新业态下免陪照护服务模式中医疗护理员培训与等级认定实践路径 [中文引用][英文引用]

目的  探索新业态下免陪照护服务模式中医疗护理员培训与职业技能等级认定的实施路径。方法  2025 年 6月—2026 年 8 月，根据国家及广东省相关政策，广东省护理学会联合全省 21 个地市的相关单位，组建医疗护理员培训与认定工作委员会，实施“六统一”人才培训和五级职业技能等级认定，并加强全程质量监管，即采用“考评分离”和“组织统筹 -标准制定 -培训考核 - 评价认定 - 质量监管”路径进行人才培养。结果  累计完成 13 445 名医疗护理员的培训考核，通过率 87.7%，完成390 名医疗护理员的职业技能等级认定，通过率 92.6%；通过技能竞赛专项通道 35 名医疗护理员完成等级晋升认定。结论  该路径能高效实现医疗护理员培训与认定，加快医疗护理员持证上岗；解决医疗护理员能力参差不齐、评价体系缺失等痛点，为技能人才培养提供范例。未来将进一步加强质量追踪管理及患者满意度监测，助力免陪照护服务模式高质量发展。

Objective To explore the implementation pathway of training assessment and vocational skill accreditation for nursing care assistants under the companion-free care service model in emerging format. Methods From June 2025 to August 2026， the Guangdong Nursing Association established working committee for quality accreditation in training and grading of the nursing care assistants，in collaboration with multiple healthcare-related institutions across 21 prefecture-level cities in Guangdong Province and adhered to national and provincial policies. The talent training under the principle of six unifications，five-tier vocational skill grading accreditation were implemented，and comprehensive quality supervision was strengthened. Talent cultivation is implemented by adopting the pathway of separation of assessment and accreditation mechanism and following a full-process workflow covering overall organization coordination，standard formulation，talent training and assessment，evaluation and accreditation，and quality supervision. Results A total of 13，445 nursing care assistants took part in the training and skill assessment scheme and achieved a pass rate of 87.7%. A total of 390 candidates completed vocational skill accreditation，with an accredited rate of 92.6%，and 35 nursing care assistants received the grade promotion and skill accreditation. Conclusion The pathway can efficiently facilitate the training and accreditation of nursing care assistants and accelerate the transition to accredited practice. It effectively addresses prominent issues such as heterogeneous competency among personnel and the absence of standardised quality assurance systems，serving as a model for talent training. Future efforts should focus on the reinforcement of monitoring care quality and patients’satisfaction in order to deliver high-quality companion-free care services.