护理学基础操作多项目考核的评价

The evaluation of multi-project assessment of fundamental nursing skills

目的 明确本科护生护理学基础操作技能水平的差异,探讨操作考核评价方式特点.方法 采用描述性统计、秩变换后的单因素方差分析及Scheffe多重比较方法,对1 340份本科护生期末《护理学基础》操作考核记录单数据进行统计分析.结果 单项操作成绩的分布除了“生命体征测量”一项外,均符合正态分布;成绩分布呈尖峰负偏态,略偏向于70～90分数段,分数段60、70分的频数明显高于周围分数段;吸痰、给氧、无菌操作得分最低;肌肉注射和铺备用床得分最高.结论 基础护理操作成绩分布合理,教育教学和评分考核基本可信,但仍有一定的主观因素干扰;学生整体成绩较好;专项操作得分因抽象或具象、原则性问题而呈现差异.

Objective To illustrate the different levels of fundamental nursing skills of undergradu ate nursing students,and explore the characteristics of the assessment method.Methods With descriptive statistics,one-way analysis of variance after rank transformation,and multiple comparison （Scheffe）,we made an analysis of 1 340 assessment records of fundamental nursing skills.Results The score distributions of all the skills,but the skill of measuring vital signs,conformed to Gaussian distribution.The overall distribution shaped in peak state and was negative skewness,showing bias towards 70 to 90 score levels.The score levels of 60 and 70 were significantly higher than that of their surrounding levels.The scores of aspiration of sputum,oxygenic therapy and aseptic technique were the lowest,while the scores of closed bed making and intramuscular injection were the highest.Conclusions The score distribution of fundamental nursing skills is rational,which shows the methods of teaching and assessment are generally believable.But the individual bias cannot be ignored.The majority of students get high grades.Different levels do exist among different skills because of abstract or concrete characteristics and principal matters.