Evaluation of the Effect of Chemotherapeutic Drug Training on Mobile Terminal for Neuro-Oncology Nurses Based on Kirkpatrick’s Model

Lan Bai, Qinqin Zhao, Zhihuan Zhou
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引用次数: 1

Abstract

Background: Since there has been training, there has been discussion about the effect of training. But training evaluation is not systematic until Kirkpatrick came up with the training evaluation model in 1959. At present, the prevailing model in the systematic summary of training evaluation is still The Kirkpatrick’s model. This model was further improved in 1994, more responsive to contemporary needs, and thus widely used all over the world. At the beginning, it was widely used in human resource management of enterprises. In recent years, this model has been gradually used in the medical field to evaluate the effect of medical training. The Kirkpatrick’s model has a systematic, integrated and persuasive evaluation system for trainees. It has good effects in the pre-service nurse training, the professional image and code of conduct nurses training, and the geriatric nurse training. At present, there are few studies on the chemotherapeutic drug training of neurologist nurses in China. In clinical work, nurses’ cognitive and practical behaviors of chemotherapeutic drug protection and drug extravasation prevention and treatment are insufficient. It directly harms the health of nursing staff and increases the complications of chemotherapy, increases pain of tumor patients, delays or interrupts chemotherapy, and aggravates the economic burden of patients. Especially, Chemotherapeutic drugs for neuro-oncology have particularity and necessity of urgent training. Objective: To investigate the effect of chemotherapeutic drug training through mobile terminal for neuro-oncology nurses based on the Kirkpatrick’s model. Methods: The training content and evaluation questionnaire for chemotherapeutic drugs were designed by nursing management personnel and senior nurses in our department according to the guidelines and common diseases requiring chemotherapy in the department. The content includes the basic knowledge of neuro-oncology chemotherapy, pharmacological knowledge, toxic and side effect of chemotherapy, etc., which are regularly pushed through the mobile terminal-WeChat. Forty nurses participated in the training and the effect is evaluated by Kirkpatrick’s model. Result: After the training, 100% of nurses were satisfied with the training content and 97.5% with the training form. The scores of nurses in learning level such as basic pharmacological knowledge, drug configuration and exposure, drug treatment and infusion, observation of toxic and side effects, and treatment of drug extravasation were significantly higher than those before the training (P
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基于Kirkpatrick模型的神经肿瘤护士移动端化疗药物培训效果评价
背景:自从有了培训,就一直有关于培训效果的讨论。但是直到1959年Kirkpatrick提出培训评估模型之后,培训评估才开始系统化。目前,在培训评估的系统总结中,主流的模型仍然是the Kirkpatrick’s model。这种模式在1994年得到进一步改进,更符合当代的需要,因此在世界各地广泛使用。最初,它被广泛应用于企业的人力资源管理中。近年来,该模型已逐步应用于医学领域,用于评价医学培训效果。柯克帕特里克模型为受训者提供了一个系统的、完整的、有说服力的评估体系。在岗前护士培训、护士职业形象与行为规范培训、老年护士培训等方面均取得了较好的效果。目前国内关于神经科护士化疗药物培训的研究较少。在临床工作中,护士对化疗药物保护和药物外渗防治的认知和实践行为不足。它直接危害护理人员的健康,增加化疗并发症,增加肿瘤患者的痛苦,延迟或中断化疗,加重患者的经济负担。特别是神经肿瘤化疗药物具有特殊性和迫切培训的必要性。目的:探讨基于Kirkpatrick模型的移动端化疗药物培训对神经肿瘤护士的效果。方法:由我科护理管理人员和高级护士根据指南和科室常见化疗疾病设计化疗药物培训内容和评价问卷。内容包括神经肿瘤化疗基础知识、药理知识、化疗毒副作用等,定期通过移动端——微信推送。40名护士参加了培训,并采用Kirkpatrick模型对培训效果进行了评价。结果:培训结束后,100%的护士对培训内容满意,97.5%的护士对培训形式满意。护士在药理基础知识、药物配置与暴露、药物治疗与输注、毒副反应观察、药物外渗处理等方面的学习水平得分均显著高于培训前(P
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