我国首次临床营养师培训考核考生成绩相关因素分析

Analysis of the related factors on scores of the clinical dietitians＇ post-training exam in China

目的通过对我国首次临床营养师培训考核成绩进行相关因素分析，探寻临床营养师岗位胜任能力评价依据。方法对完成临床营养师培训的108名学员（医师60名，护师臌师48名）施以基于岗位胜任力理念设计的综合考核评价，通过比较分析，研究考生通过率与模块掌握率的相关因素。结果全体考生综合理论考试成绩呈现出随学历和考生来源地区变化而通过率增高的规律。其中大专通过率为76．47％．本科为86．21％，研究生为96．97％；西部地区为85．00％，中部为85．71％，东部为89．55％。全体考生综合理论考试各知识模块掌握率由高至低依次为医院膳食（73．7％），肠内肠外营养（72．7％），公共营养（70。7％），营养筛查及评定（66．7％），常见营养相关疾病（65．4％），临床营养相关卫生法规、医学心理及伦理学基本知识（40．0％）。考试通过率与考生的学历水平以及来源地区相关，而知识模块掌握率与临床营养师工作任务紧密程度相关。结论考试成绩能比较客观地反映考生的临床能力与职业素养，达到评价考生岗位胜任能力的考试目标，对于科学评价临床营养师执业水平、指导学习以及评估培训效果具有实证意义。

Objective Based on the analysis of relevant factors on scores of the first clinical dieti- tian post-training examination （CDFTE） in China, to explore the clinical dietitians＇ post competency evalu- ation basis. Method 108 students who completed the clinical nutritionist training （60 physicians, nurse or technician 48） were imposed comprehensive evaluation designed according to the concept of post compe- tency. Through analysis and comparison, the correlation factors of the candidates＇ passing rate and their mastering rate of the module were studied. Results The results of all the candidates＇ comprehensive theoretical examination increased with the degree and the source of the candidates. Among them, the college students＇ pass rate was 76.47%, undergraduates＇ pass rate was 86.21%, Graduates＇ pass rate was 96.97%; the pass rate in western region was 85%, the central part was 85.71%, the eastern part was 89.55%. All the candidates＇ knowledge module mastery rate in the comprehensive examination of the theory from high to low in order was： for hospital diet （73.7%）, enteral nutrition and parenteral nutrition （72.7%）, public nutrition （70.7%）, nutrition screening and assessment （66.7%）, common nutrition related diseases （65.4%）, clinical nutrition related health students regulations, medical psychology and ethics basic knowledge （40.0%）. The examination pass rate was related to the educational level of the examinee and the source area, whilethe knowledge module mastery rate was closely related to the work of clinical nutrition. Conclusion We concluded that the CDPTE could objectively reflect the candidate＇s clinical competence and professionalism and it was designed on the basic principle of post competency. CDPTE has a positive significance for scientific assessment of clinical dietician, guide for training, and evaluation of training effects as well. The scores of CDPTE can objectively reflect the examinees＇ clinical competence and professionalism and CDPTE can achieve the goal of evaluating the candidates＇ competency, and it is of practical significance for scientific evaluation of clinical practice, guiding learning and evaluating the training effect.