Mini-CEX联合DOPS的形成性评价模式在新护士规范化培训中的应用  

Application of formative evaluation model of Mini-CEX and DOPS in standardized training of new nurses

作　　者：聂圣肖[1] 孙超[1] 王蕾[1] 王霞[1] 王贞慧[1] 胡慧秀[1] 杨雪[1] 冷婧[1] Nie Shengxiao;Sun Chao;Wang Lei;Wang Xia;Wang Zhenhui;Hu Huixiu;Yang Xue;Leng Jing(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院护理部国家老年医学中心中国医学科学院老年医学研究院,100730

出　　处：《中华现代护理杂志》2020年第33期4692-4696,共5页Chinese Journal of Modern Nursing

基　　金：2016年度北京医院"科技新星"立项课题(BJ-2016-041)。

摘　　要：目的探讨迷你临床演练评量(Mini-CEX)联合操作型技巧直接观察评量(DOPS)的形成性评价方法在新护士规范化培训中的应用效果。方法采用便利抽样法,选取2017年8月入职某三甲医院的65名新护士为研究对象,在岗前培训时发放《Mini-CEX和DOPS评价手册》,带教老师在1年内按规定的频次采用Mini-CEX和DOPS量表对新护士的临床护理能力进行评价。结果2018年9月共回收54名新护士评价手册。新护士入职第1年内Mini-CEX的各项临床能力均有提高,差异有统计学意义(P<0.01)。新护士入职第1年内DOPS中对相关知识的掌握和总体表现评价2项得分提高,差异有统计学意义(P<0.05)。结论Mini-CEX联合DOPS的形成性评价模式有助于提高新护士的临床综合能力,并且用时较短,值得在临床广泛推广。Objective To explore the effects of the formative evaluation method of mini-clinical evaluation exercise(Mini-CEX)combined with Direct Observation of Procedural Skills(DOPS)in the standardized training of new nurses.Methods Convenience sampling method was used to select 65 new nurses in a ClassⅢGrade A hospital in August 2017 as the research object.The"Mini-CEX and DOPS Evaluation Manual"was distributed during pre-job training.Clinical teachers used the Mini-CEX and DOPS to evaluate the clinical nursing ability of new nurses at the prescribed frequency within one year.Results A total of 54 new nurses evaluation manuals were retrieved in September 2018.The clinical abilities of Mini-CEX of new nurses improved within the first year of employment with statistical differences(P<0.01).In the first year of employment,the scores of two items of DOPS on the mastery of relevant knowledge and overall performance evaluation of new nurses improved,and the differences were statistically significant(P<0.01).Conclusions The formative evaluation model of Mini-CEX combined with DOPS helps to improve the comprehensive clinical ability of new nurses with a short time,which is worthy of wide clinical promotion.

关 键 词：护士 形成性评价 规范化培训 临床教学 迷你临床演练评量 操作型技巧直接观察评量 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]