【摘要】 目的 探索培养专科护士处方能力的有效方法，为护士处方权的实施提供临床实践经验。方法 基于医护联合门诊对专科护士实施“三阶梯”培养，包括医生助理岗位培养、医护联合门诊、基于医护协议处方的护理门诊。结果 抽取342例次护理处方，专科护士症状/护理问题判断正确率为97.66%,检查开具正确率95.91%,治疗方案选择正确率93.27%,专科检查结果判断正确率为99.12%。结论 基于医护联合门诊“三阶梯”培养模式可提升专科护士处方能力。更多还原

【Abstract】 Objective To explore an effective method for cultivating prescribing competence of specialist nurse and to provide clinical experience for the implementation of nurse prescribing. Methods A "three-ladder" training was implemented for specialist nurses based on physician-nurse joint clinic, including physician assistant position training, practice in physician-nurse joint clinic, and practice in nurse-led clinic based on physician-nurse collaborative prescribing. Results A total of 342 cases of nurse prescribing were extracted for analysis. The rate of correct diagnosis of symptom/nursing problem by specialist nurses was 97.66%, appropriate test prescribing was 95.91%, appropriate treatment selection was 93.27%, and accurate interpretation of specialty test results was 99.12%. Conclusion The "three-ladder" training model based on physician-nurse joint clinic can enhance prescribing competence of specialist nurse.更多还原