基于柯氏模型的手术室实习护生无菌观念培训评价指标体系构建  

Construction of a training evaluation index system of sterility concept for nursing interns in the operating room based on Kirkpatrick model

作　　者：林兰 李燕 顾维佳 林琳 Lin Lan;Li Yan;Gu Weijia;Lin Lin(Department of Operating Room,The Second Affiliated Hospital of Chengdu Medical College,China National Nuclear Corporation 416 Hospital,Chengdu 610051,China;Department of Nursing,The Second Affiliated Hospital of Chengdu Medical College,China National Nuclear Corporation 416 Hospital,Chengdu 610051,China;Sichuan Collaborative Innovation Center for Elderly Care and Elderly Health,Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第二附属医院•核工业四一六医院手术室,610051 [2]成都医学院第二附属医院•核工业四一六医院护理部,610051 [3]成都医学院四川养老与老年健康协同创新中心,610500

出　　处：《中华医学教育探索杂志》2021年第8期977-981,共5页Chinese Journal of Medical Education Research

基　　金：成都医学院教育教学改革项目(JG201976)。

摘　　要：目的以柯氏模型为基础,构建适用于手术室实习护生无菌观念教学效果评价的指标体系。方法以柯氏模型为理论框架,结合文献回顾、小组讨论,拟定指标体系初稿,编制专家咨询问卷;选取成都市几所三甲医院及医学本科院校30名具有护理教学经验的专家进行研究;采用德尔菲法(Delphi)对专家进行两轮咨询。将调查数据录入Excel表格,运用SPSS 23.0统计软件进行数据分析。结果两轮咨询专家的积极系数分别为100.00%和93.33%,专家权威系数均>0.7,专家意见的总体协调系数Kendall’sW分别为0.321和0.427,差异有统计学意义(P<0.05)。最终形成的手术室实习护生无菌观念培训效果指标体系包括4项一级指标、11项二级指标、45项三级指标。结论手术室实习护生无菌观念考核指标体系构建方法科学合理,内容设置得当,可为手术室实习护生无菌观念培训效果评价提供依据。Objective Based on the Kirkpatrick model,construct an evaluation index system for the teaching effect of aseptic concept for interns in operating room.Methods Based on the Kirkpatrick model as the theoretical framework,combined with literature review and group discussion,the first draft of the indicator system was drawn up,and the expert consultation questionnaire was compiled.30 experts with nursing teaching experience from several tertiary hospitals and medical undergraduate colleges in Chengdu were selected for research.Delphi conducts 2 rounds of consultation with experts.The collected data were input by Excel,and analyzed by SPSS 23.0.Results The positive coefficients of the two rounds of consulting experts were l00.00%and 93.33%;the expert authority coefficients were both>0.7;the overall coordination coefficient of expert opinions Kendall's W was 0.321 and 0.427,respectively,with statistical significance(P<0.05).The final result index system for training nurses in operating room aseptic concept includes 4 first-level indicators,11 second-level indicators,and 45 third-level indicators.Conclusion The construction method of aseptic concept assessment index system for nursing students in operating room is scientific and reasonable,and the content is set appropriately,which can provide a basis for the evaluation of aseptic concept training for nursing students in operating room.

关 键 词：柯氏模型 护生 无菌观念 培训评价 德尔菲法 

分 类 号：R-05[医药卫生]