In the hospital's human resources, nursese comprise 40% to 60% of the workforce. Therefore, the quality and quantity of nursing manpower is an important factor to maintain and enhance the quality of medical care in the hospital. Five elements of the Taiwan Training Quality System (TTQS) proposed by Taiwan's Ministry of Economic Affairs are: plan (Plan), design (Design), execution (Do), checking (Review) and the outcome (Outcome). In this study, we applied these five elements in the training program for new nurses by re-examining the training content and adopting the mini-clinical assessment exercise (mini-CEX) and the skills to operate observation (DOPS) assessment method to enhance the ability of new nurses. We examined the satisfaction rate of the program and determined whether the retention rate of new nurses increased after the implementation of the new training program.
Methods:
This research project is divided into two phases, the first phase is completed nursing modify the content of training new staff to complete a mini nursing clinical assessment exercise (mini-CEX) - administration , catheterization, and nursing skills operation observation (DOPS) - blood transfusion, intravenous blood evaluation form, and the consistency of assessment by training; the second stage of this four technical assessment applied to work for at least six months or more for new nursers.
Results:
To establish the reliability and validity of the four technologies, the reliability and validity of each checklist Cronbach's Alpha value can reach 0.9 or more; after new nursers to make this assessment, you can see every new growth of staffs in the face of the patient's consultative and assessment techniques can be improved.
Conclusion:
The overall satisfaction of the training program was 88%. The one-year retention rate increased from 71.0 to more than 81.1 percent suggesting that the TTQS-based training program is effective in improving the nurses’ retention. The value of this program of plays performed. Learn from the data analysis unit staff assessment, at different locations, the assessment will affect the results, we can see the consistency of assessment by training is very important.