迷你临床演练评估在我国内地医学及护理学教育中应用的文献计量分析  

Bibliometric analysis of the application of mini-clinical evaluation exercise in medical and nursing education in the mainland of China

作　　者：冯金华[1,2] 李卡[2] 廖曦 许瑞华[1,2] FENG Jinhua;LI Ka;LIAO Xi;XU Ruihua(Department of Biliary Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院胆道外科,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《华西医学》2021年第6期796-802,共7页West China Medical Journal

基　　金：国家自然科学基金(71974135);四川省科学技术厅支撑项目(2021YFS0153)。

摘　　要：目的分析迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)在我国内地医学及护理学教育中的研究现状,为优化医学护理学教学评估工具、助力医学及护理学人才培养模式变革提供依据。方法检索PubMed、Embase、万方、维普、中国知网及中国生物医学文献数据库的相关文献,以“mini-clinical evaluation exercise”或“Mini-CEX”或“CEX”或“迷你临床演练评估”或“微型临床演练评估”为关键词进行检索,限定语种为中英文,第一作者地址在中国内地,检索时间为建库到2020年12月31日。对文献进行筛选,剔除重复文献后进行文献计量分析。结果最终纳入536篇文献,来自我国28个省、自治区和直辖市,其中上海、新疆、广西、辽宁、广东发文量居前5位;2017年发文量突破60篇,2019年和2020年发文量分别达到112篇和113篇;文献由397家医院和高校贡献,发文量2篇以上的机构49家;同一作者发文量最多为5篇;共530篇期刊论文,分布在169种期刊上;有基金支持的文献数量仅为228篇(42.54%);研究类型以试验性及类试验性研究为主(56.71%)。关键词共现网络分析,共得到321个节点,1 013条连线,平均每个节点有3.21条连线;除“MiniCEX”和“迷你临床演练评估”两大关键词以外,“临床教学”“规范化培训”“住院医师”“情景模拟”“临床能力”等研究方向最为突出。结论我国内地Mini-CEX医学及护理学相关研究数量逐年增多,但研究地区及机构分布不均衡,研究质量有待提升,应用范围和研究类型有待丰富,研究内容需拓展。未来应调动医学院校教师及科研团队将Mini-CEX教学方法全程、连续应用于医学及护理学人才培养中,进一步规范Mini-CEX在我国内地的本土化应用,以推动医学教育形成性评价的纵深发展。Objective To analyze the research status of mini-clinical evaluation exercise(Mini-CEX)in medical and nursing education in the mainland of China,so as to provide a basis for optimizing medical and nursing teaching evaluation tools and promoting the reform of medical and nursing personnel training mode.Methods PubMed,Embase,Wanfang,CQVIP,China National Knowledge Infrastructure,and China Biomedical Literature Database were searched.The key words were“mini-clinical evaluation exercise”or“mini-CEX”or“CEX”or“mini clinical exercise evaluation”.The languages were limited to Chinese and English.The address of the first author was in the mainland of China.The retrieval time was from the establishment of the databases to December 31st,2020.The literature was analyzed bibliometrically after screening and duplicate removal.Results A total of 536 articles were included for analysis and summary.The articles originated from 28 provincial-level administrative divisions in China,among which Shanghai,Xinjiang,Guangxi,Liaoning,and Guangdong were the top five in terms of the number of papers published.The annual number of papers published exceeded 60 in 2017,and reached 112 in 2019 and 113 in 2020,respectively.A total of 397 hospitals and universities contributed to the literature,among which 49 institutions published more than 2 papers.The maximum number of articles published by a same author was 5.There were 530 journal papers published in 169 journals.Only 228 articles(42.54%)were supported by funds,and the research type was mainly experimental and quasi experimental research(56.71%).Under the key words co-occurrence network analysis,a total of 321 nodes and 1013 connections were obtained,with an average of 3.21 connections per node.In addition to“mini-CEX”and“mini-clinical exercise evaluation”,the most prominent research directions were“clinical teaching”“standardized training”“resident”“scenario simulation”and“clinical ability”.Conclusions The number of mini-CEX-related medical and nu

关 键 词：迷你临床演练评估 医学 护理学 人才培养 文献计量分析 

分 类 号：G353.1[文化科学—情报学] R47-4[医药卫生—护理学]