基于扩展技能循环的护理迷你临床演练评估教学设计对本科护生临床能力的影响

Effect of Nursing-Mini-Clinical Evaluation Exercise teaching design based on extended skill circle theory on clinical ability of undergraduate nursing students

目的探讨基于扩展技能循环圈理论的护理迷你临床演练评估(Nursing-Mini-CEX)临床实习教学对本科护生临床实践能力的影响。方法方便抽样法选取实习本科护生为研究对象,2012级42名本科护生为对照组,采用Nursing-Mini-CEX临床教学方案带教,2013级47名本科护生为试验组,采用基于扩展技能循环圈理论的Nursing-Mini-CEX临床教学方案带教。应用Nursing-Mini-CEX量表、本科护生临床带教老师教学能力问卷及护生实习满意度量表分别对护生与教师进行评价。结果试验组Nursing-Mini-CEX量表的护理问诊、护理查体、护理诊断、护理措施、健康咨询、人文关怀、整体评价得分分别为(7.10±1.14)、(6.90±0.81)、(7.19±0.86)、(7.12±0.97)、(7.43±0.91)、(7.43±0.91)、(7.43±0.80)分,显著高于对照组的(6.26±1.01)、(6.40±1.00)、(6.37±1.11)、(6.77±1.03)、(6.37±1.17)、(7.06±1.11)、(6.89±1.11)分,差异有统计学意义(t=1.523~3.640,P<0.05);试验组临床带教老师教学能力得分为(86.68±12.21)分,显著高于对照组的(80.27±13.90)分,差异有统计学意义(t=3.83,P<0.05);试验组护生满意度得分为(155.40±2.29)分,显著高于对照组的(148.20±25.27),差异有统计学意义(t=0.827,P<0.05)。结论基于扩展技能循环的Nursing-Mini-CEX临床教学方案优于单独的Nursing-Mini-CEX临床教学方案,能更有效地提升教师的教学能力及护生临床综合能力,实现教学相长,提高了临床教学满意度,促进了临床教学质量的稳步提升。

Objective To discuss the application effect of Nursing-Mini-Clinical Evaluation Exercise (Nursing-Mini-CEX) based on the theory of extended skill circle to construct and implemented the clinical practice teaching scheme.Methods Applied convenient sampling in a hospital in Dalian and taked 42 grade 2012 undergraduates as control group,which will be given Nursing-Mini-CEX teaching model.47 students of grade 2013 undergraduates as observation group,given on the Nursing-Mini-CEX teaching model based on extended skill circle theory,At the end of the clinical practice,we used the Nursing-Mini-CEX tools and the Teaching ability of Clinical Teaching Teachers questionnaire and the satisfaction scale of Nursing students' practice to evaluate the effect of the Nursing-Mini-CEX teaching model based on extended skill circle theory.Results The score of control group in Special care,nursing examination,nursing diagnosis,humanistic care,organizational effectiveness and overall evaluation were (6.26±1.01)、(6.40±1.00)、(6.37±1.11)、(6.77±1.03)、(6.37±1.17)、(7.06±1.11)、(6.89±1.11),The experimental group students′ performance was higher than the control group in the Special care,nursing examination,nursing diagnosis,humanistic care,organizational effectiveness and overall evaluation,The scores were(7.10±1.14),(6.90±0.81),(7.19±0.86),(7.12±0.97),(7.43±0.91),(7.43±0.91),(7.43±0.80),with significant differences (t=1.523~3.640,P<0.05).The scores of clinical teachers′ teaching ability were higher than that of the control group (80.27 ± 13.90),the score was (86.68 ± 12.21),With significant differences (t=3.83,P<0.05),and the satisfaction degree of the experimental group was higher than that of the control group,With significant differences (t=0.827,P?0.05).Conclusion Nursing-Mini-CEX teaching model based on extended skill circle theory made the clinical teaching more systematic and standardized.It can improve clinical teaching quality and the nursing students′ clinical ablity,and it is well worth to apply in clinical.