Application of diversified training based on dynamic case in standardized training of new nurses in Neurological Intensive Care Unit

Objective To explore the application effect of diversified training based on dynamic case in standardized training of new nurses in Neurological Intensive Care Unit. Methods Totally 62 new nurses were selected from the First Affiliated Hospital of Wenzhou Medical University in 2017 and 2018. A total of 30 nurses in 2017 were assigned into the control group and 32 new nurses in 2018 were in the observation group. The control group was trained in stages by traditional training methods, while the observation group added one dynamic case to each training stage, and implemented diversified training and assessment methods such as scenario simulation training, video teaching, tutorial system teaching, etc. The theoretical assessment, skill assessment, adverse event and comprehensive nursing ability were compared between the two groups. Results After diversified training, the scores of theoretical assessment (92.58±2.55) and skill assessment (94.72±2.67) in the observation group were higher than those in the control group with statistical differences (t=-8.018, - 10.151; P 0.05) . The nurses in the observation group were all qualified in terms of the comprehensive nursing ability while 2 nurses the control group were not qualified, there was significant difference between the two groups (Z=-3.473, P<0.05) . Conclusions The diversified training based on dynamic case can effectively improve the theoretical and operational performance of rotating nurses, the qualified rate of teaching, the comprehensive ability of nursing and the confidence of practitioners. It is worthy of further application in the standardized training of newly admitted nurses in Neurological Intensive Care Unit. Key words: Neurosurgery; New nurses; Standardized training; Dynamic case; Diversified training; Scenario simulation