以岗位胜任力为导向的互动教学在血液净化临床带教中的作用

Discussion on the role of post competency oriented interactive teaching in clinical teaching of blood purification

目的探讨在血液净化临床带教中开展岗位胜任力为导向的互动教学的作用。方法于2019年5月至2020年8月选取本院血液净化中心实习生共80名,采用随机数字表法将其分为两组。对照组40名采用常规临床带教,观察组40名采用以岗位胜任力为导向的互动教学,均带教3个月。比较两组带教后的理论和实践考核成绩,带教前后的岗位胜任力和对带教的满意度。采用SPSS 22.0进行t检验和卡方检验。结果观察组带教后的理论和实践考核得分均高于对照组,差异有统计学意义(理论考核:t=4.01,P<0.05;实践考核:t=3.94,P<0.05)。带教前两组有效沟通能力、适应与应对能力、自主学习与自我提升能力、管理能力评分对比差异均无统计学意义(有效沟通能力:t=1.31,P=0.193;适应与应对能力:t=1.25,P=0.216;自主学习与自我提升能力:t=0.93,P=0.356;管理能力评分:t=0.76,P=0.451);带教后两组上述各项岗位胜任力评分均较带教前提高,且观察组评分均高于对照组,差异均有统计学意义(有效沟通能力:t=12.60、6.63,P<0.05;适应与应对能力:t=11.21、6.44,P<0.05;自主学习与自我提升能力:t=10.80、5.78,P<0.05;管理能力评分:t=12.42、6.79,P<0.05)。两组实习生对带教的满意度分布对比差异有统计学意义(t=6.90,P=0.007),观察组总满意率高于对照组(t=6.49,P=0.011)。结论对血液净化实习临床带教中采用以岗位胜任力为导向的互动教学,不仅可提高实习生的考核成绩、提升岗位胜任力,还可提高教学满意度。

Objective To explore the role of post competency oriented interactive teaching in clinical teaching of blood purification.Methods A total of 80 interns from the blood purification center of our hospital were selected from May 2019 to August 2020,and they were randomly divided into two groups.The control group(n=40)were taught by routine clinical teaching,and the observation group(n=40)was taught by interactive teaching based on the post competency.They were both taught for 3 months.The theoretical and practical assessment results of the two groups after teaching,the post competency before and after the teaching,and the satisfaction with the teaching were compared.SPSS 22.0 was used for t test and chi-square test.Results The theoretical and practical assessment scores of the observation group after teaching were higher than those of the control group,and the difference was statistically significant(theoretical assessment:t=4.01,P<0.05;practical assessment:t=3.94,P<0.05).There was no statistically significant difference in effective communication ability score(t=1.31,P=0.193),adaptability and coping ability(t=1.25,P=0.216),autonomous learning and self-improvement ability(t=0.93,P=0.356),and management ability score(t=0.76,P=0.451).After teaching,the competency scores of the above-mentioned positions in the two groups were improved compared with those before teaching,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(effective communication ability:t=12.60,6.63,P<0.05;adaptability and coping ability:t=11.21,6.44,P<0.05;autonomous learning and self-improvement ability:t=10.80,5.78,P<0.05;management ability score:t=12.42,6.79,P<0.05).There were significant differences in the distribution of satisfaction with teaching(t=6.90,P=0.007)of the two groups of interns,and the total satisfaction rate of the observation group was higher than that of the control group(t=6.49,P=0.011).Conclusion The application of post competency oriented interactive teaching in clinical teaching of blood purification internship can not only improve the appraisal results of interns,enhance their post competency,but also improve the teaching satisfaction.