急诊护理团队培训客观结构化临床考试案例库的构建及评价

Construction and evaluation of objective structured clinical examination case base for emergency nursing team training

目的编制适合急诊护理团队培训的客观结构化临床考试(OSCE)案例库,并评价案例库质量。方法于2021年6—8月在文献研究的基础上通过课题组讨论,初步编写急诊护理团队培训OSCE案例库。2021年9—12月,选取8名专家进行专家小组讨论,根据专家意见进行修改,完善案例库,形成标准化急诊护理团队培训OSCE案例库,并通过函询专家对案例和案例库质量进行评价。结果专家咨询问卷有效回收率为100%,专家权威系数为0.913。形成32个急诊护理团队OSCE培训案例,每个案例包括培训目标、培训内容、培训准备、标准化病人资料与剧情内容、情景演变图、参考文献6个部分,32个案例质量评价得分为(44.50±1.85)分,最低40分,最高48分;案例库质量评价得分为(45.26±0.35)分,最低42分,最高47分。结论编制的急诊护理团队培训OSCE案例库整体质量较高,适用于急诊护理团队培训。

Objective To develop an objective structured clinical examination(OSCE)case base suitable for emergency nursing team training,and evaluate the quality of the case base.Methods From June to August 2021,based on the literature research,we initially prepared the OSCE case base for emergency nursing team training through the discussion of the research group.From September to December 2021,eight experts were selected for expert group discussion,and the case base were revised and improved according to expert opinions to form a standardized OSCE case base for emergency nursing team training.The quality of cases and case base were evaluated by consulting experts.Results The effective recovery rate of expert consultation questionnaire was 100%,and the expert authority coefficient was 0.913.A total of 32 OSCE training cases for emergency nursing team were formed.Each case included six parts,namely,training objectives,training content,training preparation,standardized patient information and plot content,scenario evolution diagram,and references.The quality evaluation score of 32 cases was(44.50±1.85),with the lowest score 40 and the highest score 48.The case base quality evaluation score was(45.26±0.35),with the lowest score 42 and the highest score 47.Conclusions The overall quality of the compiled OSCE case base for emergency nursing team training is high,which is suitable for emergency nursing team training.