基于泰勒模式的非神经科护士院内卒中识别和救治流程培训方案的构建

Construction of Training Program for Non-Neurological Nurses on the Identification and Treatment Process of In-Hospital Stroke Based on Tyler Model

摘要: 目的：构建科学、实用的非神经科护士院内卒中识别和救治流程培训方案，临床开展院内卒中培训教育提供参考依据。方法：以泰勒模式为基础，于文献回顾、焦点小组讨论，初步拟定非神经科护士院内卒中识别和救治流程培训方案，采用德尔菲专家函询法对20名专家进行2轮专家函询。结果：2轮专家函询问卷有效回收率均为100%，第2轮函询专家的权威系数为0.925。最终确立的非神经科护士院内卒中识别和救治流程培训方案包括培训目标、培训内容、培训管理、考核评价4个部分。其中，培训目标含一级指标3项，二级指标9项；培训内容含一级指标6项，二级指标35项；培训管理含一级指标5项，二级指标8项；考核评价含一级指标3项，二级指标7项。结论：非神经科护士院内卒中识别和救治流程培训方案构建过程科学合理，可为临床开展院内卒中培训教育提供借鉴。

Abstract: Purpose: To develop a scientific and practical training program for non-neurological nurses on the identification and treatment process of in-hospital stroke, providing a reference basis for the implementation of in-hospital stroke training education in clinical practice. Method: Based on the Tyler model, and through literature review and focus group discussions, a preliminary training program for non-neurological nurses on the identification and treatment process of in-hospital stroke was formulated. The Delphi expert letter-inquiry method was adopted to conduct two rounds of expert letter-inquiries among 20 experts. Result: The effective recovery rate of the two-round expert inquiry questionnaires was 100%. The authority coefficient of the experts in the second-round inquiry was 0.925. The finally established training program for non-neurological nurses on the identification and treatment process of in-hospital stroke includes four parts: training objectives, training content, training management, and assessment and evaluation. Among them, the training objectives contain 3 first-level indicators and 9 second-level indicators; the training content contains 6 first-level indicators and 35 second-level indicators; the training management contains 5 first-level indicators and 8 second-level indicators; the assessment and evaluation contains 3 first-level indicators and 7 second-level indicators. Conclusion: The construction process of the training program for non-neurological nurses on the identification and treatment process of in-hospital stroke is scientific and reasonable, which can provide reference for the implementation of in-hospital stroke training education in clinical practice.