标准化家长在儿科住院医师规范化培训结业考核中的应用效果评价

Evaluation and analysis of the application effect of standardized parents in the graduation examination of standardized residency training of pediatrics

目的分析护士扮演标准化家长在儿科住院医师规范化培训结业考核中的应用效果和不足,以促进和提高标准化家长的质量。方法采用问卷调查的形式收集2021年度参加儿科住院医师规范化培训结业考核的考生和考官对护士标准化家长的评价,以及护士标准化家长对自身的评价情况。采用SPSS 24.0进行数据分析,计数资料以例数和构成比表示,率的比较采取卡方检验。结果共收集了125份考生和37份护士标准化家长的调查问卷,考生对标准化家长整体满意度(非常满意+满意)达121人(96.80%)。在模拟能力、遵守问答规则和模拟态度3个维度方面,考生认为标准化家长在模拟态度方面与实际病人家长的一致性低于模拟能力和遵守问答规则(P=0.007、P=0.001)。护士标准化家长对自身整体满意度(很满意+满意)可达到87.38%(388/444)。对自身表演能力的满意度最低为26人(70.27%),其次是模仿能力为28人(75.68%)和应变能力为30人(81.08%)。结论儿科住院医师规范化培训结业考核中使用护士标准化家长是可行的,考生和考官满意度都较高。下一步需要提高护士标准化家长在模拟态度上的培训,同时加强模仿能力和应变能力的培训,进一步扩大标准化家长队伍的建设。

Objective To analyze the evaluation of the application effect and deficiency of nurses acting as standardized parents in the graduation examination of standardized residency training of pediatrics and further improve and promote the level of standardized parents.Methods A questionnaire survey was used to collect the scores of nurse standardized parents by students and examiners who took part in the graduation examination of standardized residency training of pediatrics in 2021.And the self-evaluation scores of standardized parents were collected.Counting data were represented by the number of cases and composition ratio.A Chi-square test was used to compare the rates.Results A total of 125 questionnaires from students and 37 questionnaires from nurse standardized parents were collected,and the overall satisfaction(very satisfied+satisfied)of standardized parents reached 121(96.80%).In the three dimensions of simulation ability,compliance with question-and-answer rules,and simulated attitude,students believed that the consistency between standardized parents and actual parents in simulated altitude was lower than that in the simulation ability and compliance with question-and-answer rules(P=0.007,P=0.001).The overall satisfaction of standardized parents(very satisfied+satisfied)reached 87.38%(388/444).There were 26(70.27%)nurse standardized parents who had the lowest satisfaction with their own performance ability,followed by 28(75.68%)cases of imitation ability and 30(81.08%)cases of adaptability.Conclusions It is feasible to adopt nurse standardized parents in the assessment of standardized residency training of pediatrics,and both students and examiners have higher satisfaction.The next step is to improve the training of nurses standardized parents in the attitude of simulation and,at the same time,enhance the training of imitation ability and adaptability,so as to further expand the construction of standardized parents.