全程双导师责任制整体护理实习模式的构建及应用研究

Establishment and application of the whole course double-tutor clinical practice model based on primary holistic nursing

目的 :基于责任制整体护理理念,建立全程双导师护理实习模式,并探究其应用效果。方法 :采用便利抽样,纳入2014年度于某三级甲等医院进行临床毕业实习的182名护生为实验组,2013年度在同一医院实习的165名护生为对照组,学历均为本科。实验组采用全程双导师责任制整体护理实习模式,具体包括完整的三级监管体系、双导师带教制度、持续改进的PDCA责任制整体护理实习路径及多渠道师生互动平台;对照组采用传统护理实习模式。实习结束时,对两组护生进行综合考评,调查护生职业认同、对实习模式评价和患者护理服务满意度。结果 :实验组护生的综合考评结果、职业认同(除组织影响感维度外)、实习模式评价均高于对照组,差异有统计学意义(P<0.05),患者对实验组护生的护理服务满意度优于对照组(P<0.05)。结论 :全程双导师责任制整体护理实习模式顺应现阶段高等护理教育培养目标,应用效果显著,值得进一步推广。

Objective： To establish and evaluate a whole course double-tutor clinical practice model based on primary holistic nursing. Methods： By convenience sampling method, 182 undergraduate nursing students in 2014 were recruited as experimental group, and received the double-tutor clinical practice model based on primary holistic nursing. One hundred and sixty-five undergraduate nursing students in 2013 were recruited as control group, and adopted the traditional model. Results： The students＇ comprehensive examination score, professional identity and attitudes toward the clinical practice models in the experimental group were significantly better than those in the control group（P〈0.05）. The patient satisfaction score with nursing students in the experimental group were significantly higher than those in the control group（P〈0.05）. Conclusion： The whole course double-tutor clinical practice model based on primary holistic nursing was consistent with the current objectives of higher nursing education, and is worth of further popularization.