QC小组在解决产房实习带教难点中作用.doc

QC小组在解决产房实习带教难点中作用[摘要] 目的 探讨产房助产专业实习生带教难点问题的解决方法,提高产房带教质量。方法 通过开展QC小组活动,以“解决产房带教难点,提高带教质量”为宗旨,制定切实可行的带教计划并贯彻实施,最后检验实施效果。结果 助产专业实习生对产房教学难点中的胎方位的正确判断率由活动前的12%上升至活动后的80%,分娩机转的掌握由活动前的8%上升至活动后的72%,极大地提高了学生的学习兴趣,激发了带教者的带教热情,融洽了师生关系,提高了带教质量。结论 开展QC小组活动是提高产房带教质量、解决产房助产专业学生教学难点的一种行之有效的方法。 [关键词] QC小组; 产房; 带教难点 [中图分类号] G642.64 [文献标识码] A [文章编号] 1673-9701(2010)09-77-02 Role of QC Group in Solving Difficulty of Mentoring Midwifery Interns ZHU Yuqin CHEN Xiaoxia CAI Qiaoqing Obstetrics and Gynecology,Peking University Shenzhen Hospital,Shenzhen 518036,China [Abstract] ObjectiveTo explore ways of solving the difficulties of mentoring midwifery interns and enhance the quality of midwifery internship. MethodsWe conducted prior/post investigation by QC group activities to solve the difficulties and enhance the quality in mentoring midwifery interns,and made viable mentoring plans,implemented the plans and checked the implementation with the above purpose in mind. ResultsThe rate of correct judgment of the fetus position by the midwifery interns increased from 12% before the QC group activities to 80% after the activities,the grasp of delivery mechanism increased from 8% before the QC group activities to 72% after the activities. The QC group activities greatly stimulated students? interest in learning and the monitors? enthusiasm in teaching and harmonizing the teacher-student relationship. ConclusionThe form of QC group is a viable approach to improving the quality of delivery room internship and solving the difficulties in the midwifery teaching and learning. [Key Words]QC Group; Solve; Midwifery; Delivery room; Mentoring difficulties 我院是现代化的大型三甲医院,产房现有助产士21人,教学中承担着妇产科低年资医师的培训、各种外院助产人员的进修、助产专业及护校生的实习等任务,每年的带教人数少则十几人、多则几十人。由于产科专业性和理论性强、专科复杂操作多,从未接触过临床的护生实习中很难将理论与实践有机地结合起来,因而在实际工作中遇到诸多困难[1],尤其是在面对产程观察中胎方位的判断和分娩中分娩机转的处理时。而这些技术又恰恰是助产实习生在产房学习中不可缺少的重点内容,因此要使产房助产实习生掌握这一带教难点就成了我们带教工作的突出问题。为了解决这一教学难题,我们在2007～2009年开展了QC小组活动,现报道如下。 1 资料与方法 1.1 一般资料 随机抽取开展QC小组活动