基于师生一体化临床实习教学模式对实习护士护理核心能力培养效果的评价

Evaluation of practical nurses training effect on nursing core competence based on the clinical practice teaching model of integrating teacher and students

目的探讨师生一体化临床实习教学模式对实习护士护理核心能力培养的应用效果。方法将2016年～2017年在海南医学院第一附属医院呼吸内科实习的2013级护理学专业60名实习护士作为研究对象，将其随机分为实验组和对照组，每组30名实习护士。实验组采用师生一体化临床实习教学模式对实习护士进行指导，对照组按照常规一对一临床实习教学模式对实习护士进行带教指导。在呼吸内科4周实习前后，分别通过实习护士自评和考核小组他评对实习护士的护理核心能力进行评价并观察其变化。结果实验组实习护士护理核心能力的自评总均分明显高于对照组，尤其是评判性思维/科研能力、人际关系、教育/咨询、伦理/法律实践、专业发展5项核心能力评分提高显著。实验组实习护士临床护理和领导能力核心能力的他评分数比对照组实习护士有所提高，但两者差异无统计学意义（P〉0.05），其余5项核心能力的评分以及总均分差异均有统计学意义（均P〈0.05）。结论师生一体化临床实习教学模式，可以有效提高本科护理学专业实习护士的护理核心能力。

ObjectiveTo explore the effect of practical nurses training effect on nursing core competence based on the clinical practice teaching model of integrating teacher and students.MethodsThe 60 nursing students who were practicing of the 2013 nursing specialty as intern nurses in the Respiratory Department of the First Affiliated Hospital of Hainan Medical College during 2016 to 2017 were randomly divided into two groups, experimental group and control group, with 30 intern nurses in each group respectively. The intern nurses in experimental group were taught in the clinical practice teaching mode of integrating teacher and students; the intern nurses in control group were educated by the traditional one-on-one teaching mode. Before and after four weeks of Internship in respiratory medicine, the training effect on nursing core competence of intern nurses was observed and evaluated by self-evaluation and assessment panel.ResultsThe aggregate score by self-evaluation of nursing core competence in the experimental group was significantly higher than that in the control group. Especially the scores of critical thinking/scientific research, the score of interpersonal relationships, educational/consultation, ethics/legal practice and professional development were significantly improved in the experimental group. The total score by assessment panel of nursing core competence in the experimental group was higher than that in the control group, though there was no significant difference in the clinical nursing and leadership ability （P〉0.05）, the total average scores and the score of rest 5 core ability were still statistically significant （all P〈0.05）.ConclusionsThe clinical practice teaching mode of integrating teacher and students can effectively improve the core competence of practicing nurses.