Objective

2

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

2

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

Sichuan University

were randomly divided into an experimental group (

n

=61) and a control group (

n

=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

t

-test were performed using SPSS 25.0.

Results

2

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

P

<

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

P

<

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

Conclusions

2

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.