目的 探讨将迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)应用于护理学专业实习学生临床实践模式的应用效果,以期提高学生岗位胜任力,提高临床护理学实践教学质量。方法 选取2016年辽宁省锦州市某三甲医院120名护理学专业实习学生,随机将其分为实验组和对照组。对照组学生按照传统“师带徒”带教模式进行临床实践教学,实验组学生在传统临床实践教学模式基础上同时接受Mini-CEX教学。比较分析两组学生接受临床护理学实践教学后的综合考试成绩和岗位胜任力评分。结果 实验组学生综合考试成绩高于对照组学生。实验组学生在岗位胜任力7个维度上的评分均高于对照组学生。结论 Mini-CEX有助于提高护理学专业实习学生的岗位胜任力,应该在临床护理学实践教学中推广应用。
Objective To make discussion on the application effects of Mini-CEX(Mini-Clinical Evaluation Exercise,Mini-CEX)used in the clinical practice patterns of baccalaureate nursing students,in order to improve the post competency of baccalaureate nursing students and the teaching quality of clinical nursing practice.Methods To select 120 undergraduate nursing students which are divided into two groups randomly in top three level hospitals of Jinzhou city, Liaoning Province in 2016. Students in matched group were taught with traditional pattern of “master instructing apprentice” for clinical practice teaching, but students in experimental group were taught both by the traditional clinical practice and the Mini-CEX teaching patterns. Contrastive analysis the students comprehensive test scores on the post competency of the two groups after clinical nursing practice.Results The scores of students in experimental group are all higher than those in matched group, mainly on seven dimensions of assistant roles, education guidance, diagnosis function, management function, treatment intervention, quality guarantee and job roles, and there are statistical significance on the difference.Conclusions Mini-CEX could make good help on improving the post competency of nursing students, and it is worth to be applied widely in clinical nursing practice teaching.
[1] 刘予玲, 王静, 杨磊. 护士岗位胜任力现状及其影响因素的调查分析[J]. 现代临床护理, 2015, 14(3): 8-11. DOI: 10.3969/j.issn.1671-8283.2015.03.003.
Liu YL, Wang J, Yang L. Current situation of nursing competencies of nurses and influencing factors[J].Modern Clinical Nursing,2015,14(3):8-11.DOI:10.3969/j.issn.1671-8283.
2015.03.003.
[2] Alves de Lima A, Henquin R, Thierer J, et al. A qualitative study of the impact on learning of the mini clinical evaluation exercise in postgraduate training[J].Med Teach,2005,27(1):46-52.DOI:10.1080/01421590400013529.
[3] 刘春英, 朱华凤, 杨雪, 等. Mini-CEX在护士培训评估中的研究进展[J]. 海南医学, 2015,26(23): 3523-3526. DOI: 10.3969/j.issn.1003-6350.2015.23.1274.
[4] 蔡承红. 迷你临床演练评量应用于提升护生临床综合能力的探讨和分析[J]. 中国高等医学教育, 2011(8): 94-95.
[5] 郭亚楠. 护生胜任力量表的编译与评价[D]. 太原: 山西医科大学, 2015.
Guo YN. Study on Chinese version of the nurse competence scale revision and evaluation[D]. Taiyuan: Shanxi Medical University, 2015.
[6] 冯世萍, 吴奇云, 夏珊敏. 微型临床演练评估在助产士规范化培训中的应用[J].中国护理管理,2017,17(1):22-26. DOI: 10.3969/j.issn.1672-1756.2017.01.008.
Feng SP, Wu QY, Xia SM. Application of midwifery Mini-CEX in midwifery standardized training[J]. Chinese Nursing Management, 2017, 17(1): 22-26. DOI: 10.3969/j.issn.1672-1756.2017.01.008.
[7] 吴荣, 周文琴, 沈麟云, 等. 迷你临床演练评量在提升护生临床综合能力中的应用[J]. 护理研究, 2013, 27(11): 3833-3834. DOI: 10.3969/j.issn.1009-6493.2013.33.067.
Wu R, Zhou WQ, Shen LY, et al. Application of mini clinical evaluation exercise in improving clinical comprehensive ability of nursing students[J]. Chinese Nursing Research, 2013, 27(11):3833-3834.DOI:10.3969/j.issn.1009-6493.2013.33.
067.
[8] Milner KA, Watson SM, Stewart JG, et al. Use of Mini-CEX tool to assess clinical competence in family nurse practitioner students using undergraduate students as patients and doctoral students as evaluators[J]. J Nurs Educ, 2014, 53 (12): 719-720. DOI:10.3928/01484834-20141118-11.
[9] 章芳芳, 黄丽华, 胡一宇, 等. 护理岗位培训评价标准的构建[J]. 中华护理杂志,2016,51(1):11-14.DOI:10.3761/j.issn.0254-1769.2016.01.002.
Zhang FF, Huang LH, Hu YY, et al. Construction of job training evaluation criteria for nurses[J]. Chin J Nurs,2016,51(1):11-14. DOI: 10.3761/j.issn.0254-1769.2016.01.002.
[10] 陈燕, 葛炜, 吴珊珊, 等. WPBA护理临床实习评价模式的初步构建[J]. 护理学杂志, 2016, 31(6): 72-75. DOI:10.3870/j.issn.1001- 4152.2016.06.072.
Chen Y, Ge W, Wu SS, et al. Preliminary construction of the workplace based assessment(WPBA)mode for nursing interns[J]. Journal of Nursing Science, 2016, 31(6): 72-75. DOI:10.3870/j.issn.1001- 4152.2016.06.072.
