临床路径在神经外科护理进修带教中的应用

Application of clinical pathway in clinical teaching for on-the-job training nursing staff in neurosurgery department

目的：探讨临床路径在神经外科护理进修带教中的应用效果。方法选择2009年3月-2010年12月进修的护士36人为对照组，2011年3月-2012年12月进修的护士36人为观察组。对照组采取传统教学法带教，观察组应用临床路径法带教。进修时间为3个月，于每月末分别给予相关的理论和操作考试，测评进修护士每个阶段学习质量，并于进修结束时测评进修护士对教学满意度。结果观察组进修护士理论知识、护理操作、综合素质能力评分分别为（93．51±177;4．61），（93．46±177;2．94），（91．57±177;3．71）分，对照组分别为（91．07±177;3．88），（91．29±177;2．87），（88．44±177;4．28）分，两组比较差异均有统计学意义（t值分别为2．435，3．173，3．319；P＜0．05）。观察组进修护士对教学的满意度为100．00％（36/36），对照组为83．33％（30/36），两组比较差异有统计学意义（P＜0．05）。结论临床教学路径能提高临床教学质量，调动带教教师和进修护士的主动性和积极性，提高进修护士对教学的满意度。

Objective To explore the application effect of clinical pathway in clinical teaching for on -the-job training nursing staff in neurosurgery department .Methods Thirty-six nurses who accepted on-the-job training from March 2009 to December 2010 were selected as control group , and thirty-six nurses who accepted on-the-job training from March 2011 to December 2012 were selected as observation group .The traditional teaching method was used in the control group , and the teaching method of clinical pathway was used in the observation group .All nurses were trained for three months , who took the relevant exams on theory and operation at the end of each month , in order to evaluate their learning quality at each stage of learning .Nurse ’ s satisfaction with teaching was evaluated at the end of the on-the-job training .Results The score of theoretical knowledge, nursing operations and comprehensive quality ability was （93.51 ±177;4.61）, （93.46 ±177;2.94） and （91.57 ±177;3.71） in the observation group, respectively, and （91.07 ±177;3.88）, （91.29 ±177;2.87） and （88.44 ±177; 4.28） in the control group, respectively, and the differences were statistically significant （t=2.435, 3.173, 3.319, respectively;P＆lt;0.05）.Nurse’s satisfaction with teaching was 100.00%（36/36） in the observation group and 83.33%（ 30/36 ） in the control group, with statistically significant difference （ P ＆lt;0.05 ）. Conclusions Application of clinical pathway in clinical teaching for on-the-job training nursing staff can improve the quality of clinical teaching , mobilize the initiative and enthusiasm of teachers and nurses , and improve nurse ’ s satisfaction with teaching .