双重评价法提升护理本科生临床实践能力的效果  

Improving clinical practice ability of nursing undergraduates via double evaluation

作　　者：邓少娟[1] 刘玉玲[2] 雷友金[2] 全小明[1] 吴蓓[3] 甘红[4] 

机构地区：[1]广州中医药大学护理教研室,510405 [2]广州中医药大学第一附属医院产科,广州510405 [3]广州中医药大学第一附属医院综合科,广州510405 [4]广州中医药大学第一附属医院一骨科,广州510405

出　　处：《中华现代护理杂志》2017年第27期3548-3551,共4页Chinese Journal of Modern Nursing

基　　金：广州中医药大学高等教育教学研究和改革项目

摘　　要：目的 探讨运用双重评价的方法 提升护理本科生临床实践能力的效果.方法 2015年9月—2016年5月采用便利抽样法选取广州中医药大学2012级61名护理本科生,依据学号随机分为观察组（30名）和对照组（31名）,观察组采用双向对照的评价方式持续动态改进临床教学方案,对照组根据大学临床教学方案实施临床教学,采用客观结构化临床考试（OSCE）、临床实践能力测评表作为他评和自评的测评工具.结果 观察组组内OSCE他评成绩和临床实践行为自评得分均呈阶段性上升趋势,差异具有统计学意义（P〈0.05）;两组护生实习第9个月OSCE他评成绩对比,除护理文件书写外其他各项比较观察组得分均高于对照组,差异有统计学意义（P〈0.05）;两组护生实习第9个月临床实践行为自评得分中,观察组除交流沟通能力较对照组稍低外,其他维度得分均高于对照组,差异有统计学意义（P〈0.05）.结论 运用双重对照的评价方式阶段性持续动态改进临床教学方案可明显提升护生的临床实践能力.Objective To explore the effect of improving clinical practice ability of nursing undergraduates via double evaluation.Methods From September 2015 to May 2016, 61 nursing undergraduates enrolled in 2012 to Guangzhou University of Chinese Medicine were selected by convenience sampling method and divided randomly according to their student number into experimental group （30 cases） and control group （31 cases）. According to the double evaluation method adopted in the experimental group, clinical teaching scheme was modified dynamically. In the control group, clinical teaching was conducted according to clinical teaching scheme made by the university, with OSCE and evaluation form of clinical practice ability as tools for observer and self evaluation.Results Within the experimental group, both scores of observer evaluation in OSCE and scores of self evaluation in clinical practice behavior showed a trend of going up in phases （P〈0.05）. In comparison of observer evaluation in OSCE at the 9th month, scores of the experimental group were all higher than those in the control group in all dimensions except writing of nursing documents （P〈0.05）. In comparison of self evaluation in clinical practice behavior at the 9th month, scores of the experimental group were all higher than those in the control group in all dimensions except communication ability, slightly lower （P〈0.05）.Conclusions With the double evaluation method adopted, dynamically modified clinical teaching scheme according to phases can obviously improve clinical practice ability of nursing students.

关 键 词：教育 护理 护理本科生 临床带教 双重评价 临床实践能力 

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