微格教学联合分层次培训在内分泌护士规范化培训教学中的应用  

Application of microteaching method combined with hierarchical standardized post skills training in the teaching of standardized training for nurses in endocrinology department

作　　者：冯长菊 万芳菲 江玉蓉 向桂珍 宋媛媛 罗杨 王邦琼 Feng Changju;Wan Fangfei;Jiang Yurong;Xiang Guizhen;Song Yuanyuan;Luo Yang;Wang Bangqiong(Department of Endocrinology and Metabolism,Chongqing Unwersity Three Gorges Hospital,Chongqing 404000,China;Department of Hepatobiliary Surgery,Chongqing University Three Gorges Hospital,Chongqing 404000,China)

机构地区：[1]重庆大学附属三峡医院内分泌代谢科,404000 [2]重庆大学附属三峡医院肝胆外科,404000

出　　处：《中华医学教育探索杂志》2021年第7期849-852,共4页Chinese Journal of Medical Education Research

基　　金：万州区科委〔2015〕项目(201503018)。

摘　　要：目的基于微格教学联合分层次培训在内分泌科护士规范化培训教学中的应用。方法选择本院2020年2月至2021年2月在内分泌科轮转的护士80人,随机分为对照组和研究组,每组40人。对照组采用传统带教,研究组采用微格教学联合分层次培训。规范化培训结束后对两组护士进行理论考核、实践技能考核,对其临床实践能力提升、考核小组和住院患者对护士的满意度以及两组护士规范化培训期间不良事件的发生率进行调查。采用SPSS 22.0统计分析软件进行t检验和卡方检验。结果护士规范化培训后,研究组理论和实践技能考核成绩均优于对照组,差异有统计学意义(P<0.001);研究组临床实践能力提升优于对照组,差异有统计学意义(P<0.001);研究组护士规范化培训后满意率(考核小组、患者)优于对照组,差异有统计学意义(P<0.001);在护士规范化培训期间,两组护士不良事件发生率对比差异有统计学意义(χ^(2)=5.165,P=0.023)。结论采用微格教学联合分层次培训有助于提升内分泌科护士理论和实践技能操作水平,提高护士临床工作能力和患者满意率,有效降低不良事件发生率,构建了和谐的医、护、患关系。Objective To explore the application of microteaching combined with hierarchical training in the teaching of standardized training for nurses in the department of endocrinology. Methods A total of 80 nurses in the endocrinology department from February 2020 to February 2021 were selected and randomly divided into a control group and a study group, with 40 ones in each group. The control group adopted traditional teaching and the research group adopted microteaching combined with hierarchical training. After the standardized training, the two groups of nurses were subjected to theoretical assessment, practical skills assessment, clinical practice ability improvement, the satisfaction of the assessment team and inpatients with the nurses, and the incidence of adverse events during the standardized training of the two groups of nurses. SPSS 22.0 was performed for t test and chi-square test. Results After the training, the research group's theoretical and practical skills assessment scores were better than those of the control group, with statistically significant differences (P<0.001);the improvement of clinical practice ability of the research group was better than that of the control group, with statistical significance (P<0.001);the satisfaction rate of nurses in the research group (assessment group and patients) was better than that of the control group, and the differences were statistically significant (P<0.001). During the standardized training of nurses, there were statistically significant differences in the incidence of adverse events between the two groups of nurses ( χ2=5.165, P=0.023). Conclusion The application of microteaching combined with hierarchical training can help improve the level of theoretical and practical skills of nurses in the endocrinology department, improve nurses' clinical work ability and patient satisfaction rate, effectively reduce the incidence of adverse events, and build a harmonious relationship between doctors, nurses and patients.

关 键 词：微格教学 分层次规范化岗位技能培训 内分泌 护士规范化培训 

分 类 号：R-05[医药卫生]