摘要
目的分析客观结构化临床考试(OSCE)考核模式在神经外科专科护士培训中的应用效果。方法采用便利抽样法,将2018年在南京大学医学院附属鼓楼医院神经外科专科护士培训基地进行培训的21名学员作为对照组,采用常规的理论与临床实践培训方式;将2019年22名学员作为试验组,采用OSCE考核模式,比较2组学员培训后的核心能力、满意度及学习与成长。结果 2组培训前核心能力各维度得分比较差异无统计学意义(P>0.05);试验组培训后专业技能、急危重症及疑难病案管理、专业素养得分分别为(4.55 ± 0.51)、(4.14 ± 0.77)、(4.36 ± 0.66)分,高于对照组的(3.90 ± 0.62)、(3.62 ± 0.80)、(3.76 ± 0.83)分,差异有统计学意义(t=3.69、2.15、2.64,均P<0.05)。培训后,试验组满意度总分为(66.82 ± 2.26)分,高于对照组的(62.05 ± 2.29)分,差异有统计学意义(t=6.87,P<0.05)。2组培训前后学习与成长比较差异无统计学意义(P>0.05)。结论利用OSCE考核模式开展神经外科专科护士培训有助于提高学员的专业技能、急危重症及疑难病案管理、专业素养的能力,且提高了学员对培训的满意度。
Objective To analyze the application effect of objective structured clinical examination(OSCE)assessment mode in the training of neurosurgery specialist nurses.Methods Using convenience sampling method,21 trainees who were trained in neurosurgery specialist nurse training base of Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School in 2018 were selected as the control group,and the conventional training methods of theory and clinical practice were adopted;the 22 trainees in 2019 were selected as the experimental group,and the OSCE training and assessment mode was adopted.After the training,the core competence,satisfaction,learning and growth of the trainees were compared.Results There was no significant difference in the score of the core competence before the training between the two groups(P>0.05).After the training,the scores of professional skills,critical and difficult medical record management and professional quality were(4.55±0.51),(4.14±0.77),(4.36±0.66)points in the experimental group and(3.90±0.62),(3.62±0.80),(3.76±0.83)points in the control group,the differences were statistically significant(t=3.69,2.15,2.64,all P<0.05).The total score of satisfaction was(66.82±2.26)points in the experimental group and(62.05±2.29)points in the control group,the difference was statistically significant(t=6.87,P<0.05).There was no significant difference in the learning and growth of the trainees before and after the training between the two groups(P>0.05).Conclusions Using OSCE assessment mode to carry out neurosurgery specialist nurse training is helpful to improve students′professional skills,critical and difficult medical record management,professional quality,and improve students′satisfaction with the training.
作者
狄恒丹
陈璐
王芳
吕琳
刘娜
盛李昕贝
Di Hengdan;Chen Lu;Wang Fang;Lyu Lin;Liu Na;Sheng Lixinbei(Department of Neurosurgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Nursing,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)
出处
《中国实用护理杂志》
2022年第28期2196-2202,共7页
Chinese Journal of Practical Nursing
基金
南京大学现代医院管理与发展研究所课题项目
南京鼓楼医院医学发展医疗救助基金会资助项目(NDYG2021056)。
关键词
神经外科
客观结构化临床考试考核
培训
专科护士
Neurosurgery
Objective structured clinical examination
Training
Specialist nurses
