中医护理技术难度分级及准入机制探讨.docVIP

中医护理技术难度分级及准入管理探讨 施翠芬1 王轶华2 （1.江西中医学院附属医院护理部，江西 南昌 330006；2.江西省上饶市信州区新型农村合作医疗管理中心，江西 上饶 334000） 摘 要 目的 对中医护理技术进行难度分级，确立准入管理机制，以提高护理人员中医护理技术水平，实现分层次培训。方法 采用德尔菲专家咨询法对36名专家进行三轮问卷调查，形成中医护理技术的难度分级并给出准入管理建议。结果 中医护理技术操作难度分级结果：中医护理技术项目的平均难度水平在5.57分，80%属于中、低难度水平的项目。其中耳针法等7项针刺法为高难度操作；穴位按摩等8项技术操作为中难度操作；中药煎煮等7项技术操作为低难度操作。中医护理技术准入机制：（1）高难度技术操作准入建议：本科学历、主管护师、10年以上中医临床护理工作经验，且必须接受过1年以上中医护理技术操作理论和实践专项培训；（2）中难度技术操作准入建议：大专以上学历、护师以上职称、从事中医护理工作5年以上、经过6个月以上中医理论和技能系统培训；（3）低难度技术操作准入建议：中专以上学历、护士以上职称、从事中医护理工作2年、经过3个月以上中医理论和技能系统培训。结论 中医护理技术难度分级及准入机制的确立，为护理人员资质培训内容的界定、中医临床技术规范化管理不规范操作引起差错事故 the difficulty grading and access administration of TCM nursing techniques SHI Cuifen, WANG Yihua （Nursing department of Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang 330006） Abstract Objective To classify the difficulty grading of TCM nursing techniques and establish the access administration, in order to improve nurse’s operation skill of TCM nursing techniques and provide theoretical basis of hierarchical training. Methods Based on Delphi method which was carried out by questionnaire to consult 36 experts for three times to established the difficulty grading of TCM nursing techniques and provided advices to access administration of TCM nursing techniques. Result The average score of TCM nursing techniques is 5.57 and 80% of TCM nursing techniques are classified to medium and low difficulty level. Seven techniques such as auricular acupuncture method are highly difficult techniques. Eight techniques such as acupoint massage are medium difficult techniques. Seven techniques such as decoction of traditional Chinese medicine are low difficult techniques. Admission qualification of highly difficult level of TCM skills includes of bachelor degree or above, nurse-in-charge,10 years experience in TCM nursing, more than 1 year special theory and the practice training of TCM. Admission qualification of medium difficult level of TCM techniques includes college degree or