客观结构化临床考试在中医院新上岗护士临床综合能力考评中应用的效果评价  

The application of obstructive structured clinical examination for evaluating the comprehensive clinical ability of new nurses in hospital of traditional Chinese medicine

作　　者：严鑫[1] 郭秀君[2] 孙敏芝[2] 洪艳燕[2] 张雪芳[2] 

机构地区：[1]南京中医药大学护理学院,210001 [2]南京市中医院护理部,210001

出　　处：《中国实用护理杂志》2015年第22期1705-1708,共4页Chinese Journal of Practical Nursing

基　　金：基金项目：南京中医药大学临床教育改革课题（LCJG/B/1202）

摘　　要：目的通过客观结构化临床考试（OSCE）的模式对中医院新上岗护士临床综合能力进行考评。方法对南京市中医院2012、2013级全部新上岗护士36名实施OSCE考核。考核共分为4站，分别考核的是标准化患者评估和诊断能力、综合病例处理能力、西医、中医护理操作技能。通过对理论和操作成绩分析，反映护士临床综合能力并评价临床护士对新型考核模式的接受度。结果36名新上岗护士考核平均成绩为（76．32±6．31）分，服从正态分布；OSCE考核难度为0．70～0．85，各考站区分度为0．28~0．48；理论考核成绩低于操作考核成绩，差异有统计学意义，P〈0．05。结论OSCE考核设计合理，能较好地考评中医院新护士临床综合能力。Objective To evaluate the comprehensive clinical ability of new nurses in hospital of traditional Chinese medicine by the application of obstructive structured clinical examination. Methods New nurses of Nanjing hospital of traditional Chinese medicine （TCM） of the grade 2012 and 2013 were assessed. The examination consisted of four parts including standard patient station, the capacity of the case, the basic nursing skills of medicine and TCM. The scores of the theoretical knowledges and nursing skills were assessed. Results The average score of the nurses was （76.32±6.31 ）points, complying to the normal distribution; The degree of difficulty of the examination was 0.70-0.85 and the degree of distinguish was 0.28-0.48; The score of the theoretical test was lower than that of nursing skills and there was significant difference between them （P〈0.05）. Conclusions The design of the examination is reasonable and the clinical ability of new nurses majored in TCM can be well assessed.

关 键 词：客观结构化临床考试 临床能力 新护士 

分 类 号：R47[医药卫生—护理学]