随着医疗技术的不断发展,医院消毒供应中心(Central Sterile Supply Department,CSSD)工作内容和性质发生了很大变化,培养CSSD护士岗位胜任能力十分重要。在分析CSSD护士岗位胜任能力的基础上,北京大学第一医院选取2019年4月至2021年10月参加培训的54名CSSD护士学员为教学对象,设计并实施了基于问题学习结合情景模拟的教学,并通过学员理论和操作考核及问卷调查进行效果评价。教学后学员理论成绩为(96.06±2.02)分,高于教学前的(93.02±2.90)分,教学后学员操作成绩为(94.87±1.57)分,高于教学前的(92.44±4.21)分,教学后学员综合能力评价为(35.11±2.34)分,高于教学前的(21.80±1.22)分,差异均具有统计学意义(均P＜0.05)。教学后,学员满意度评分为(4.96±0.19)分,52名(96.3%)学员对教学非常满意;学习积极性评分为(4.78±0.46)分,43名(79.6%)学员学习积极性非常高。基于问题学习结合情景模拟教学有利于提高CSSD护士岗位胜任能力和学习积极性,学员满意度较高。
With the continuous development of medical technology, the work of Central Sterile Supply Department (CSSD) of hospitals have changed greatly, and it is very important to develop the competence of CSSD nurses. Based on the analysis of CSSD nurses' competencies, problem-based learning combined simulation teaching was designed and implemented in 54 CSSD specialist nurse trainees at Peking University First Hospital from April 2019 to October 2021. And the teaching effect was assessed through the nurses' theoretical exam, operational exam and course appraisal questionnaire. The theoretical exam scores of the nurses after teaching (96.06±2.02) was higher than the scores before teaching (93.02±2.90), the operational exam scores of the nurses after teaching (94.87±1.57) was higher than the scores before teaching (92.44±4.21), the comprehensive ability scores of the nurses after teaching (35.11±2.34) was higher than the scores before teaching (21.80±1.22), and differences were all statistically significant (all P<0.05). After teaching, the nurses' satisfaction scores were (4.96±0.19), and 52 (96.3%) nurses were extremely satisfied. The nurses' learning initiative scores were (4.78±0.46), and 43 (79.6%) nurses were with highly motivated. Problem-based learning combined with simulation teaching is conducive to improving the competence and learning motivation of CSSD nurses, and the course satisfaction is high.
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