摘要
目的探讨构思-设计-实现-运作(Conceive-Design-Implement-Operate,CDIO)教学模式联合迷你临床演练评估(Mini-Clinical Evaluation Exercise,Mini-CEX)在产科实习护士中的应用效果。方法采用便利抽样法选取2021年7月至2023年6月在枣庄市妇幼保健院产科病区实习的84名护生作为研究对象,按入科时间分为观察组[女35人,男7人,年龄(19.51±2.2)岁]与对照组[女36人,男6人,年龄(19.53±2.3)岁]各42人。对照组采用常规临床护理带教模式,观察组采用基于CDIO模式的翻转课堂联合Mini-CEX带教模式,均实习4周。两组转科结束后,通过成绩考核的形式对带教效果进行主观与客观评价,并对实习护士的临床实践能力评分、实习护士对临床带教效果评价进行对比分析。采用独立样本t检验、χ^(2)检验。结果入科时,两组考核成绩、临床护理实践能力评分和临床培训效果评分比较,差异均无统计学意义(均P>0.05)。出科时,观察组实习护士专科理论成绩、操作考试成绩、临床护理实践能力总分均高于对照组[(93.58±2.45)分比(87.11±3.62)分、(89.91±5.49)分比(79.70±5.65)分、(52.06±4.37)分比(42.85±5.48)分],差异均有统计学意义(均P<0.001)。观察组培训效果评价中培训方法、学习效果、专业能力、职业认同感得分均高于对照组[(2.72±0.45)分比(1.33±0.76)分、(2.65±0.62)分比(1.58±0.51)分、(2.67±0.56)分比(2.11±0.55)分、(2.49±0.55)分比(1.39±0.66)分],差异均有统计学意义(均P<0.001)。结论CDIO教学模式联合Mini-CEX有助于提高产科实习护士的考核成绩、临床实践能力,产科实习护士对培训效果比较满意,该模式值得在产科临床教学中推广应用。
Objective To explore the application effect of Conceive-Design-Implement-Operate(CDIO)teaching mode combined with Mini-Clinical Evaluation Exercise(mini-CEX)in obstetric intern nurses.Methods A total of 84 intern nurses who practiced in the obstetric ward of Zaozhuang Maternal and Child Health Care Hospital from July 2021 to June 2023 were selected as the research objects by convenient sampling method.According to the admission time,they were divided into an observation group[35 females and 7 males,aged(19.51±2.2)years]and a control group[36 females and 6 males,aged(19.53±2.3)years]with 42 subjects in each group.The control group adopted the routine clinical nursing teaching mode,and the observation group adopted the flipped classroom based on the CDIO model combined with Mini-CEX teaching mode for 4 weeks.After the transfer of the two groups,the subjective and objective evaluation of the teaching effect was carried out through the form of performance assessment,and the clinical practice ability score of the intern nurses and the evaluation score of clinical teaching effect of the intern nurses were compared and analyzed.Independent sample t test andχ^(2) test were used.Results At the time of admission,there were no statistically significant differences in the assessment results,clinical nursing practice ability scores,or clinical training effect scores between the two groups(all P>0.05).At the time of leaving the department,the scores of specialized theory,operation examination,and clinical nursing practice ability of the intern nurses in the observation group were higher than those in the control group[(93.58±2.45)points vs.(87.11±3.62)points,(89.91±5.49)points vs.(79.70±5.65)points,(52.06±4.37)points vs.(42.85±5.48)points],with statistically significant differences(all P<0.001).The scores of training methods,learning effect,professional ability,and professional identity in the evaluation of training effect in the observation group were higher than those in the control group[(2.72±0.45)points vs.(1.33
作者
张琳
吕习习
孙彦奇
Zhang Lin;Lyu Xixi;Sun Yanqi(Third Department of Obstetrics,Zaozhuang Maternal and Child Health Care Hospital,Zaozhuang 277100,China;ICU,Tengzhou Central People's Hospital Affiliated to Jining Medical College,Tengzhou 277500,China)
出处
《国际医药卫生导报》
2024年第12期2102-2106,共5页
International Medicine and Health Guidance News
基金
2022年徐州医科大学高等教育教改研究重点课题(Xjylczx202206)。
