SECI模型在血液内科护士临床实践培训中的应用研究

Application of SECI model in clinical practice training of hematology nurses

目的探讨SECI[社会化(socialization)、外在化(externalization)、组合化(combination)与内隐化(internalization)]模型用于血液内科护士临床实践培训的效果。方法将2022年10月至2023年9月血液内科护士临床实践培训班86名学员作为研究对象。将2022年10月1日至2023年3月31日实践培训的43名学员纳入传统组,将2023年4月1日至2023年9月30日实践培训的43名学员纳入观察组。传统组实施传统教学,观察组实施SECI模型教学。培训结束后进行基本考核和满意度评价,培训结束6个月后再进行长期评估。采用SPSS 25.0进行t检验和卡方检验。结果观察组学员个案报道[(92.03±2.21)vs.(88.14±2.36)]、理论考核[(95.61±3.79)vs.(86.58±3.75)]、操作考核[(96.24±1.45)vs.(90.13±1.41)]评分高于传统组(P均<0.05)。观察组学员对教学计划、教学方法、教学效果、教学氛围、培训内容评分和实践培训满意度总分均高于传统组(P<0.05)。长期评估结果显示,观察组学员培训结束6个月后理论考核和操作考核评分也高于传统组(P均<0.05)。结论SECI模型在血液内科护士临床实践培训中应用效果良好,能够帮助护士更好地掌握临床理论知识,明显提高了护士的实践操作能力和培训满意度。

Objective To explore the effectiveness of SECI(socialization,externalization,combination,and internalization)model in clinical practice training of hematology nurses.Methods A total of 86 students from the clinical practice training course for hematology nurses from October 2022 to September 2023 were selected as the research subjects.The 43 trainees who received practical training from October 1,2022 to March 31,2023 were included in the traditional group,and the 43 trainees who received practical training from April 1,2023 to September 30,2023 were included in the observation group.The traditional group received traditional teaching,while the observation group received SECI teaching.After the training,basic assessment and satisfaction evaluation were conducted,and a long-term evaluation was conducted at 6 months after the training.The t test and chi-square test were performed using SPSS 25.0.Results The observation group had higher scores in case reports[(92.03±2.21)vs.(88.14±2.36)],theoretical assessments[(95.61±3.79)vs.(86.58±3.75)],and operational assessments[(96.24±1.45)vs.(90.13±1.41)]compared with the traditional group(all P<0.05).The observation group had higher scores for teaching plans,teaching methods,teaching effectiveness,teaching atmosphere,internship content,and overall satisfaction with practical training than the traditional group(P<0.05).The long-term evaluation showed that the theoretical and operational assessment scores of the observation group were higher than those of the traditional group at 6 months after training(both P<0.05).Conclusions The application of SECI teaching in the clinical practice training of hematology nurses has shown good results,which can help nurses better grasp clinical theoretical knowledge and significantly improve their practical operation ability and training satisfaction.