我院胸外科护生临床实践的改革效果观察.docVIP

我院胸外科护生临床实践的改革效果观察 　　[摘要] 目的 在护生临床实践核心胜任力指标的指导下，确定护生临床实践改革的具体内容，并初步实施。 方法 选取2015年5月～2016年1月在西安交通大学第一附属医院（以下简称“我院”）胸外科实习的护理大专生41人作为对照组，2016年5月～2017年1月在我院胸外科实习的43人作为实验组。实验组采用基于核心胜任力培养目标的临床实践模式，对照组采用原有的带教方式。从护生综合能力、带教教师对学生满意度和学生对带教教师满意度3个方面进行比较。 结果 实验组护生基础知识考核和技能操作考核得分均高于对照组，差异有统计学意义（P 0.05）。实验组对胸外科临床带教教师的满意度高于对照组（P 0.05）。 结论 基于核心胜任力的胸外科护生临床实践模式对带教教师和护生都能起到积极作用。 　　[关键词] 核心胜任力；临床实践；护生 　　[中图分类号] R47；G642 [文献标识码] A [文章编号] 1673-7210（2017）06（c）-0181-03 　　[Abstract] Objective To establish the specific contents of nursing parctice reform based on core competency in Department of Chest Surgery. Methods 41 nursing students were selected as control group， who were in Department of Chest Surgery， the First Affiliated Hospital of Xi′an Jiaotong University （for short our hospital） from May 2015 to January 2016. And 43 nursing students were selected as experimental group， who were in our hospital Department of Chest Surgery from May 2016 to January 2017. The nursing practice model based on core competency was used in experimental group and original nursing practice method was used in control group. Three indicators were used to evaluate the reform effectiveness， including the comprehensive ability， teachers′ satisfaction with students and students′ satisfaction with teachers. Results The scores of basic knowledge and nursing skills in the experimental group were higher than those in the control group （P 0.05）. The students in experimental group were more satisfied with teachers （P 0.05）. Conclusion The nursing practice reform based on core competency can play a positive role in the teachers and nursing students. 　　[Key words] Core competency； Clinical practice； Nursing students 　　临床护理实践是护生从学校走向工作岗位的过渡阶段，也是护生了解护理专业，掌握专业技能的重要阶段。虽然学校和医院的管理部门对护生的临床实践都给予了很大的关注，但在科室繁忙的工作节奏中，护生容易受到忽视。加上不明确的临床带教目标，护理实践教学内容往往缺乏系统性[1-2]，教学目的往往很难达到。近年核心胜任力的概念被引进护理临床实践中[3-4]，国内护理专家对护生的核心胜任力提出了相关的指标概念，并进行了一定的临床实践改革尝试[5-6]。本研究拟在护生临床实践的核心胜任力指标的指导下，确定胸外科护生临床实践的具体目标与内容，将核心胜任力指标具体细化、可操作化，增强护生实习带教系统的针对性和可操作