护理硕士研究生临床实践能力提升方案的实施及效果评价

Implementation and effectiveness evaluation of apromoting program of nursing postgraduates′clinical practice ability

目的 开发、实施护理硕士研究生临床实践能力提升方案,并对其进行效果评价.方法 以“布鲁姆教学目标分类理论”为框架拟定护理研究生临床实践能力提升方案,将其应用于2012～2013级44名护理硕士研究生（干预组）的临床教学,与2010～2011级接受常规临床实习培训的85名硕士研究生（对照组）进行对比.应用中文版护士行为目标达成度评价量表（中文版NPGA）、中文版护理问题对应行动自我评价量表（中文版OPSN）对两组进行测评.结果 干预组在中文版NPGA和中文版OPSN 2个量表中除共情及共同参与、团队角色2个维度外,其他维度得分及量表总分高于对照组（均P＜0.05）;干预组实习手册案例记录书写合格率显著高于对照组（P＜0.05）;干预组对临床实践能力提升方案的认可率达86.4％～100％.结论 临床实践能力提升方案有助于提高护理硕士研究生临床实践水平,是其提高临床实践能力的有效模式和途径.

Objective To develop and implement a promoting program of nursing postgraduates＇ clinical practice ability,and evaluate its effectiveness.Methods On the basis of Bloom Education Theory,a promoting program was developped and applied to 44 2012-2013 nursing postgraduates （the intervention group）.Eighty-five 2010-2011 nursing postgraduates were set as the control group and joined traditional internship program.The students were evaluated by Nurse＇s Performance for Goal Attainment （NPGA） and Self-evaluation Scale of Oriented Problem Solving behavior in Nursing practice （OPSN）.Results The scores of the intervention group were significantly higher than the control group （P＜0.05 for all） except in 2 dimensions of Empathy ＆ Participation and Team Role （P＞0.05）.Concerning the nursing record,the percent of pass of the intervention group were significantly higher than the control group.Besides,the promoting program was well regonized by 86.4 ％-100％ students of the intervention group.Conclusion The promoting program of nursing postgraduates＇clinical practice ability can help to improve students＇ work ability.It is an effective mode and a good way to raise the level of nursing postgraduates＇ clinical practice ability.