摘要
目的 探讨基于客观结构化临床考试(OSCE)模式的考核框架在急危重症科护士培训管理体系构建中的应用效果.方法 选择2018年1月至2019年6月在温州医科大学附属第二医院接受培训的56例急危重症科护士作为观察对象,按随机数字表法分为常规考核培训组和OSCE考核培训组,每组28例.常规考核培训组护士接受常规培训和临床考核;OSCE考核培训组护士开展基于OSCE模式的考核培训.比较两组护士理论成绩、急救技能成绩、评判性思维能力和行为态度、岗位胜任能力以及综合能力考核成绩的差异.结果 OSCE考核培训组护士的理论成绩(分:84.42±7.29比79.51±5.38)、急救技能成绩(分:82.36±5.73比68.70±4.47)、评判性思维能力评分(分:283.09±18.25比242.41±15.58)均明显优于常规考核培训组(均P<0.05);OSCE考核培训组护士的敬业精神(分:91.31±6.45比68.24±10.40)、行为规范性(分:94.53±4.32比72.79±8.26)、创新精神(分:93.10±3.43比72.76±10.57)、专业知识应用(分:90.39±6.46比67.28±14.20)评分均明显高于常规考核培训组(均P<0.05);OSCE考核培训组护士的应急处理突发事件能力(分:88.03±7.74比65.21±8.87)、沟通协调能力(分:93.89±4.07比71.65±7.32)、教育宣传能力(分:94.82±3.48比63.27±8.50)、团队协作能力(分:88.26±9.11比66.91±8.35)、科研思维能力(分:87.19±8.93比72.34±9.72)、解决问题能力(分:88.59±7.24比67.36±11.43)评分均明显优于常规考核培训组(均P<0.05);OSCE考核培训组护士护理评估(分:14.72±2.00比11.75±2.18)、沟通技巧(分:16.24±1.98比13.57±2.22)、整体评价(分:14.12±2.59比11.78±1.15)、临床思维(分:15.18±1.93比12.13±1.96)、人文关怀(分:15.16±1.10比12.57±3.44)考核成绩均明显高于常规考核培训组(均P<0.01).结论 基于OSCE模式的考核框架在急危重症科护士培训管理体系构建中的应用效果良好,能客观而全面地培养急危重症科护士的临床管理、�
Objective To explore the application effect of assessment framework based on"Objective Structured Clinical Examination"(OSCE)mode in construction of training management system for nurses in ICU or emergeney department.Methods The 56 nurses in emergency department who were trained in the Second Affiliated Hospital of Wenzhou Medical University from January 2018 to June 2019 were selected as the research objects.They were divided into a regular assessment training group and a 0SCE assessment training group according to random rnumber table method,with 28 cases in each group.The nurses in regular assessment training group received routine training and elinical assessments,and the nurses in OSCE assessment training group were given assessment training hased on 0SCE mode.The differences in various examinations,such as theoretical scores,first aid skill scores,critical thinking abilities,behavioral attitudes,post competency,and comprehensive ability in the two groups of nurses were compared.Results The theoretical scores(points:84.42±7.29 vs.79.51±5.38).first aid skills scores(points:82.36±5.73 vs.68.70±4.47).and critical thinking ability scores(points:283.09±18.25 vs.242.41±15.58)of the nurses in OSCE assessment training group were sigificantly higher than those in regular assment training group(all P<0.05);the spirit of respecting work(points:91.31±6.45 vs.68.24±10.40),normative behavior(points:94.53+4.32 vs.72.79±8.26),innovative spirit(points:93.10±3.43 vs.72.76±10.57),and professional knowledge application scores(points:90.39±6.46 vs.67.28±14.20)of nurses in OSCE assessment training group were significantly higher than those in regular assessment training group(all P<0.05);the ability of handling emergency event(points:88.03±7.74 vs.65.21±8.87).communication and coordination ability(points:93.89±4.07 vs.71.65±7.32).education and publicity ability(points:94.82±3.48 vs.63.27±8.50),teamwork ability(points:88.26±9.11 vs.66.91±8.35),scientifie research thinking ability(points:87.19±8.93 vs.72.34±
作者
金倩倩
沙芬芳
廖德珺
张秀霞
Jin Qianqian;Sha Fenfang;Liao Dejun;Zhang Xiuxia(Department of Emergency,the Second Affliated Hospial of Wenzhou Medical UIniversiy,Wenzhou 325000,Zhejiang,China;Department of Critical Care Medicine,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2020年第5期599-603,共5页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
浙江省温州市基础性科研项目(Y20190039)。
关键词
客观结构化临床考试模式
考核框架
急危重症科护士
培训管理体系
护理管理质量
Objective Struetured Clinical Examination(0OSCE)mode
Assessment framework
Acute and critical care nurses
Training management system
Quality of nursing management
