客观结构化考核在成人护理（外科）实践教学中的应用  

Objective structured clinical examination in practical teaching of ＇ Adult Surgical Nursing＇

作　　者：李璐寰[1] 丛小玲[1] 杨艺[1] 鲁慧[1] 沈娟[1] 曹芬[2] 蔡小红[1] 

机构地区：[1]苏州卫生职业技术学院医护学院,215009 [2]苏州大学附属第一医院中心ICU,215006

出　　处：《中华现代护理杂志》2016年第23期3271-3275,共5页Chinese Journal of Modern Nursing

基　　金：苏州卫生职业技术学院教改项目（JGXM201407）;苏州卫生职业技术学院科技创新团队项目（szwzytd201304）

摘　　要：目的探讨客观结构化考核（OSCE）在成人护理（外科）实践教学中的应用效果。方法2014年9月-2015年1月设计OSCE考核站点与方案，对2013级某班级52名学生在成人护理（外科）实践课程中进行OSCE考核，包括综合知识、创伤救护、术前准备、手术人员准备、手术配合、专科护理操作、图片视频站判断能力共7个站点。考核结束后进行成绩分析和问卷调查。结果本次考核合格率为100％，各站得分中创伤救护最低为（73．19±4．27）分，综合知识最高为（83．77±4．41）分。各考核模块的难度系数为0．63～0．78，信度为0．66—0．72。问卷调查结果显示，96．2％的护生认为有必要推广此教学方式，69．2％的护生考试过程中感到疲乏，38．5％的护生认为考核场所设置影响了考试发挥．考试时间控制和考场设置仍需改进。结论OSCE考核方案具有较好的信效度，能真实可靠地反映学生实践技能和综合能力，护生对考核满意度较高，可以在成人护理（外科）实践教学中推广，但仍需进一步完善。Objective To explore the application of objective structured clinical examination （OSCE） in the ＇Adult Surgical Nursing＇ practical teaching. Methods OSCE testing approaches were designed from September 2014 to January 2015. A total of 52 students in Grade 2013 were tested in practical teaching of ＇ Adult Surgical Nursing＇ using OSCE, which included comprehensive knowledge, trauma nursing, preoperative preparation, operation members＇ preparation, operation cooperation, professional nursing procedures and judging ability of pictures and videos. The questionnaire surveys and test results analyzation were performed after the test. Results Qualification rate of OSCE test was 100%. Trauma nursing had the lowest score （73.19±4.27） and comprehensive knowledge had the highest score （83.77±4.41）. The average index of difficulty and confidence were 0.63-0.78 and 0.66-0.72. According to questionnaire surveys, 96.2% of nursing students thought the OSCE needed to be promoted, 69.2% of nursing students felt tired during the test and 38.5% of nursing students considered that the localization of test affected students＇ performance and the time controlling and place selection needed to be improved.Conclusions OSCE has good confidence and could truly report practical skills and comprehensive knowledge of nursing students. Nurses are stratified to the test. It could be optimized and promoted in the ＇Adult Surgical Nursing＇ practical teaching.

关 键 词：成人护理 外科护理 客观结构化考核 问卷调查 实践教学 

分 类 号：G712[文化科学—职业技术教育学] R47-4[文化科学—教育学]