标准化病例在实习护生人文关怀能力测评的有效性

Efficiency of standardized cases in the evaluation of nursing students' humanistic caring ability

目的:评价标准化病例(SC)对实习护生人文关怀能力测评的有效性。方法:选取100名实习护生,随机分为甲、乙2组各50人。甲组采用SC测评,乙组采用国内学者编制的护理专业大学生人文关怀能力量表测评;再对护生所护理患者进行满意度调查。比较2组得分与患者满意度的符合程度,分析SC测评的有效性。结果:乙组问卷调查的健康教育、科学解决健康问题、协助满足基本需求评分均高于甲组SC测评得分(P<0.05);得分前15名和得分中20名护生中,乙组人文关怀能力SC总分均高于问卷自测的甲组(P<0.01),而2组得分后15名护生中人文关怀能力总分差异无统计学意义(P>0.05)。2组人文关怀能力评分前、中和后的护生患者满意度评分分布差异均无统计学意义(P>0.05)。甲组患者满意度低(平均分≤1)的3例护生测试得分均在后15名,而测试得分前15名的护生中,患者满意度均较高;乙组测试得分前15名中,有1名护生护理的患者满意度低(平均分≤1)。结论:SC测评实习护生的人文关怀能力更加准确、有效,可以作为实习护生在人文关怀能力的结业及上岗前评价依据之一。

Objective：To evaluate the effectiveness of standardized cases （SC） in measurement of the nursing students＇ humanistc earing ability. Methods：A total of 100 practice nursing students were randomly divided into two groups （n = 50 in each group）. Group A adopted SC evaluation and group B assessment questionnaire by domestic scholars to determine their humanistic caring ability ; then the satisfaction degree of the patients was investigated. The coincidence of their scores and the patients＇ satisfaction degree was compared and the effects of SC evaluation analyzed. Results： Group B achieved higher scores in questionnaires about health education, scientific solution of health problems and assistant meeting of the patients basic needs than group A in SC evaluation （ P 〈 0.05 ）. Among the students with the score number of the first 15 and middle 20 ,the total score of humanistic caring ability of group B was higher than that of group A（P 〈0.01 ）, while there was no statistical difference among students with the score number of last 15 （P 〉 0.05 ）. The patient＇s satisfaction demonstrated no significant difference among students with different scores in humanistic care ability（ P 〉 0.05 ）. The three nursing students with low satisfaction degree （average ≤ 1 ） in group A were all among the last 15 in scores;However, the students with score number of the first 15 obtained higher satisfaction degree. Among the students with the score number of the first 15 in group B, only one got low satisfaction degree （ average ≤ 1 ）. Conclusions： SC evaluation is accurate and effective in assessing the humanistic caring ability of the nursing students. It can be used as one of the standards in evaluating the students＇ humanistic caring ability before graduation and going to a post.