OSCE 在急危重症护理专业实践能力调查中的应用

Application of objective constructed clinical examination in the assessment of emergency and intensive care professional practice ability

目的：通过客观结构化临床考试（OSCE）评价新疆喀什地区5所医院急危重症护士专业实践能力现状，为提高护士专业实践能力提供有效干预策略。方法对新疆喀什地区5所医院37名急危重症护士进行护理评估、护理计划、护理措施实施、护理效果评价的专业实践能力 OSCE 考核评价。结果OSCE 评价的总体得分（110．13±28．15）分，为中等水平（总分200分），其中护理评估考站得分为（35．66±8．54）分，其平均分占考站满分的百分率最高，护理计划考站得分（19．79±6．09）分，其平均分占考站满分的百分率最低，护理措施实施得分为（43．35±15．92）分，护理效果评价考站得分为（11．32±3．94）分。不同医院级别、不同职称、学历、急危重症工作年限护士专业实践能力 OSCE 考核得分比较差异有统计学意义（P ＜0．05）。结论新疆喀什地区急危重症护士专业实践能力有待提高，可以通过加强地区医院低学历、低年资护士的针对性培训，改进培训及考核方法来提高专业实践能力。

Objective To evaluate the professional practice abilities of emergency and intensive care nurses from 5 hospitals at Kashi region of Xinjiang through objective structured clinical examination（OSCE）,in order to provide an effective intervention strategies to improve the professional practice abilities of nurses. Methods A total of 37 emergency and intensive care nurses from5 hospitalsin Kashiwere examined regarding the professional practice abilities in nursing assessment,nursing plan,nursing implementation and nursing effects evaluation by OSCE.Results The overall score of OSCE was （1 1 0.1 3 ±28.1 5）which wasa medium level （total 200 points）,among which,nursing assessment score was （35.66 ±8.54）with a highest percentage with full credits;nursing plan score was （1 9.79 ±6.09）with a lowest percentage out of full credits;nursing implementation score was （43.35 ±1 5.92）and nursing effects evaluation score was （1 1 .32 ±3.94）.There are statistical differences of OSCE among emergency and intensive care nurses with different hospitals, professionaltitles,educational backgrounds and length of working （P 〈0.05 ）.Conclusions Professional practice abilities of emergency and intensive care nurses need to be further improved at Kashi region of Xinjiang, which can be achievedthrough enhancing targeted training for nurses with low education and seniority in regional hospitals,and upgrading the training and examination methodto improve the ability of professional practice.