Application of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses

Lu Chunyan; Wen Yue; Wang Xiaodong; Ma Yanling

doi:10.3760/cma.j.cn116021-20250122-02128

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Application of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses

Nursing Education Study | 更新时间：2025-10-29

- Application of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses
- Chinese Journal of Medical Education Research Vol. 24, Issue 10, Pages: 1400-1407(2025)
- 作者机构：
  
  四川大学华西医院胃肠外科病房，成都 610041
- 作者简介：
  
  Wen Yue, Email: wenyue123289006@163.com
- 基金信息：
  
  10th Teaching Reform Research and Practice Project of Sichuan University(HXYJS202412)
- DOI：10.3760/cma.j.cn116021-20250122-02128
  CLC： R-05
- Received：22 January 2025，
  
  Published：20 October 2025
- 稿件说明：
移动端阅览
卢春燕, 文曰, 汪晓东, 等. 基于“雁阵效应”的分层次培训模式在胃肠中心护士专业培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(10): 1400-1407.

Lu Chunyan, Wen Yue, Wang Xiaodong, et al. Application of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses[J]. Chinese journal of medical education research, 2025, 24(10): 1400-1407.
卢春燕, 文曰, 汪晓东, 等. 基于“雁阵效应”的分层次培训模式在胃肠中心护士专业培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(10): 1400-1407. DOI： 10.3760/cma.j.cn116021-20250122-02128.

Lu Chunyan, Wen Yue, Wang Xiaodong, et al. Application of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses[J]. Chinese journal of medical education research, 2025, 24(10): 1400-1407. DOI： 10.3760/cma.j.cn116021-20250122-02128.

摘要

目的

探讨基于“雁阵效应”的分层次培训模式在胃肠中心护士专业培训中的应用效果。

方法

选取四川大学华西医院胃肠中心122名护士，随机分为试验组（

=61）和对照组（

=61）。试验组采用基于“雁阵效应”的分层次培训模式，按年资分为N1~N4四个层级，分别对应“雏雁”“成长飞雁”“飞雁”和“领头雁/飞雁”角色，实施差异化培训内容与形式；对照组采用常规培训。在培训结

束时、培训后3个月和6个月进行理论知识、操作技能考核，并评估岗位胜任能力、专业特色指标及教学满意度。采用SPSS 25.0进行卡方检验和独立样本

检验。

结果

试验组护士在培训结束时、3个月和6个月的理论知识成绩[（91.69±3.04） vs. （83.66±6.35）、（89.42±3.29） vs. （81.33±5.79）、（85.63±3.67） vs. （76.59±6.48）

]

和操作技能成绩[（92.20±2.54） vs. （ 82.95±6.09）（90.15±2.83） vs. （81.61±5.47）、（89.24±3.18） vs. （78.91±5.89）

]

均高于对照组（均

0.001）。试验组岗位胜任能力总分高于对照组。专业特色指标中，术后压疮预防执行率（90.16% vs. 72.13%）、ERAS达标率（93.44% vs. 80.33%）等试验组均优于对照组（均

0.05）。培训满意度总分试验组高于对照组。

结论

基于“雁阵效应”的分层次培训模式可有效提升护士理论知识、操作技能、岗位胜任能力和临床护理质量，教学满意度高，具有推广价值。

Abstract

Objective

To explore the application effect of a hierarchical training model based on the "geese formation effect" in the professional training of gastrointestinal center nurses.

Methods

A total of 122 nurses at the Gastrointestinal Center of West China Hospital

Sichuan University

were randomly divided into an experimental group (

=61) and a control group (

=61). The experimental group received a hierarchical training model based on the "geese formation effect". Nurses in this group were divided into four levels of N1 to N4 according to seniority

corresponding to the roles of "young geese"

"growing geese"

"flying geese"

and "leading geese/flying geese"

and differentiated training content and formats were implemented. The control group received routine training. At the end of the training and at 3 and 6 months after the training

theoretical knowledge and operational skills were assessed

along with evaluations of job competency

professional characteristic indicators

and teaching satisfaction. The chi-square test and independent samples

-test were performed using SPSS 25.0.

Results

At the end of the training and at 3 and 6 months after the training

compared with the control group

the experimen

tal group achieved significantly higher scores in theoretical knowledge [(91.69±3.04) vs. (83.66±6.35)

(89.42±3.29) vs. (81.33±5.79)

(85.63±3.67) vs. (76.59±6.48)

]

and operational skills [(92.20±2.54) vs. (82.95±6.09)

(90.15±2.83) vs. (81.61±5.47)

(89.24±3.18) vs. (78.91±5.89)

]

(all

0.001). The total score of job competency in the experimental group was higher than that in the control group. For the professional characteristic indicators

the experimental group also outperformed the control group in the implementation rate of postoperative pressure ulcer prevention (90.16% vs. 72.13%) and the ERAS compliance rate (93.44% vs. 80.33%) (both

0.05). The total score of training satisfaction was higher in the experimental group than in the control group.

Conclusions

The hierarchical training model based on the "geese formation effect" can effectively improve the theoretical knowledge

operational skills

job competency

and clinical nursing quality of nurses

with high teaching satisfaction and promotion value.

关键词

Keywords

references

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