Abstract: Objective: To establish an "1+1+1" training system for newly appointed head nurses and to explore its effect. Methods: Based on the current situation and requirements of the core competencies of newly appointed head nurses, an "1+1+1" training system was established through literature review, expert discussion and validation. A total of 15 new head nurses employed in 2017 participated in this one-year systematic training which included "one-week concentrated theoretical training + one-week shadowing in clinical practice + one-year one on one mentoring". To evaluate the implementational effect of the training system, the core competence score and satisfaction of the training system were collected using questionnaires. A self-evaluation among head nurses was also conducted by semi-structured interview. Results: The core competence score of the head nurses was greatly improved after completion of the systematic training (P<0.05). The overall satisfaction score of newly appointed head nurses was 38.33±2.44. The results of qualitative interviews showed that the training system was reasonable, increased new head nurse's learning interest and promoted their role transformation. Conclusion: The "1+1+1" training system for newly appointed head nurses effectively improves their core competencies, promotes their role transformation, and increased their administrative capability.

Key words: newly appointed head nurses; core competence; job training; tutorial system; need