| 刊名 | Medicinal Plant |
| 作者 | Wenping LI, Nian LIU, Wulun XIE, Yutong ZHENG, Danna LIU, Songhong XIE |
| 作者单位 | 1.Neijiang City Zizhong County People's Hospital, Neijiang 641299, China; 2.Neijiang Health Vocational College, Neijiang 641102, China; 3.College of Basic Medical Sciences, Qiqihar Medical University, Qiqihar 161006, China |
| DOI | DOI:10.19600/j.cnki.issn2152-3924.2026.02.011 |
| 年份 | 2026 |
| 刊期 | 2 |
| 页码 | 45-48，65 |
| 关键词 | ADDIE (Analysis, Design, Development, Implementation, Evaluation) model, Primary care nurses, Emergency competence, Training program, Medical consortium |
| 摘要 | [Objectives] To develop an emergency skills training program for primary care nurses based on the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model and to validate its effectiveness within the context of a medical consortium. [Methods] A mixed-methods design was employed to develop the training program, incorporating a cross-sectional survey (n=318), semi-structured interviews (n=15), and a Delphi expert consultation (n=15). Besides, a quasi-experimental study design was adopted. A total of 126 primary care nurses from the medical consortium who met the eligibility criteria were enrolled. The six-month training program was implemented, and changes in emergency competence, self-efficacy, core competence, as well as first-aid knowledge and skills were compared before and after the training. [Results] The developed training program was comprised of five modules encompassing 23 core components. The expert authority coefficient (Cr) was 0.877, and the Kendall's coordination coefficient (W) was 0.362 (P<0.001). After the intervention, the nurses' total emergency competence score significantly increased from (90.12 ± 14.85) points to (118.67 ± 11.23) points (t = -18.742, P < 0.001). Their self-efficacy score rose from (25.31 ± 5.67) points to (29.84 ± 4.12) points (t = -8.912, P < 0.001). The total core competence score improved from (198.45 ± 28.34) points to (235.76 ± 22.15) points (t = -13.565, P < 0.001). The pass rate for the first-aid theory assessment increased from 45.24% to 89.68% (χ² = 55.632, P < 0.001), and the pass rate for the operational skills assessment increased from 38.10% to 85.71% (χ² = 61.274, P < 0.001). [Conclusions] The training program constructed based on the ADDIE model can systematically improve the emergency competence, self-efficacy, and core competencies of primary care nurses, providing an actionable practical model for implementing standardized emergency training within the medical consortium. |
