情景模拟结合PDCA循环在放射科新入职人员培训中的实践

Application of scenario simulation combined with PDCA cycle in the training of new recruits in the radiology department

目的探讨情景模拟结合PDCA循环在放射科新入职人员培训中的价值。方法针对放射科新入职30名工作人员,采用情景模拟结合PDCA循环教学,3个月后比较培训前后学员对急救知识和技术、影像学专业理论测试成绩,问卷调查培训效果及对临床教学的反馈情况。运用SPSS 20.0进行t检验。结果培训后学员的急救相关知识、急救仪器使用、急救技术操作以及急救能力四项内容得分显著高于培训前,差异有统计学意义。培训后职员的名词解释、解答题、论述题成绩也明显高于培训前且总成绩明显提高。新入职人员认为情景模拟结合PDCA对提高临床实践能力、知识理解、综合分析、解决问题能力及增强团队协作能力等多方面有实际效果的人数超过90%。认为更有助于掌握教学内容、提高学习效率、培养自主学习能力和激发学习兴趣,且喜欢该教学形式的学员比例超过了85%。结论情景模拟教学结合PDCA有助于提高新职员的学习兴趣和对教学的满意度,进一步提高医患沟通能力和培训效果。

Objective to explore the value of scenario simulation combined with PDCA cycle in the training of newly recruited staff of the radiology department. Methods thirty newly recruited members of the radiology department were selected as research subjects and received three months of training using scenario simulation combined with PDCA cycle teaching. The subjects took examinations before and after the training to estimate its effect on the their first-aid related knowledge and skills, as well as the apprehension of professional knowledge;questionnaires were used to collect the subjects' self-evaluation and their feedbacks for the training. T test was conducted using SPSS 20.0. Results the scores of first aid related knowledge, first aid instrument use, first aid skills and first aid ability after training were significantly higher, and the differences were statistically significant. After the training, the staff's performance in terms of noun explanation, problem solving and essay questions was significantly higher than that before the training, and the overall performance was significantly improved. More than 90% of the new recruits believed that scenario simulation combined with PDCA had practical effects on improving clinical practice ability, knowledge understanding, comprehensive analysis, problem solving ability and cooperative ability. More than 85% of the subjects considered it helpful for mastering the teaching content, improving learning efficiency, developing independent learning ability and stimulating learning interest. Conclusion scenario simulation teaching combined with PDCA can improve new employee's learning interest and teaching satisfaction, and further improve doctor-patient communication ability and training effect.