客观结构化临床考试模式在血液净化进修护士培训中的效果分析

Effect of objective structured clinical examination in training of nurses taking continued education for blood purification

目的探讨客观结构化临床考试(OSCE)模式在血液净化进修护士中的效果。方法采用回顾性分析,选取2016年10月至2022年10月在广东省中医院总院血液净化中心的107例进修护士作为研究对象,其中2016年10月至2019年10月的54例进修护士纳入对照组,2019年11月至2022年10月的53例进修护士纳入观察组。对照组男3例、女51例,年龄(32.21±5.19)岁,采用传统常规模式教学及考核;观察组男1例、女52例,年龄(32.34±5.33)岁,采用OSCE模式。对比两组进修护士培训前后综合能力情况及培训效果满意度。统计学方法采用t检验、χ^(2)检验。结果培训前,两组进修护士综合能力评分比较,差异均无统计学意义(均P>0.05);培训后,观察组评判思维、实践能力、护患沟通、健康宣教、应急应变及总分均高于对照组[(18.27±0.39)分比(17.55±0.31)分、(18.30±0.43)分比(17.52±0.30)分、(18.23±0.76)分比(17.13±0.92)分、(14.08±0.73)分比(13.38±0.99)分、(14.08±0.83)分比(13.42±0.97)分、(89.64±1.71)分比(87.89±1.55)分],差异均有统计学意义(t=9.475、10.954、7.015、4.284、4.089、5.650,均P<0.05)。观察组进修护士对培训效果的满意度为92.45%(49/53),高于对照组的77.78%(42/54),差异有统计学意义(χ^(2)=4.530,P=0.033)。结论科学运用OSCE模式,可有效及全面提升血液净化进修护士的综合素质,提高其教学满意度,以达到更理想的教学效果。

Objective To explore the effect of objective structured clinical examination(OSCE)in the training of nurses taking continued education for blood purification,to improve their clinical ability,and to promote the reform of the training mode of clinical specialized nurses.Methods One hundred and seven nurses taking continued education for blood purification at General Hospital,Guangdong Hospital of Traditional Chinese Medicine from October 2016 to October 2022 were selected as the study objects.The 54 nurses taking the education from October 2016 to October 2019 were set as a control group,and the 53 nurses from November 2019 to October 2022 an observation group.There were 3 males and 51 females in the control group;they were(32.21±5.19)years old.There were 1 male and 52 females in the observation group;they were(32.34±5.33)years old.The control group adopted the traditional conventional teaching and assessment mode,and the observation group the OSCE mode.The comprehensive ability and satisfaction with the training effect were compared between the two groups.t andχ^(2) tests were applied.Results There were no statistical differences in the scores of comprehensive ability between the two groups before the training(all P>0.05).After the training,the scores of critical thinking,practical ability,nurse-patient communication,health education,and emergency response ability and total score in the observation group were higher than those in the control group[(18.27±0.39)vs.(17.55±0.31),(18.30±0.43)vs.(17.52±0.30),(18.23±0.76)vs.(17.13±0.92),(14.08±0.73)vs.(13.38±0.99),(14.08±0.83)vs.(13.42±0.97),and(89.64±1.71)vs.(87.89±1.55)],with statistical differences between the two groups(t=9.475,10.954,7.015,4.284,4.089,and 5.650;all P<0.05).The satisfaction with the training effect of the observation group was higher than that of the control group[92.45%(49/53)vs.77.78%(42/54)],with a statistical difference(χ^(2)=4.530;P=0.033).Conclusion The scientific application of OSCE training and assessment mode in nurses taking continued education for blood purification can improve their comprehensive quality and satisfaction with teaching,so as to achieve better teaching effect.