实景案例模拟竞赛在工作2~5年内护士综合技能培训考核中的.PDFVIP

护理教育 Nursing Education 实景案例模拟竞赛在工作2～5年内护士 综合技能培训考核中的应用 辛霞 范荣 李洁琼 侯荣丹 [ 摘 要] 为探讨实景案例模拟竞赛在工作 2～5 年护士综合技能培训考核中的应用，以某“三甲”医院 51名2～5 年护士 作为参赛对象，采用“三站式”实景案例模拟：针对预设情景案例进行病情及安全风险评估→提出护理问题和措施并实施→判 断并处理预设并发症及突发意外。全部选手认为竞赛提高了运用护理程序的能力；92.8%认为提高了安全风险评估及防范能力； 90.7%认为提高了临床观察、评估、综合分析处理问题的能力；86.5%认为提高了评判性思维能力，82.7%认为提高了人文关怀 及沟通交流能力。3 个月后跟踪回访显示，91.2%的护士长、86.7%的护士、68.5%的医生认为提高了选手的临床安全风险观察、 防范、分析等综合处理问题能力。实景案例竞赛能够有效提高 2～5 年护士临床综合素质及能力，值得借鉴及推广。 [ 关键词 ] 护理；技能竞赛；实景案例 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.02.018 Application of real scene case simulation contest in the comprehensive skills training and evaluation of nurses with 2-5 years of working experiences / XIN Xia, FAN Rong, LI Jieqiong, et al. // Nursing Department, The First Affiliated Hospital of Xian Jiao Tong University, Xian, 710061 China /// Chinese Nursing Management- 2014,14(2): 163-165 [ ] Abstract Objective: To explore the effects of real scene case simulation contest in the comprehensive skills training and evaluation of nurses with 2-5 years of working experiences. Methods: A three-station real scene case simulation contest was provided for 51 nurses with 2-5 years of working experiences. The first station was to assess a preset cases condition and safety risks. The second station was to propose the cases nursing problems and intervention measures and to implement them. The third station was to judge and deal with the preset complications and sudden emergency situation. Results: After the training, all participants thought the contest could improve their abilities of using nursing process, 92.8% thought it improved their abilities of safety risk assessment and prevention, 90.7% thought it improved their abilities of clinical observation, evaluation, comprehensive