摘要
目的观察路径式临床教学法在新入职护士岗前规范化培训中的作用，为探索科学的教学方法提供依据。方法依据临床路径模式制定新护士培训路径手册，按照入职报道顺序的序号安排分组，临床路径组29名，严格按照临床路径表执行，有效质控监管；对照组28名，采用传统教学法；分别对2组护士进行理论知识、基本操作技能、专业操作考核和对教学方法满意度及自我评价进行统计分析。结果临床路径组培训后出科理论知识、基本操作技能和专业操作考核成绩总分分别为（89.41 ± 5.07）、（95.28 ± 2.96）、（93.10 ± 2.86）分，对照组分别为（80.92 ± 7.64）、（89.82 ± 3.77）、（85.57 ± 5.33）分，差异均有统计学意义（t=4.792、6.083、6.682，P=0.000）；临床路径组对教学方法满意为28人，高于对照组的22人，差异有统计学意义（Z=38.316，P=0.000）；临床路径组自我评价中激发学习兴趣、自主学习能力、沟通交流能力、分析解决问题能力、评判性思维能力和规范护理行为均优于对照组，差异有统计学意义（Z=-3.938^-2.143，P〈0.01或0.05）。
Objective To observe the role of clinical pathway method of teaching in the new nurses pre-job standardization training, and provide evidence for the exploration of scientific teaching methods.Methods Make training manual for new nurses on the basis of clinical path model. New nurses were assigned randomly to clinical pathway group （29 cases） and control group （28 cases）. The clinical pathway and effective quality supervision were adopted in clinical pathway group, and the traditional teaching method were adopted in control group. The level of theory, basic skills, professional skills were evaluated, and satisfaction of teaching method and self-assessment were collected and analyzed.Results The results of theory, basic skills, and professional skills in clinical pathway group were （89.41±5.07）, （95.28±2.96）, （93.10±2.86） points, and those in control group were （80.92±7.64）, （89.82±3.77）, （85.57±5.33） points, the differences were significant （t=4.792, 6.083, 6.682, P=0.000）.The number of satisfaction of teaching method was 28 cases in clinical pathway group and 22 cases in control group, the difference was significant （Z=38.316, P=0.000）. Learning motivation, the ability of autonomous learning, communication, problem analyzing and solving, critical thinking, and the nursing behavior standardization in the self-assessment part in clinical pathway group were all better than those in the control group, the differences were significant （Z=-3.938^-2.143, P〈0.01 or 0.05）.Conclusions The application of clinical pathway method in new nurses pre-job training could effectively improve the level of theory, basic skills and professional skills, increase their satisfaction of teaching method and self-assessment.
作者
贾立红
孙晓红
崔秀珍
张伟
毛福荣
殷涵
张丽
Jia Lihong Sun Xiaohong Cui Xiuzhen Zhang Wei Mao Furong Yin Han Zhang Li(Department of Hand Microsurgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China)
出处
《中国实用护理杂志》
2017年第25期1992-1996,共5页
Chinese Journal of Practical Nursing
基金
辽宁省教育科学“十二五”规划项目（JG15DB115）
大连医科大学本科教学改革研究项目（DYLX14860）
关键词
临床路径
护士
岗前培训
Clinical pathway
Nurses
Pre-job training
