1.临床护士岗位胜任力要求及培养-庄一渝

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1、临床护士岗位胜任力要求及培养StaffNurses'sCompetencyRequirementsandTrainingStrategies浙江大学医学院附属邵逸夫医院庄一渝ICU科护士长ZhuangYiYu,RN,ICUDirectorzhuangyy@srrsh.com中国首家通过国际医院（JCI）评审的公立医院教学目标LearningObjective学员能够theparticipantwillbeableto讨论当今护士的能力要求以及对护理教学的挑战Discussthecompetencyrequirementsofnursesand

2、itschallengetonursingstaffdevelopment阐述护士从新手到专家发展各阶段的临床能力特点Describetheclinicalcompetencydifferenceofnurseatdifferentstagesfromnovicetoexpert了解邵逸夫医院不同阶段护士的工作职能和培训体系Learnaboutthejobdescriptionandtrainingprogramsforthenursesatdifferentlevel根据介绍的教学评价方法，在自己的机构中拓展应用可借鉴的评价方法Expl

3、oretheapplicationofdifferentevaluationmethodsinareaofstaffdevelopmentbasedontheexamples中国首家通过国际医院（JCI）评审的公立医院建立以胜任力为本的教育和评价系统EstablishingCompetencyBasedTrainingandEvaluationSystem我们期望的护士胜任力？CompetencyExpectations需要哪些知识和技术？Knowledge&SkillRequirements岗位标准是什么？JobDescription

4、个体如何证明胜任力？EvaluationGivingYouSincerity,ConfidenceandLove胜任力是…Competencyis...…运用交流、知识、技能和临床推理能力、情感及对日常工作的反思所形成的对所服务的个体及社区有益的工作习惯。…thehabitualandjudicioususeofcommunication,knowledge,technicalskills,clinicalreasoning,emotions,values,andreflectionindailypracticeforthebenefitof

5、theindividualandthecommunitybeingserved.”EpsteinandHundertJAMA,2001GivingYouSincerity,ConfidenceandLove邵逸夫医院护士核心能力界定CoreCompetencyforSRRSHNurses评估和干预能力AssessmentandInterventionSkills沟通能力CommunicationSkills评判性思维能力CriticalThinkingSkills人际交往能力HumanCaringandRelationshipSkill

6、s管理能力ManagementSkills领导能力LeadershipSkills教学能力TeachingSkills知识综合能力KnowledgeIntegrationSkills(Lenburg,1992-1995,1998,1999;Luttrelletal,1999).GivingYouSincerity,ConfidenceandLoveHubertDreyfus技能获得模式HubertDreyfusModelofSkillAcquisition每个新学员在学习一门技能的过程中必定经历5个阶段Intheacquisition

7、anddevelopmentofaskill,astudentpassesthroughfivelevelsofproficiency新手——高级新手——合格——熟练——专家NoviceAdvancedCompetentProficientExpertBeginner从新手到专家的过程中，主要经历3个方面的改变Thesedifferentlevelsreflectchangesinthreegeneralaspectsofskillperformance从依靠抽象的准则——运用具体的经验relianceonabstractprinciples

8、totheuseofpastconcreteexperienceasparadigms组成事件的各个部分同等重要——能抓住重点situationiss