摘要
目的探索以决策导向型评价模型(context,input,process and product,CIPP)及柯氏模型为导向的"互联网+中医护理"岗前培训评估体系的行动研究是否有助于提升护理人员培训效果。方法以广东省中医院2019至2020年211名"互联网+中医护理"护士为研究对象,组建行动小组,综合运用多种方法收集资料并进行分析。根据收集的资料,行动小组构建"互联网+中医护理"培训方案、"互联网+中医护理"编制要求、"互联网+中医护理"流程的案例优化方案和"互联网+中医护理"的评价模型。培训结束后通过成绩比较、发放自制调查问卷,比较护士知识技能和相关态度、对培训项目总的反应和感受,以及主管领导、医护人员、服务对象对护士工作表现的评价。采用SPSS 20.0软件进行统计分析。结果护士培训后理论成绩为(85.16±6.22)分、案例考核成绩为(81.22±7.03)分,高于培训前理论成绩(61.23±12.90)分、案例考核成绩(59.54±14.41)分,差异均有统计学意义(P<0.001)。自制调查问卷结果显示,护士培训后理论知识技能、相关态度比较,差异均有统计学意义(P<0.001);培训过程中、培训结束时对培训项目的培训内容、培训师资、培训实施、培训保障比较,差异有统计学意义(P<0.001);培训后,主管领导、医护人员、服务对象对护士工作表现的评价在知识技能、职业道德、工作过程、学习能力等方面均有改善,改善率具有统计学意义(P<0.001)。结论行动研究是一种有效地持续改善护理培训的研究方法,基于CIPP及柯氏模型通过行动研究构建的"互联网+中医护理"护士优化方案可有效提升培训效果。
Objective To explore whether the action research on the pre-service training evaluation system of"Internet+TCM Nursing"guided by CIPP(context,input,process and product)and Kirkpatrick Model can improve the training effect of nursing staff under the background of internet and TCM nursing service.Methods Taking 211 nurses of"Internet+TCM Nursing"in Guangdong Provincial Hospital of TCM from 2019 to 2020 as the research objects,action teams were made,and the data were collected and analyzed by various methods.According to the collected data,the action teams constructed the training scheme of"Internet+TCM Nursing",the compilation requirements of"internet+TCM Nursing",the case optimization scheme of"internet+TCM Nursing"process,and the evaluation model of"internet+TCM Nursing".After the training,the nurses'knowledge,skills and related attitudes,the general reaction and feelings to the training programs,and the evaluation of nurses'work performance by the competent leaders,medical staff and clients were compared by comparing their scores and issuing self-made questionnaires.SPSS 20.0 software was used for statistical analysis.Results The results showed that the theoretical scores of nurses after training were(85.16±6.22)points,and the case assessment scores after training[(81.22±7.03)points]were higher than the previous theoretical scores[(61.23±12.90)points]and the case assessment scores[(59.54±14.41)points],with statistical significance(P<0.001).The results of self-made questionnaire showed that there were significant differences in theoretical knowledge,skills and related attitudes among nurses after training(P<0.001).In the process of training,there were statistically significant differences in training content,teacher training,training implementation and training guarantee at the end of training(P<0.001).After training,there were significant differences in the evaluation of nurses'job performance by leaders in charge,medical staff and clients improved in knowledge and skills,professional ethics,working process
作者
梁桂兴
丁美祝
骆丽娜
刘娟
邹涛
朱晶
黄楚君
Liang Guixing;Ding Meizhu;Luo Lina;Liu Juan;Zou Tao;Zhu Jing;Huang Chujun(Department of Respiratory and Thoracic Surgery,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China;Department of Neurology,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China;Department of Comprehensive Medicine,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China;Chronic Disease Management Center,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China;Comprehensive Ward,Second Clinical Medical College,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510120,China)
出处
《中华医学教育探索杂志》
2021年第8期971-976,共6页
Chinese Journal of Medical Education Research
基金
广州市科技计划项目(202002020042)。
