<p>The application effect of the combined action research of the Kirkpatrick model in the training course for pediatric surgical specialist nurses</p>

Abstract: Objective This study aims to integrate the Kirkpatrick model with action research to comprehensively evaluate the effectiveness of pediatric surgical specialty nurse training. Additionally, through continuous action research, we seek to refine the training program for specialty nurses in order to enhance training quality.Methods Utilizing action research as a framework, this study applies it within pediatric surgical specialty nurse training programs. Through a spiral cycle of planning, acting, observing, and reflecting, we construct the training program for pediatric surgical specialty nurses. Guided by the Kirkpatrick model, evaluations are conducted at four levels—reaction, learning, behavior, and results—using methods such as questionnaires and interviews. Each evaluation is followed by reflection and summary leading to corrective actions for subsequent rounds of action research.Results The action research team developed an evaluation model based on the Kirkpatrick framework. Research was conducted on various aspects of evaluating the effectiveness of specialty nurse training including establishing reference models, determining evaluation content, designing evaluation methods, setting standards for assessment criteria, and implementing practical evaluation models across three cohorts of trainees. Results indicated that at the reaction level all three cohorts reported high satisfaction with their training experience which improved year-on-year; at the learning level scores from theoretical assessments were significantly higher post-training (P < 0.05); at the behavior level both clinical instructors and trainees noted improvements in trainees’ attitudes towards specialized nursing practices and job competencies following completion of their courses; finally at the results level there was a notable enhancement in core competencies among trainees during later stages post-training.Conclusion Action research proves to be an effective method for addressing issues in clinical education. The comprehensive nature of content evaluated using a Kirkpatrick-based model facilitates better application of training outcomes while guiding necessary adjustments in future educational plans thereby improving overall quality in specialty nurse training.