医院消毒供应中心感染防控联动培养模式构建——基于护士与工勤人员协同胜任力视角

Construction of a Linked Training Model for Hospital Infection Prevention and Control in Central Sterile Supply Department—Based on the Collaborative Competency Perspective between Nurses and Support Staff

摘要: 消毒供应中心承担重复使用诊疗器械、器具和物品的集中处理，其工作具有流程连续、岗位交叉和风险跨环节传递等特点。现有培训多以单一岗位知识与操作技能为主，对护士与工勤人员在同一风险链上的协作关注不足。本文以消毒供应中心全过程感染风险管理为出发点，借鉴共享心智模型和团队协作相关理论，提出护士–工勤人员医院感染防控协同胜任力框架，包括共同风险认知、岗位角色与衔接、风险沟通与信息共享、相互监测与安全支持、协同处置与持续改进5个维度，并构建“共同核心 + 岗位特异”的双层能力结构。在此基础上，将培养目标由个体胜任延伸至协同胜任，将培训内容由岗位知识转向共同风险场景，通过情境训练、闭环沟通和质量反馈形成持续改进机制。该模式强调“知识异质、风险同识；职责有别、协同同向”，旨在为消毒供应中心多岗位人员培养及医院感染风险管理提供可操作的思路。同时，文章从教学目标、教学内容、教学实施与教学评价四个环节阐述该模式的教学运行方式，以期为医院跨岗位协作培训的教学设计提供参考。

Abstract: The central sterile supply department (CSSD) undertakes centralized reprocessing of reusable medical instruments, whose work is characterized by continuous processes, cross-post coordination and cross-step risk transmission. Existing training mostly focuses on single-post knowledge and operational skills, paying insufficient attention to the collaboration between nurses and support staff on the same risk chain. Starting from whole-process infection risk management in CSSD, and drawing on shared mental model and teamwork theories, this paper proposes a collaborative competency framework for hospital infection prevention and control between nurses and support staff, comprising five dimensions: shared risk cognition, post roles and linkage, risk communication and information sharing, mutual monitoring and safety support, and collaborative response and continuous improvement, and constructs a two-tier competency structure of “shared core + post-specific”. On this basis, the training objective is extended from individual competency to collaborative competency, the training content is shifted from post knowledge to shared risk scenarios, and a continuous improvement mechanism is formed through situational training, closed-loop communication and quality feedback. Emphasizing “heterogeneous knowledge, shared risk awareness; differentiated responsibilities, aligned collaboration”, the model aims to provide operable ideas for multi-post personnel training and hospital infection risk management in CSSD. Meanwhile, the teaching operation of the model is elaborated from four links: teaching objectives, teaching content, teaching implementation and teaching evaluation, so as to provide reference for the instructional design of cross-post collaborative training in hospitals.