临床先导联合案例教学法在营养专科护士培训中的应用

Application of the combination teaching modal of observation-teaching-discussion(OTD)and case instruction in nutritional nurse training

目的探讨临床先导联合案例教学法在营养专科护士培训中的应用效果。方法采用便利抽样法,2017年1—12月选择陕西省人民医院营养护理小组的营养专科护士62人为研究对象。采用随机分组方法将研究对象随机分为观察组31人,对照组31人。对照组采用常规教学模式,观察组采用临床先导联合案例教学法。采用理论和临床实践考核成绩,注册护士核心能力量表,住院患者对护士护理服务满意度问卷比较干预的效果。结果干预12个月后观察组护士核心能力总分,评判性思维/科研能力、临床护理能力、领导能力、专业发展、教育/咨询维度得分均高于对照组,差异有统计学意义(P<0.05)。干预12个月后观察组护士理论和临床实践考核成绩均高于对照组,差异有统计学意义(P<0.05)。干预12个月后住院患者对观察组护士满意度高于对照组,差异有统计学意义(P<0.05)。结论临床先导联合案例教学法可有效提高营养专科护士核心能力、专业能力和患者满意度。

Objective To explore the effect of applying the combination of the observation-teaching-discussion(OTD)modal with case instruction in the nutritional nurse training.Methods By convenient sampling,a total of 62 participants were selected from the nutritional nursing team in Shaanxi Provincial People's Hospital from January to December in 2017.The participants were divided into two groups:observation group(n=31)and control group(n=31)based on the random grouping method.In the control group,the traditional teaching approach was applied while the combination teaching modal of OTD and case instruction was used in the observation group.The theoretical and clinical practise assessment,Competency Inventory for Registered Nurse,and the Inpatient Satisfaction Questionnaire on Nursing Service were used to evaluate the effect of the intervention.Results After 12 months of intervention,the nurses in the observation group scores higher than the control group in terms of the total score of competency inventory,the testing dimensions of critical thinking,scientific research competence,clinical nursing competence,leadership,professional development,education and counselling with statistically significant difference(P<0.05).The nurses also achieved higher score in the theoretical and clinical practise assessment as well as the patients'satisfaction degree than the control group with statistically significant differences(P<0.05).Conclusions The combination teaching modal of OTD and case instruction can effectively improve the nutritional nurses'core competence,professional skills and patients'satisfaction degree.