护理硕士专业学位研究生临床实践基地教育质量评价的实证研究  

An empirical study on the evaluation of the educational quality of clinical practice bases for master of nursing specialist

作　　者：史崇清[1] 王楠 覃露梅 李勤[1] 高翼[1] 熊静[1] Shi Chongqing;Wang Nan;Qin Lumei;Li Qin;Gao Yi;Xiong Jing(Medical College,Wuhan University of Science and Technology,Wuhan 430065,China)

机构地区：[1]武汉科技大学医学院,430065

出　　处：《中国实用护理杂志》2021年第22期1681-1687,共7页Chinese Journal of Practical Nursing

基　　金：全国医学专业学位与研究生教育指导委员会(中国学位与研究生教育学会医学专业学位工作委员会)研究课题(C-YX20190201-06);武汉科技大学研究生教育教学改革研究项目重点课题(Yjg201808)。

摘　　要：目的编制基于学生参与和SERVQUAL模型的全日制护理硕士专业学位(MNS)研究生临床实践基地教育质量评价量表,评价临床实践基地质量,为临床实践基地评价提供参考。方法以学生参与理论和SERVQUAL模型为框架,构建MNS研究生临床实践基地教育质量评价量表。便利选取6省11所高校176名MNS研究生,发放自编一般资料问卷和MNS临床实践基地教育质量评价量表进行调查。结果MNS研究生临床实践基地教育质量评价量表共包含有形性、可靠性、响应性、保证性、移情性5个维度28个条目。量表总的Cronbachα系数为0.983~0.987;条目水平内容效度指数(I-CVI)为0.92~0.96,量表水平内容效度指数(S-CVI)为1。结构效度Pearson相关系数为0.785~0.966。探索因子分析,量表KMO值各维度值>0.7,期望部分和实际感受部分KMO值分别为0.956和0.963。提取公因子数分别为2个和3个,累计解释变异量分别为79.1%和78.4%。MNS研究生临床实践基地教育质量实际感知程度低于期望程度,各条目差异有统计学意义(P<0.05)。多元线性回归分析显示,临床实践基地承担临床实践教学时间、临床实践基地级别是影响期望值和实际感受值的主要因素(P<0.05)。重要性—感知绩效分析发现,11个条目落在优势区,3个条目落在维持区,12个条目落在次要改善区,2个条目落在优先改进区。结论MNS研究生临床实践基地教育质量评价量表具有较好的信、效度。MNS研究生临床实践基地教育质量实际感受程度低于期望程度。临床实践基地承担临床实践教学时间和临床实践基地级别是期望和实际感受程度的主要因素。亟待改进带教老师的理论知识和实践水平以及处理MNS研究生遇到的职业暴露。Objective To compile the evaluation scale of the quality of education in the clinical practice base of full-time Master of Specialist Nursing(MNS)based on student participation and the SERVQUAL model,evaluate the quality of clinical practice base,and provide reference for the evaluation of clinical practice base.Methods Based on the theory of student participation and the SERVQUAL model,the evaluation scale of the educational quality of clinical practice base of MNS was constructed.By facilitating sampling methods,176 MNS students from 11 universities in 6 provinces were selected,and a questionnaire of self-compiled general information and a survey of the evaluation scale of education quality of MNS clinical practice base were distributed.Results The evaluation scale of education quality of clinical practice base of MNS contained 28 entries in five dimensions:tangibility,reliability,responsiveness,guarantee and empathy.The total Cronbach alpha coefficient of the scale was from 0.983 to 0.987,item level content validity index was from 0.92 to 0.96,scale level content validity index was 1 and the correlated coefficient of the structural validity Pearson was from 0.785 to 0.966.To explore factor analysis,the dimension value of the scale KMO value was greater than 0.7,and the expected part and the actual feel part KMO value were 0.956 and 0.963 respectively.The number of common factors was 2 and 3 respectively,and the cumulative interpretation variation was 79.1%and 78.4%respectively.The actual perception of the quality of education in the clinical practice base of MNS was lower than expected,and the differences in entries were statistically significant(P<0.05).The analysis of multiple linear regression showed that the teaching time and level of clinical practice base undertaken by clinical practice base were the main factors affecting the expectation and actual feeling value(P<0.05).The importance performance analysis analysis found that 11 entries were in the advantage zone,3 entries were in the maintenance area,12

关 键 词：护理硕士专业学位研究生 临床实践基地 服务质量评价 SERVQUAL 重要性—感知绩效分析 

分 类 号：R47-4[医药卫生—护理学] G643[医药卫生—临床医学]