以护士核心能力为基础的培养模式在护理学专业临床实习中的效果评价

Effect evaluation on training mode based on core competence of nurses in clinical practice of nursing

目的探讨以护士核心能力为基础的实习培养模式对护生综合表现、评判性思维能力、临床沟通能力的影响。方法选择2018年5月至2019年1月在十堰市某三级甲等医院实习的湖北医药学院2015级四年制护理学专业102名学生作为研究对象;随机将其分为对照组51名和实验组51名;对照组采用传统培养模式,实验组采用以护士核心能力为基础的实习培养模式。分别在实习前及干预后2、4、8个月四个时间点采用批判性思维量表、护生临床沟通能力量表进行评分;并在实习前及干预后8个月对两组护生的综合表现进行评定。采用SPSS 19.0软件进行统计学分析。结果两组护生的批判性思维量表、护生临床沟通能力量表得分在组间效应、交互效应、时间效应的比较,差异均有统计学意义(P<0.05);干预后两组护生的综合表现差异有统计学意义(P<0.05)。结论实施以护士核心能力为基础的实习培养模式对本科实习护生进行培养可有效提高护生的综合表现、评判性思维能力及临床沟通能力。

Objective To explore the influence of training mode based on core competence of nurses on comprehensive performance,critical thinking ability and clinical communication ability of nursing students.Methods A total of 102 Batch 2015 nursing students from the four-year program of Hubei University of Medicine who were interned in a"three A"general hospital in Shiyan City from May 2018 to January 2019 were selected as subjects,and were randomized into the control group(n=51)and the intervention group(n=51).The control group received traditional training mode and the intervention group adopted the training mode based on core competence of nurses.The two groups of nursing students were graded on the critical thinking scale and clinical communication ability scale before practice and at 2 months,4 months,8 months after intervention respectively.The comprehensive performance of two groups was assessed before and after 8 months of intervention.All data were analyzed by SPSS 19.0.Results Comparison of effect,interaction effect,time effect of critical thinking scale and clinical communication ability scale between the two groups showed significant differences(P<0.05).The comprehensive performance differences between the two groups were statistically significant after the intervention(P<0.05).Conclusion The practice training mode based on core competence of nurses can effectively improve the comprehensive performance,critical thinking ability and clinical communication ability of nursing students.