to some extent. Meanwhile, it could improve standardization and specialiazation on service of nursing staff in nursing home and improve the quality of life and satisfaction of the elderly in nursing home with practical value to some extent.
Keywords/Search Tags:Nursing staff in nursing home, Standardized vocational training model, Establishment, Course system, Evaluation of effect
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