目的 了解某住院医师规范化培训基地护士对不同类别的规范化培训人员(以下简称住培人员)的职业道德和沟通合作能力的评价,为实现培训质量同质化提供参考。 方法 本研究采用问卷调查方法。2018年4月至2019年4月,培训基地96名主班护士通过“数字住培”APP对329名不同类型的住培人员进行职业道德和沟通合作能力评价。 结果 反映住培人员职业道德水平的3项指标“尊重患者和家属的合理要求并富有同情心”“愿意倾听并能通俗易懂回答患者问题”“着装整洁,符合职业身份”获评“优秀”的比例分别为79.2%(889/1 122)、78.0%(875/1 122)、83.9%(941/1 122);反映其与护士沟通合作能力的5项指标“对护理团队成员礼貌尊重,能够有效地交流沟通”“医嘱及其他医疗文书清晰明了”“在需要时总能找到,对护士报告的患者情况及时回应”“需要时能及时寻求上级医生和同事帮助”“能够及时告知护士关于患者的治疗和出院计划”获评“优秀”的比例分别为78.2%(877/1 122)、71.7%(804/1 122)、73.9%(829/1 122)、77.9%(874/1 122)、71.7%(805/1 122)。委托培训住院医师、临床医学专业学位研究生、八年制临床医学专业学生、本院住院医师等4类不同类别的住培人员职业道德和沟通合作能力百分制得分分别为(94.0±10.3)分、(94.2±10.4)分、(94.2±10.2)分、(94.8±10.7)分,其差异无统计学意义(P>0.05)。 结论 不同类别住培人员的职业道德和沟通合作能力整体较好,不同类别住培人员的职业道德和沟通合作能力具有同质性。

Objective To collect the nurses' evaluation to the professional ethics, communicating and cooperative capacity of residents from different sources in a residency institution, and to provide reference for achieving a quality homogenization. Methods Questionnaire survey was used. From April 2018 to April 2019, assessment of the professional ethics and communicating and cooperative capacity for 329 residents were conducted by 96 administrative nurses with “Digital Residence Training” APP in a residency institution. Results The proportions of the 3 indicators, “be compassionate and respect reasonable requirements of patients and their families” “be willing to listen and answer patient's questions using easy language” “dress in line with professional standards and neatly”, reflecting the professional ethics of these residents, ranked as “excellent” were 79.2%(889/1 122), 78.0%(875/1 122), and 83.9%(941/1 122), while the proportions of the 5 indicators, “respect nurse team and communicate effectively” “medical orders and medical documents are clear” “can be found when needed, respond timely to nurses report about patient's condition” “seek help timely from superior doctors and colleagues when needed” “inform nurses about the treatment and discharge plan of patients in time”, reflecting communicating and cooperative capacity, rated as “excellent” were 78.2%(877/1 122), 71.7%(804/1 122), 73.9%(829/1 122), 77.9%(874/1 122), and 71.7%(805/1 122) respectively. There was no statistically significantin scores of the professional ethics and communicating and cooperative capacity among the residents from other hospitals and graduate student, eight-year medical students and staff (P>0.05). Conclusions The professional ethics, communicating and cooperative capacity of residents were better as a whole. The professional ethics and communicating and cooperative capacity, which were homogeneous among residency from different sources.