Objective? To establish a standardized training evaluation system for novice nurses based on Mini Clinical Evaluation Exercise(Mini-CEX)for the development of the novice nurses. Methods? The initial framework of the evaluation system based on Mini-CEX was established through literature review and topic group discussion. From March to April of 2018, by Delphi expert consultation, the weight of each indicators were determined through 2 rounds of expert consultation and Analytic Hierarchy Process. Results The effective recovery rate of questionnaires in two rounds were 100% and 98.33%. The expert authority coefficients (Cr) of the two experts were 0.86 and 0.88. A standardized training evaluation system for novice nurses based on Mini-CEX was established which includes 8 first-level dimensions and 66 subclauses. Conclusions The standardized training evaluation system for novice nurses based on Mini-CEX built through Delphi expert consultation is scientific and reliable, and can provide evidence for the evaluation method of standardized training for novice nurses in China.

Objective To explore the implementation effect of nurses′ hierarchical training plan based on training outline and nurses′ needs. Methods Nurses′ hierarchical training outline was established in accordance with three theoretical training modules(humanistic accomplishment, professional competence, career planning/development) as well as three skill training modules(basic nursing skills, specialist nursing skills and first aid nursing skills); the training needs of nurses were investigated by adopting a self-made Training Needs Questionnaire, then the hierarchical training plan was developed based on the training outline and nurses′ training needs. Results There were some differences in the training needs of different levels of nurses in the fields of clinical knowledge and skills,nursing management, nursing education, scientific research and new nursing guidelines and progress(F=2.80-22.47,P<0.05 or 0.01). Before the implementation of nurses′ hierarchical training plan based on training outline and nurses′ needs, nurses′ satisfaction about training, theoretical examination result, clinical working ability and patients′satisfaction towards nursing were 89.06%(228/256),94.80%(1 185/1 250), 96.63%(1 060/1 097) and 95.35%(5 470/5 737), respectively. Then, after the implementation, the corresponding values got improved into 96.76%(239/247), 97.44%(1 297/1 331), 98.75%(1 106/1 120) and 99.22%(6 070/6 118),which were statistically significant(χ2=11.11-176.27,P<0.01). Conclusion Integrating nurses′hierarchical training outline with the training needs helps to provide targeted hierarchical training so as to improve the professional quality of nurses and the patients′satisfaction towards nursing.