护理实训课手账工具的研制及应用

Development and application of handbook tool for nursing students in nursing training courses

目的研制护理实训课手账工具并探讨其应用效果。方法采用Delphi法对来自山东省5所高校及2所三级甲等综合性医院共17名专家进行问卷函询,确定手账工具模块及二级内容条目;选取2021级2个班101名护生为研究对象,分为实验组(51人)和对照组(50人)。对照组采用常规学习方式,实验组在实训课程中采用手账工具进行学习,分析评价手账工具在提升护生自主学习能力及实训效果中的作用。结果3轮函询专家权威程度分别为0.797、0.83、0.868;手账工具模块及二级内容条目的肯德尔和谐系数为0.117~0.229(均P<0.05),确定认识自我与学习规划、周计划、实训项目学习记录、周反思和月总结5个手账工具模块及二级内容条目。实验组干预后护生操作成绩、自主学习能力及自我管理分维度得分均高于对照组(均P<0.05)。结论通过3轮专家函询确定的手账工具科学合理、协调性好;手账工具在护理实训课程中的应用提升了护生的自主学习能力水平及实训效果。

Objective To develop and preliminarily apply the handbook tool which is suitable for the practical training course of nursing students in school.Methods A total of 17 experts from 5 colleges and universities and 2 ClassⅢGrade A comprehensive hospitals in Shandong Province were interviewed by Delphi method to determine the module of handbook tools and the contents of second-level items.A total of 101 nursing students enrolled in 2021 were selected as research objects,and were divided into the experimental group(n=51)and the control group(n=50).The experimental group used the handbook tool to study in the practical training course,while the control group used the conventional learning method to analyze and evaluate the role of the handbook tool in improving students′independent learning ability and training effect.Results The authoritative degree of three rounds of expert consultation were 0.797,0.830,0.868;The Kendall harmony coefficient of the handbook tool module and secondary content items is 0.117 to 0.229(P<0.05 for all).Five handbook modules and the contents of second-level items were determined,including self-knowledge and learning planning,weekly plan,learning record of practical training project,weekly reflection and monthly summary.After intervention,the scores of operation scores,independent learning ability,and self-management sub-dimensions of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05 for all).Conclusion Three rounds of expert consultation to determine the handbook tool experts have a high degree of authority,good coordination.The application of handbook tools in nursing training courses has improved the level of independent learning ability and practicaltraining effect of nursing students.