临床护理带教教师培训方案的设计与实践

The design and practice of the training on clinical nursing instructors

目的探讨临床护理带教教师培训方案的设计与实施效果。方法通过评估培训需求、文献分析,构建临床护理带教教师培训方案,包括理论阶段44学时(护理教育理论、教学方法、教学技能、护理科研基础)、实践阶段1年。并基于柯式模型构建评价方案,包括反应层(学员满意度)、学习层(教学计划汇报和教学活动展示)、行为层(护理小讲课和护理技术操作示教考核)、结果层(核心能力评价、被带教者对临床教学质量的评价)。2018年9月—2019年11月对本院45名临床护理带教教师进行培训,并根据评价方案进行效果评价。结果反应层:学员培训后总体满意度为91%;学习层:理论阶段培训后,学员教学计划汇报和教学活动展示的合格率为100%。行为层:实践阶段培训后,护理小讲课和护理技术操作示教得分较培训前有所提高(P<0.05)。结果层:培训后1年,学员的核心能力评价各维度自评和护士长他评得分、新入职护士对其临床护理教学质量的评价得分均较培训前高,差异具有统计学意义(P<0.05)。结论该培训方案的应用取得了良好的培训效果和满意度,可为临床护理带教教师的规范化培训提供参考。

Objective To explore the effects of designed training in clinical nursing instructors.Methods The training program for clinical nursing instructors was designed through assessment of nurses'training needs and literature review.The program included theoretical training(the theory of nursing education,teaching methods,teaching skills,and basic knowledge of nursing research)with 44 hours and practice for 1 year.The evaluation method of the training program was further designed based on Kirkpatrick's model,including the reaction level(satisfaction on the training),learning level(teaching plan presentation and teaching activity demonstration),behavioral level(giving a lecture and skills demonstration)and result level(evaluation of core competence and clinical teaching quality).The training was implemented from September 2018 to November 2019 among 45 clinical nursing instructors.The training effects were further evaluated according to the evaluation method.Results Reaction level:instructors'overall satisfaction on the training was 91%.Learning level:the qualified rate of teaching plan presentation and teaching activity demonstration were both 100%.Behavior level:the score of giving a lecture and skills demonstration were both significantly higher than those before the training(P<0.05).Result level:one year after the training,the scores of core competence in each dimension and the scores of clinical teaching quality were all significantly higher than those before the training(P<0.05).Conclusion The training program has good effects and gains satisfaction of nursing instructors,which can be the reference for the standardized training of clinical nursing instructors.