护理硕士专业学位研究生临床实践效果的评价

Evaluation of clinical practice effect in master of nursing specialist

目的：探讨临床实践对护理硕士专业学位研究生临床实践能力的影响及评价措施。方法2014年3月—2016年2月选取在新疆医科大学第一附属医院进行临床实践的护理硕士专业学位研究生17名，采用导师指导与临床教师带教相结合的二级管理方法，严格落实《护理学研究生临床实践手册》大纲要求，采用护理硕士专业学位研究生临床实践能力评价表分别从研究生导师、带教老师、同学、自我评价4个角度，对17名专业学位研究生的临床实践能力进行360°评价。结果经过临床实践后研究生对临床实践能力的4个维度的自我评价得分及总分均高于实践前，差异有统计学意义（P ＜0．05）。360°评价结果显示，不同评价主体对研究生理论知识水平、职业道德方面、科研能力评价及总分比较差异无统计学意义（P ＞0．05）；对护理实践能力及教学管理能力的评价差异有统计学意义（P ＜0．05）；同学间对研究生护理实践能力及教学管理能力评价得分高于其他主体评价，差异有统计学意义（P ＜0．05）。结论科学的护理专业学位研究生临床实践带教模式可以有效提高研究生的临床实践能力；360°评价可以作为客观、公正评价高素质实用型护理人才临床实践能力的有效工具。

Objective To explore the effect of clinical practice on clinical practice ability in master of nursing specialist and evaluation measures of the clinical practice ability.Methods A total of 17 masters of nursing specialist engaged in clinical practice were selected in the First Affiliated Hospital of Xinjiang Medical University from March 2014 to February 2016.They were cultivated with two-level management methods of instruction between tutors and clinical teachers along with following up the requirements of “Nursing Postgraduates Clinical Practice Handbook”.The clinical practice ability evaluation form of master of nursing specialist was used to evaluate the clinical practice ability of 17 postgraduates from 4 aspects including graduate＆amp;nbsp;teachers,clinical teachers,classmates,self evaluation from 360°feedback.Results After clinical practice, the score of 4 aspects and the total score of clinical practice ability were higher than those before clinical practice with significant differences （P 〈0.05 ）.However,the results of 360°feedback showed that there were no statistically significant differences in the score of theoretical level,professional ethics,ability to research and the total score among different evaluation subjects （P 〉0.05 ）.Besides,the results revealed that there were statistically significant differences in the evaluation of practice ability of nursing and teaching management ability （P 〈0.05）.In addition,the score of practice ability of nursing care and management capacity of teaching evaluated by classmates were higher than those evaluated by other subjects （P 〈0.05）.Conclusions Scientific clinical practice teaching mode of master of nursing specialist can effectively improve clinical practice ability of postgraduates.Besides,the 360°feedback can be seen as an effective tool to objectively and fairly evaluate clinical practice ability of high-quality and utility-type nursing talents.