临床个案分析在低年资助产士评判性思维能力培养中的应用效果.docVIP

临床个案分析在低年资助产士评判性思维能力培养中的应用效果 　　[摘要]目的 探?利用临床案例分析对培养低年资助产士评判性思维能力的效果，为今后的助产士培训模式提供参考，促进个性化产程管理。方法 选取2012年6月～2016年6月15名我院产房在新入职助产士（新入职助产士组）与34名实习助产士（实习生组）作为本组研究的观察样本，分别在工作期间对接触过的每个临床案例进行分析、点评，并分别于新入职助产士组6个月后，运用评判性思维能力测量表（CTDI-CV）对结果进行对比分析。结果 试行临床个案分析前，实习生组CTDI-CV总分为（247.11±31.86）分，新入职助产士组CTDI-CV总分为（250.41±28.24）分，两组比较，差异无统计学意义（P0.05）；试行临床个案分析6个月后，实习生组CTDI-CV总分为（308.94±36.33）分，新入职助产士组CTDI-CV总分为（324.34±34.18）分，两组评判性思维能力得分均得到明显提高，与培训前比较，差异有统计学意义（P 　　[关键词]临床个案分析；低年资；助产士；评判性思维 　　[中图分类号] R192.7 [文献标识码] A [文章编号] 1674-4721（2017）03（c）-0163-03 　　[Abstract]Objective To explore the effect of clinical case analysis in the cultivation of critical thinking ability for less-experienced midwives，and to provide a reference for the future training model so as to promote the individual management of duration of labor.Methods Altogether 15 newly-recruited midwives （newly-recruited midwife group） who worked in delivery room in our hospital from June 2012 to June 2016 and 34 internship midwives （intern midwife group） were involved as the observation samples.Each clinical case related to the two groups during their work was analyzed and commented，respectively.CTDI-CV （Chinese version of the Critical Thinking Disposition Inventory） was used to perform comparative analysis of two groups after newly-recruited midwife group gained 6 months work experience.Results Before the trial of clinical case analysis，the CTDI-CV score of intern midwife group was （247.11±31.86） points，and the newly-recruited midwife group was （250.41±28.24） points，without significant difference （P0.05）；after 6 months trial of clinical case analysis，the CTDI-CV score of intern midwife group was （308.94±36.33）points，the newly-recruited midwife group was （324.34±34.18）points；the CTDI-CV score of both groups were highly improved in comparison with that before training，with significant difference（P 　　[Key words]Clinical case analysis；Less-experienced；Midwife；Critical thinking 　　评判性思维是一种临床护理人员在面对复杂的、动态的临床护理问题时能够做出正确的选择与反思的思维