简易客观结构化临床考试在内科护理学阶段性考核中的应用.docVIP

简易客观结构化临床考试在内科护理学阶段性考核中的应用 　　[摘要] 目的 探索简易客观结构化临床考试（OSCE）在本科护生内科护理学阶段性测试中的应用效果。 方法 以延安大学医学院2013级四年制护理本科班全部护生（52名）作为研究对象，在完成内科护理学第1、2章节授课内容后组织OSCE考试，对考试成绩进行分析，并通过问卷调查护生对OSCE考核模式的评价。 结果 OSCE考核平均成绩为（68.87±9.752）分，平均难度0.69，平均区分度0.32。57%以上护生认为考试很紧张，并且个别站点时间设置不合理；大部分护生认为各考站基本上能反映考核目标要求；57%以上护生认为OSCE有助于改变今后学习方式，能将知识和技能转化为职业能力，值得推广。 结论 简易OSCE作为内科护理学阶段性测试的1种考核形式，能够发挥OSCE的教学反馈作用，改进和完善后可在其他课程中应用，以培养和锻炼护生的临床能力。 　　[关键词] 内科护理学；客观结构化临床考试；阶段性测试；护生；考试质量 　　[中图分类号] R471 [文献标识码] A [文章编号] 1673-7210（2017）01（a）-0137-04 　　[Abstract] Objective To explore the effect of simplified objective structured clinical examination （OSCE） in periodic testing of medical nursing. Methods The OSCE was performed in 52 nursing students of grade 2013， who completed medical nursing chapter 1 and chapter 2， and quality analysis was conducted after examination. Nursing students were investigated about the evaluation of OSCE mode by questionnaire. Results The average score of 52 nursing students was （68.87±9.752）， the average difficulty index of the paper was 0.69 and the average discrimination of the paper was 0.32. More than 57% of nursing students who were nervous considered that the arrangement of certain examination stations were unreasonable； most of them considered that every examination station reflected the requirement of the testing target basically； More than 57% of them considered that the examination conduced to changing learning style in future， and transforming knowledge and skills into professional capability. Conclusion Simplified OSCE as a form of periodic testing can play a role in teaching feedback. It can be used in other courses by improving to cultivate the clinical ability of nursing students. 　　[Key words] Medical nursing； Objective structured clinical examination； Periodic testing； Nursing students； Examination quality 　　?瓤苹だ硌?是一门重要的临床护理学科，其教学目标已逐渐从传授理论技能转向培养学生的自学能力、评估能力、沟通能力、健康教育能力、临床思维等护理核心能力[1]。教学评价作为教学环节中的重要组成部分，不仅要与教学目标相匹配，还要能够有效促进学生学习。而阶段性测试作为一种形成性教学评价，是对学习者学习过程的全面测评，不仅能够培养学