摘要
目的探讨形成性评价联合终结性评价在新入职护士规范化培训中的应用效果。方法便利抽取2015年8月—2018年8月入职北京市某三级甲等综合医院的145名新护士为研究对象,采取历史对照法,以2015年8月和2016年8月入职的72名新护士为对照组,以2017年8月和2018年8月入职的73名新护士为观察组。对照组采用终结性评价方法,观察组在终结性评价的基础上增加形成性评价方法。比较两组新护士在岗前培训结束时、入职第3个月、入职第12个月转正定级前的考核成绩,同时采用修订迷你临床演练评量(Mini-CEX)和操作型技巧直接观察评量(DOPS)量表评价观察组在入职当月及3、6、9、12个月时的临床能力。结果两组护士岗前培训理论成绩、入职第12个月操作成绩、护理评估考核成绩比较,差异均无统计学意义(P>0.05);观察组的岗前培训操作成绩、第3个月操作成绩、入职第12个月的双人心肺复苏术考核通过率均高于对照组,差异均有统计学意义(P<0.05)。观察组新护士入职当月及第3、6、9、12个月的Mini-CEX和DOPS量表各方面评分呈上升趋势,除DOPS中的"主体技术能力"和"专业素养"外,其余方面评分前后比较差异均有统计学意义(P<0.05)。结论形成性评价联合终结性评价可以在短时间内明显提升新护士的临床技能,有利于缩短新护士的成长周期,提升其临床护理能力。但是临床判断能力、专业咨询与沟通能力是新护士的薄弱环节,建议加强对这些方面能力的重视以及培训,提升新护士的临床胜任能力。
Objective To explore the application effect of formative evaluation combined with summative evaluation in standardized training for newly recruited nurses.Methods Using the convenient sampling method,a total of 145 newly recruited nurses in a ClassⅢGrade A general hospital in Beijing from August 2015 to August 2018 were selected as the research objects.Using the historical control method,72 newly recruited nurses from August 2015 and August 2016 were selected as the control group,and 73 newly recruited nurses from August 2017 and August 2018 were selected as the observation group.The control group adopted the summative evaluation method,while the observation group added the formative evaluation method on the basis of the summative evaluation.The assessment results of new nurses of the two groups were compared at the end of the pre-job training,at the third month of employment and at the twelfth month of employment before they were rated.The Mini-clinical Evaluation Exercise(Mini-CEX)and Direct Observation of Procedural Skills(DOPS)scales were used to evaluate the clinical ability of patients in the observation group at the month of employment and at 3,6,9 and 12 months of employment.Results There was no statistically significant difference in the theoretical results of pre-service training,operation results of the 12th month of employment and nursing assessment results between the two groups(P>0.05).The operation results of pre-service training,the operation results of the third month and the passing rate of two-person cardio-pulmonary reanimation at the 12th month of employment in the observation group were all higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of all aspects of Mini-CEX and DOPS scale of the new nurses in the observation group showed an upward trend in the first month of employment and in the third,sixth,ninth and twelfth months.Except for"main technical ability"and"professional quality"in DOPS,the differences in other aspects before a
作者
孙超
聂圣肖
王蕾
王霞
冷婧
Sun Chao;Nie Shengxiao;Wang Lei;Wang Xia;Leng Jing(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华现代护理杂志》
2021年第27期3765-3770,共6页
Chinese Journal of Modern Nursing
基金
2016年度北京医院"科技新星"立项课题(BJ-2016-041)。
关键词
护士
新护士
终结性评价
形成性评价
规范化培训
Nurses
New nurses
Summative evaluation
Formative evaluation
Standardized training
