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基于岗位胜任力的OSCE教学在护理实习带教中的效果评价

马杰 李秀川 周平辉 陈卫东 雷婷婷 张扬西贝 邵艳 黄俊梅 秦玲威

马杰, 李秀川, 周平辉, 陈卫东, 雷婷婷, 张扬西贝, 邵艳, 黄俊梅, 秦玲威. 基于岗位胜任力的OSCE教学在护理实习带教中的效果评价[J]. 中华全科医学, 2022, 20(12): 2131-2133. doi: 10.16766/j.cnki.issn.1674-4152.002786
引用本文: 马杰, 李秀川, 周平辉, 陈卫东, 雷婷婷, 张扬西贝, 邵艳, 黄俊梅, 秦玲威. 基于岗位胜任力的OSCE教学在护理实习带教中的效果评价[J]. 中华全科医学, 2022, 20(12): 2131-2133. doi: 10.16766/j.cnki.issn.1674-4152.002786
MA Jie, LI Xiu-chuan, ZHOU Ping-hui, CHEN Wei-dong, LEI Ting-ting, ZHANG-YANG Xi-bei, SHAO Yan, HUANG Jun-mei, QIN Ling-wei. Effect evaluation of OSCE teaching based on post competence in nursing practice teaching[J]. Chinese Journal of General Practice, 2022, 20(12): 2131-2133. doi: 10.16766/j.cnki.issn.1674-4152.002786
Citation: MA Jie, LI Xiu-chuan, ZHOU Ping-hui, CHEN Wei-dong, LEI Ting-ting, ZHANG-YANG Xi-bei, SHAO Yan, HUANG Jun-mei, QIN Ling-wei. Effect evaluation of OSCE teaching based on post competence in nursing practice teaching[J]. Chinese Journal of General Practice, 2022, 20(12): 2131-2133. doi: 10.16766/j.cnki.issn.1674-4152.002786

基于岗位胜任力的OSCE教学在护理实习带教中的效果评价

doi: 10.16766/j.cnki.issn.1674-4152.002786
基金项目: 

安徽省高等学校省级质量工程项目 2018jyxm1374

蚌埠医学院校级重点教学课题 2019jyxm51

详细信息
    通讯作者:

    周平辉, E-mail: 270806423@qq.com

  • 中图分类号: R192.6

Effect evaluation of OSCE teaching based on post competence in nursing practice teaching

  • 摘要:   目的  探讨客观结构化临床考试(OSCE)教学考核模式对实习护士岗位胜任力的应用效果。  方法  选取蚌埠医学院第一附属医院2019年7月—2021年7月骨科实习护士108人,按随机数字表法分为对照组和观察组各54人。对照组采用目前传统教学模式进行带教和考核;观察组在传统教学模式的基础上,实施标准化病人(SP)培训和OSCE考核模式的带教。选取骨科真实的典型病例腰椎间盘突出症,建立标准化病人和OSCE案例库,设置相关考核站点,实行骨科5个病区的同质化带教和考核模式。实习结束前1周,根据6个站点针对性地进行操作和理论知识考核。完成教学计划后,比较2组护生理论、技能、评估和干预、沟通、评判性思维、应激处理及人文护理得分,评价2组护生岗位胜任力情况;同时评价2组护生对教学效果的满意度。  结果  观察组带教总满意率为90.74%(49/54),高于对照组的66.67%(36/54), χ2=9.336,P=0.002;培训结束后,观察组理论及技能考核成绩高于对照组(均P<0.05);在其他5个维度的岗位核心胜任力方面:评估和干预、沟通、评判性思维、应激处理及人文护理得分亦高于对照组,差异有统计学意义(均P<0.05)。  结论  OSCE培训考核模式能提高护理带教满意度,并提升实习护士的岗位核心胜任力。

     

  • 表  1  2组实习护士带教满意度比较[人(%)]

    Table  1.   Comparison of satisfaction degree of teaching between two groups of Intern nurses [casese (%)]

    组别 人数 不满意 一般满意 满意 总满意
    对照组 54 18(33.33) 28(51.85) 8(14.81) 36(66.67)
    观察组 54 5(9.26) 25(46.30) 24(44.44) 49(90.74)
      注:2组总满意度比较,χ2=9.336, P=0.002。
    下载: 导出CSV

    表  2  2组实习护士理论及操作考试成绩比较(x±s, 分)

    Table  2.   Comparison of theoretical and operational examination scores between two groups of intern nurses(x±s, scores)

    组别 人数 理论 技能操作
    对照组 54 83.23±5.29 82.41±4.78
    观察组 54 91.18±4.86 90.18±4.98
    t 8.133 8.272
    P < 0.001 < 0.001
    下载: 导出CSV

    表  3  2组实习护士5个维度岗位核心胜任力评价得分比较(x±s,分)

    Table  3.   Comparison of core competence evaluation scores of 5 dimensions of posts of two groups of Intern nurses(x±s, scores)

    组别 人数 评估及干预能力 评判思维能力 沟通能力 应急能力 人文护理能力 均分
    对照组 54 8.01±1.22 7.41±1.08 8.12±1.04 7.31±1.16 7.40±1.04 7.45±1.42
    观察组 54 8.64±1.42 8.12±1.28 8.89±1.21 8.04±1.04 8.48±1.38 8.41±1.40
    t 2.473 3.115 3.546 3.443 4.593 3.538
    P 0.015 0.002 0.001 0.001 < 0.001 0.001
    下载: 导出CSV
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出版历程
  • 收稿日期:  2022-04-13
  • 网络出版日期:  2023-02-07

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