ISD模型下医联体医院护士急救能力同质化培训对护士急救技能和应急能力的影响
The Influence of Homogenized Training of Nurses’ First-Aid Capacity in Medical Consortia under the ISD Model on Nurses’ First-Aid Skills and Emergency Response Capabilities

目的：探究ISD模型指导下医联体基层医院护士急救能力同质化培训对护士急救技能和应急能力的影响。方法：选取丽水市人民医院两家医联体分院的46名护士作为研究对象，成立急救技能培训管理小组，进行ISD模型指导下医联体基层医院护士急救能力同质化培训的设计与实施。比较培训前后医联体基层医院护士的急救技能、一般自我效能感量表(GSES)、护理培训满意度。结果：培训后基础理论知识和综合能力各项评分明显高于培训前(P < 0.005)。培训后应急处置技能、专业知识、协作能力、心理素质评分明显高于培训前(P < 0.001)。培训后GSES评分明显高于培训前(P < 0.001)。培训后(ISD模型指导下)培训时间安排、培训课程内容、培训师资、培训资料、参加培训收获评分明显高于培训前(传统培训) (P < 0.001)。结论：ISD模型指导下医联体基层医院护士急救能力同质化培训能够明显提高护士的急救技能及应急能力，有效提升护士的自我效能感及护理培训满意度。
Objective: To explore the impact of homogenized training of nurses’ first-aid capacity on nurses’ first-aid skills and emergency capabilities in primary hospitals under the guidance of ISD model in medical consortia. Method: 46 nurses from two medical consortium branches of Lishui People’s Hospital were selected as research subjects, and an emergency skills training management group was established to design and implement the homogenized first-aid skills training for nurses in primary hospitals of the medical consortium guided by the ISD model. First-aid skills, General Self-Efficacy Scale (GSES), and nursing training satisfaction of nurses in primary hospitals of medical consortia were compared before and after training. Result: The scores of basic theoretical knowledge and comprehensive ability after training were significantly higher than those before training (P < 0.005). The scores of emergency handling skills, professional knowledge, cooperation ability and psychological quality after training were significantly higher than those before training (P < 0.001). The GSES score after training was significantly higher than that before training (P < 0.001). After training (under the guidance of ISD model), training time arrangement, training course content, training teachers, training materials and training harvest scores were significantly higher than those before training (P < 0.001). Conclusion: Under the guidance of the ISD model, the homogenization training of nurses’ first-aid skills in primary hospitals of medical consortia can significantly improve their first-aid skills and emergency capabilities and effectively enhance their self-efficacy and nursing training satisfaction.