持续质量改进教学方法对急诊带教质量的影响  

Effect of continuous quality improvement on quality of teaching in emergency medicine

作　　者：陈玉婷[1] 汤淑敏[1] 祁智[1] 张玲[2] 

机构地区：[1]上海长海医院急诊科,200433 [2]上海长海医院护理部,200433

出　　处：《中华现代护理杂志》2014年第8期968-970,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨应用持续质量改进法提高急诊教学质量的效果。方法成立持续质量改进小组，通过头脑风暴和举办座谈会，分析急诊教学存在的问题与原因，制定改进措施并实施，选取2011年7月-2012年3月实习的216名护生为观察组，采用持续质量改进后的教学方法；以2010年7月-2011年3月未进行持续质量改进前在急诊实习的237名护生作为对照组，比较两组护生实习1月后理论及操作成绩和对教学的满意度。结果对照组急诊护生的理论考核成绩（81．45±5．76）分，明显低于观察组的（89．25±3．43）分，操作考核成绩（84．42±2．74）分也低于观察组（91．23±4．16）分，差异有统计学意义（t值分别为17．92，21．08；P〈0．01）；对照组护生对教学态度方面满意度得分为（22．36±0．87）分，带教内容满意度得分为（15．72±1．45）分，带教方式满意度得分为（23．56±1．00）分，学术水平得分为（16．39±2．28）分，明显低于观察组的（23．83±0．79），（26．49±0．58），（24．54±0．74），（24．34±0．59）分，两组比较差异有统计学意义（t值分别为7．47，34．07，4．72，19．96；P〈0．01）。结论实施持续质量改进可提高急诊教学质量，提升教学满意度。Objective To explore the effect of apply the continous quality improvement （CQI） on nursing student teaching in emergency medicine. Methods A CQI group was formed and held meetings of all staff nurses in emergency department, utilized brainstorming method to find problems in nurse teaching and ways to solve. Then the CQI group set plans and implemented. Totals of 216 nursing students between July 2011 and March 2012 were as observation group that received the improved teaching methods, and 237 nursing students between July 2010 and March 2011 as control group that received routine teaching methods. Then, theory and operation scores, and satisfaction of teaching of nursing students were observed after one month. Results After the intervention, theory and operation scores in observation group were significantly higher than that in control group [（89.25 ±3.43） vs （81.45 ±5.76）, （91.23 ±4. 16） vs （84.42 ±2.74）,t = 17.92, 21.08;P 〈 0. 01 ） ]. Nursing students＇ satisfaction on teaching attitude [ （22. 36 ± 0. 87 ） vs （23.83 ± 0. 79） ], teaching content [ （ 15.72 ± 1.45） vs （26.49 ±0. 58） ] ,teaching methods [ （23. 56 ± 1.00） vs （24.54 ±0. 74） ] and research ability [ （16. 39 ± 2.28 ） vs （24. 34 ± 0. 59 ）] in control group was significantly lower those in observation group, and the differences were statistically significant （ t = 7.47,34. 07,4.72,19. 96 ; P 〈 0. 01 ）. Conclusions Applying＇continous quality improvement in nursing teaching in emergency medicine can effectively improve teaching quality and increase nursing students＇ satisfaction of teaching.

关 键 词：持续质量改进 急诊 教学质量 教学满意度 

分 类 号：G642[文化科学—高等教育学] R47-4[文化科学—教育学]