国际麻醉学与复苏杂志   2015, Issue (12): 0-0
    
麻醉护理学科建设实践
侯晓旭, 张卫1()
1.郑州大学第一附属医院
Practice in subject construction of anesthesia nursing
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摘要:

目的 探讨麻醉护理学科定位、学科体系建设、麻醉专科护士培训,进而界定符合中国国情的麻醉护理学科体系。方法 设立麻醉护理工作岗位,将麻醉护理工作划分为:手术临床麻醉护理、麻醉恢复期护理、疼痛诊疗护理、麻醉术后随访、自体血回输、药品管理、感染管理、设备与信息化管理八个麻醉护理学亚专业。各亚专业设立负责人并建立学科梯队。确立麻醉护士工作职责,建立并实施麻醉护理工作制度28项、工作流程30个、专科手术麻醉护理工作流程18个、应急预案16个及麻醉护理质量控制体系,并在工作中不断完善。建立规范化麻醉专科护士培训,采取多种形式开展毕业后继续教育。结果 培训了具有专业麻醉护理能力的麻醉护士67人,明确了各岗位麻醉护理人员职责,充分调动了护理人员的工作积极性,在麻醉工作中真正实现了护理岗位的价值,提升了患者、医师、护士满意度。首次提出麻醉护理学亚专业学科体系构建方法并进行实践,完善了麻醉护理管理体系、麻醉安全保障体系,促进了麻醉学科与护理学科协同发展,为麻醉护理学科建设奠定了基础。结论 通过临床实践验证,本研究提出的麻醉护理学科体系构建方法符合我国麻醉护理发展需求。麻醉护理学科发展处于形成期,学科基地建设、学科队伍、研究平台、研究资源等有待进一步发展与提高。

关键词: 麻醉护理 ;学科建设;麻醉专科护士;高级护理实践;信息化管理
Abstract:

Objective: To investigate the disciplinary orientation and construction of anesthesia nursing as well as clinical training of anesthetic nurse, so as to define the subject system system of anesthesia nursing which is consistent with Chinese national circumstances. Methods: The system of anesthesia nursing were established as eight subspecialtiesThe post of anesthesia nursing was established and divided into eight subspecialty[The system of anesthesia nursing were established as eight subspecialties], including clinical anesthesia care, post-anesthesia recovery care, pain related care, post-anesthesia visiting, cell salvage, drug administration, infection managementadministration , equipment and information administration. All subspecialties have team leader and predefined echelon. The responsibility of anesthesia nurses was defined. Twenty-eight working systems, thirty protocols, eighteen algorithms for special surgery, sixteen emergency plans and quality control system for anesthesia nursing were established, developed and improved during daily practice. Standardization protocol was established for training of anesthetic nurses. Various forms of continuing post-graduation medical education were developed. Results: sixty-seven anesthetic nurses completed the structured training and managed the skill of anesthesia care. The responsibility of anesthesia nursing staff was clarified and the enthusiasm of staff was aroused. The value of anesthesia nursing was thoroughly realized in clinical anesthesia. The satisfaction levels of patients, doctors and nurses were elevatedincreased. We firstly proposed the methods for constructing anesthesia nursing subspecialty system, also improved the anesthesia administration and anesthesia safety guarantee system, which will promote the development of both anesthesiology and anesthesia nursing and provide base for constructing anesthesia nursing subject. Conclusion: It is demonstrated that the methods for constructing anesthesia nursing proposed in the present study is consistent with the requirement of nursing development in Chinaour country. Furthermore, the development of anesthesia nursing is [yet]in its initial phase, and subjectsubject basement construction, specialized team,research platform and resources need further improvements.

Key words: Anesthesia nursing, Subject construction, Anesthetic nurse, Advanced nursing practice, Information management.