护理版迷你临床演练评估提高胸外科低年资护士岗位胜任力的效果评价

Effectiveness of nursing version of the Mini-Clinical Evaluation Exercise on improving job competency of junior nurses in Thoracic Surgery Department

目的探讨护理版迷你临床演练评估(Mini-CEX)提高胸外科低年资护士岗位胜任力的效果。方法采用方便抽样法,选取2020年7月—2021年7月武汉大学中南医院45名胸外科低年资护士为研究对象,于2020年成立胸外科护士岗位胜任能力考核小组,制订各岗位准入与进阶要求,完善各病种护理质控标准,运用护理版Mini-CEX对胸外科低年资护士进行调查,评估护士临床综合能力,并根据反馈结果调整培训方案。干预前后测评护士自我效能、岗位胜任力、护理版Mini-CEX量表得分。结果项目实施前后胸外科低年资护士自我效能得分分别为(25.20±2.74)、(32.36±2.99)分;岗位胜任力得分分别为(64.26±2.57)、(75.27±2.02)分;护理版Mini-CEX评分分别为(50.04±5.38)、(73.40±3.52)分,差异均有统计学意义(P<0.05)。结论运用护理版Mini-CEX能有效提高胸外科低年资护士的岗位胜任能力,对提高护理质量、保障患者安全有一定的意义。

Objective To explore the effect of nursing version of Mini-Clinical Evaluation Exercise(Mini-CEX)on improving the job competency of junior nurses in Thoracic Surgery Department.Methods From July 2020 to July 2021,45 junior nurses in the Thoracic Surgery Department of Zhongnan Hospital of Wuhan University were selected as research object by convenience sampling.In 2020,the nurse job competency assessment team of Thoracic Surgery Department were established to formulate entry and advanced requirements for each post,improve the nursing quality control standards for various diseases,and use the nursing version of Mini-CEX to investigate the junior nurses in Thoracic Surgery Department,evaluate the clinical comprehensive ability of nurses,and adjust the training plan according to the feedback results.Before and after the intervention,the nurses'self-efficacy,job competency,and nursing version of the Mini-CEX were evaluated.Results Before and after the implementation of the project,the self-efficacy scores of junior nurses in Thoracic Surgery Department were(25.20±2.74)and(32.36±2.99)respectively,and the job competency scores were(64.26±2.57)and(75.27±2.02)respectively,and the nursing version of Mini-CEX scores were(50.04±5.38)and(73.40±3.52)respectively,and the differences were all statistically significant(P<0.05).Conclusions The use of the nursing version of Mini-CEX can effectively improve the job competency of junior nurses in Thoracic Surgery Department,which has a certain significance for improving nursing quality and ensuring patient safety.