综合病例站点式培训对临床护士老年专科护理能力培养的效果观察

doi:10.16460/j.issn1008-9969.2019.23.016

摘要/Abstract

摘要： 目的探讨综合病例站点式培训在临床护士老年专科护理能力培养中的应用效果。方法选取在我院月均老年住院病人≥40%病区中的工作年限<5年的护士为研究对象。按随机数字表法分成观察组（n=30）和对照组（n=30）,对照组采用传统培训方式,观察组采用综合病例站点式培训方式。观察比较2组临床护士培训前和培训8个月末老年专科护理的理论与技能考核及护士核心能力评分。结果培训前2组临床护士老年专科护理的理论与技能考核及护士核心能力评分比较,差异无统计学意义（P>0.05）;培训8个月末观察组临床护士老年专科护理的理论与技能考核评分高于对照组（P<0.05）,观察组科研和评判性思维能力、临床护理能力、人际关系、伦理和法律实践能力、教育指导能力及总分高于对照组（P<0.05）。结论综合病例站点式培训能提高临床护士老年专科护理理论与技能水平,提升护士核心能力,值得临床借鉴使用。

关键词: 综合病例站点式培训, 临床护士, 理论知识, 技能, 护士核心能力

Abstract: Objective To explore the effect of comprehensive case site-based training on geriatric nursing ability of clinical nurses. Methods 60 junior nurses from wards with elderly inpatients accounting for more than 40% of the total were conveniently selected and divided into observation group (n=30) and control group (n=30) according to the random number table method. Traditional training method was used in the control group and in the observation group, comprehensive case-site training was conducted. Before and after the training, nurses in both groups participated in the assessment of theoretical knowledge, nursing skills and core competence of nurses. Results There was no statistically significant difference in the scores of theoretical knowledge, skills and core competence between the two groups before the training (P>0.05). After the training, the score of theoretical knowledge, skill and core competence of the nurses in the observation group was higher than that in the control group, indicating statistical significance (P<0.05). Nurses' scientific research and critical thinking ability, clinical nursing competence, interpersonal relationship, ethnic and legal skill, educational ability and the total score in the observation group were better and higher than those in the control group (P<0.05). Conclusion Comprehensive case site-based training can effectively improve the theoretic knowledge and skill of geriatric nursing and the core competence of nurses, which is worthy of being popularized and applied in clinical practice.

Key words: comprehensive case site-based training model, clinical nurse, theoretical knowledge, skill, core competence of nurse

中图分类号:

G424.1

曾文, 周菊, 钟瑶, 刘素敏. 综合病例站点式培训对临床护士老年专科护理能力培养的效果观察[J]. 护理学报, 2019, 26(23): 16-20.

ZENG Wen, ZHOU Ju, ZHONG Yao, LIU Su-min. Effect of Comprehensive Case Site-based Training on Geriatric Nursing Ability of Clinical Nurses[J]. Journal of Nursing, 2019, 26(23): 16-20.

参考文献

[1] 张盈华,闫江. 中国养老服务现状、问题与公共政策选择[J].当代经济管理, 2015,37(1):51-56.DOI:10.13253/j.cnki.ddjjgl.2015.01.009.
[2] 颜巧元. 老龄化背景下我国老龄服务重点任务探讨[J].护理研究,2015, 29(35C):4353-4356.DOI:10.3969/j.issn.1009-6493.2015.35.001.
[3] 国家卫生和计划生育委员会.全国护理事业发展规划(2016-2020年)[J]. 中国护理管理, 2017,17(1):1-5.DOI:10.3969/j.issn.1009-6493.2015.35.001.
[4] 刘祚燕,陈茜,黄兆晶,等.老年专科护士培训学员对老年人态度及知识的调查分析[J].护理研究,2014,28(1C):299-300.DOI:10.3969/j.issn.1009-6493.2014.03.018.
[5] 周晓艳,周云辉,文安笑.临床护士老年护理知识与技能在职培训的效果观察[J].护理学报,2012,19(4A):32-35.DOI: 10.16460/j.issn1008-9969.2012.07.016.
[6] 鲁丰华,曾慧,范勇.老年专科护士胜任力的研究进展[J].解放军护理杂志, 2018,35(15):35-38.DOI:10.3969/j.issn.1008-9993.2018.15.008.
[7] 李艳艳,徐佳卿,高莹莹,等.综合病例下站点式考核模式在ICU新护士培训中的应用[J].青岛医药卫生, 2019,51(1):32-35.DOI:10.3969/j.issn.1006-5571.2019.01.009.
[8] Fischer M A, Kennedy K M, Durning S, et al.Situational Awareness Within Objective Structured Clinical Examination Stations in Undergraduate Medical Training-A Literature Search[J]. BMC Med Educ, 2017,17(1):262.DOI:10.1186/s12909-017-1105-y.
[9] 严鑫,孙敏芝,洪艳燕,等,客观结构化临床考试在护理领域的应用研究进展[J].护理学报,2015,22(1):29-32.DOI:10.16460/j.issn1008-9969.2015.01.029.
[10] 化前珍,胡秀英.老年护理学[M].4版.北京:人民卫生出版社,2017.
[11] 马燕兰,侯惠如.老年疾病护理指南[M].北京:人民军医出版社,2013.
[12] 程东阳,李玲.老年护理技术[M]. 北京:人民卫生出版社,2017.
[13] 刘明,殷磊,马敏燕,等.注册护士核心能力测评量表结构效度验证性因子分析[J].中华护理杂志, 2008,43(3):204-206.
[14] 欧尽南. 某三级综合医院护士核心能力与职业规划相关研究[D].长沙:中南大学,2014.
[15] 李春玉,刘姝,陈宏吉.试论我国老年护理现状和发展方向[J].护理学杂志,2014,29(3):1-3.DOI:10.3870/hlxzz.2014.03.001.
[16] 沈曼璇,陈妙虹,郭彩霞,等.核心能力本位教育模式在老年专科护士护理实践培训中的应用[J].现代临床护理,2017,16(1):69-74.DOI:10.3969/j.issn.1671-8283.2017.01.020.
[17] 杨德芬,江智霞,何毅,等.“综合病例式”培训方法在提高低年资护士护理技术水平中的应用[J]. 中华全科医学,2012,10(12):1957-1958.DOI:10.16766/j.cnki.issn.1674-4152.2012.12.017.
[18] Moore J, Nahigian E.Nursing Student Perceptions of Nurse-to-nurse Collaboration in Dedicated Education Units and in Traditional Clinical Instruction Units[J]. J Nurs Educ,2013,52(6):346-350.DOI:10.3928/01484834-20130509-01.
[19] Aronowitz T, Aronowitz S, Mardin-Small J,et al.Using Objective Structured Clinical Examination (OSCE) as Education in Advanced Practice Registered Nursing Education[J].J Prof Nurs,2017,33(2):119-125.DOI:10.1016/j.profnurs.2016.06.003.
[20] 邹霞. 低年资护士应急及病情观察能力的评估及培养[J].中国医药导报, 2014,11(26):149-152.
[21] Bagnasco A, Tolotti A, Pagnucci N, et al.How to Maintain Equity and Objectivity in Assessing the Communication Skills in a Large Group of Student Nurses During a Long Examination Session, Using the Objective Structured Clinical Examination(OSCE)[J].Nurse Educ Today,2016(38):54-60.DOI:10.1016/j.nedt.2015.11.034.
[22] 吴敏娟. 临床护士护理伦理决策能力的现状调查和相关因素分析[D].杭州:杭州师范大学,2016.
[23] 王晓莉. 低年资护士开展健康教育情况的调查分析[J].社区医学杂志,2017,15(7):44-46.
[24] 孙丹丹,王艳梅,吉珍颖.老年护理专业人员核心能力研究进展[J].护理学杂志,2015,30(8):96-99.DOI:10.3870/hlxzz.2015.08.096.

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