Abstract: In order to improve the quality of clinical nursing work, and meet the needs of the competency development of nurses in the emergency department, we established on-the-job training system for nurses in emergency department based on organizational learning theory. Through the implementation of full-staff training, whole-process management and team learning measures, the theoretical level of nurses at all levels had been improved (P<0.05) and the operational skills had been stabilized. The overall satisfaction of nurses to training was 94.39%, and the number of nursing adverse events decreased.

Key words: emergency department; nursing; organizational learning theory; on-the-job training; clinical nursing teaching