新疆护理自考本科毕业生健康评估能力分析及对策

Health Assessment Ability of Nursing Autoditacte Undergraduates in Xinjiang

目的通过对新疆参加护理自考本科毕业考生临床护理技能考核成绩分析,找出存在问题以提出新疆地区高级护理人才培养的新模式。方法采用临床技能评价量表评价213名护理自考本科毕业考生以《健康评估》为主的临床护理技能,并对考核成绩进行分析。结果考核内容中临床应变能力较强不合格率最高,达到78.9%,具备一定分析与判断能力、向病人说明操作目的及范围的不合格率超过60%;考核项目中心脏评估、心电图和相关理论知识的提问不合格率超过65%。结论本组毕业考生临床护理技能总体考核情况并不乐观,许多关键行为需强化。应根据新疆地域、临床护理工作及自考生学习特点等,采取有效的管理和培训方法,切实提高新疆地区临床护理及教学质量。

Objective To provide a new model for the cultivation of senior nursing talents in Xinjiang through the analysis of autoditacte undergraduates＇ performance in clinical nursing skill test. Methods Mini-Clinical Evaluation Exercise （Mini-CEX） was applied among 213 students to evaluate their clinical nursing skills based on their performance in the test of Health Assessment. Results Of the total, 78.9% of the students failed in the item of clinical flexibility and more than 60% of the students failed in the item of analysis and judgment ability and to elucidate the purpose and range of the operation to patients. What＇s more, more than 65% of them failed in heart-assessment, and electrocardiograph-related knowledge. Conclusion The total test indicates students remain in a poor knowledge level. Effective management and training should be performed to improve clinical nursing and teaching quality in Xinjiang.