谦卑型导师模式在手术室带教中的应用及分析  

Application and analysis of the humble tutor mode in operating room teaching

作　　者：刘怀燕[1] 田晶 贾代良 申媛[1] 王倩华 Liu Huaiyan;Tian Jing;Jia Dailiang;Shen Yuan;Wang Qianhua(Operating Room,Affiliated Hospital of Jining Medical College,Jining 272100,China;Operating Room,The Third Hospital of Peking University,Beijing 100191,China;Clinical Medical College of Jining Medical College,Jining 272100,China)

机构地区：[1]济宁医学院附属医院手术室,济宁272100 [2]北京大学第三医院手术室,北京100191 [3]济宁医学院临床医学院,济宁272100

出　　处：《中华医学教育探索杂志》2023年第11期1720-1726,共7页Chinese Journal of Medical Education Research

基　　金：济宁医学院教育教学研究项目(Y2020019)。

摘　　要：目的探讨谦卑型导师模式在手术室实习护生带教中的应用效果。方法选择济宁医学院附属医院总院区手术室2020年8月至2021年6月40名实习护生作为对照组,2021年8月至2022年9月46名实习护生作为试验组。对照组接受常规导师模式带教,试验组采用谦卑型导师模式带教。比较两组护生理论知识与操作技能考核成绩,以及建言行为、自我效能感、谦卑型导师感知教学效果。采用SPSS 19.0进行t检验、卡方检验和相关分析。结果出科时,试验组护生理论知识(93.86±3.53)分、操作技能考核成绩(90.90±5.68)分,均高于对照组(P<0.001)。护生建言行为评分试验组(35.22±7.60)分,高于对照组的(30.43±5.96)分(P=0.002)。护生自我效能感评分试验组(28.17±5.03)分,高于对照组的(24.38±3.39)分(P<0.001)。护生谦卑型导师感知评分试验组(37.04±4.34)分,高于对照组的(26.33±6.63)分(P<0.001)。护生谦卑型导师感知与建言行为(r=0.89,P<0.001)、自我效能感(r=0.72,P<0.001)、操作技能成绩(r=0.66,P<0.001)、理论知识成绩(r=0.39,P=0.007)呈正相关。结论谦卑型导师模式在手术室带教中应用效果显著,提高了护生的理论知识与操作技能考核成绩,促进了谦卑型导师的形成,加强了护生建言行为和自我效能感的教学效果。Objective To investigate the application effect of the humble tutor mode in the teaching of nursing interns in operating room.Methods A total of 40 nursing interns in the Operating Room of Affiliated Hospital of Jining Medical University from August 2020 to June 2021 were selected as control group,and 46 nursing interns from August 2021 to September 2022 were selected as experimental group.The interns in the control group received teaching with the conventional tutor mode,and those in the experimental group received teaching with the humble tutor mode.The two groups were compared in terms of the scores of theoretical knowledge and operation skills,voice behavior,self-efficacy,and humble tutor perception.SPSS 19.0 was used to perform the t-test,the chi-square test,and the correlation analysis.Results At the time of department rotation,the experimental group had significantly higher scores of theoretical knowledge(93.86±3.53)and operation skills(90.90±5.68)than the control group(P<0.001).Compared with the control group,the experimental group had significantly higher scores of voice behavior[(35.22±7.60)vs.(30.43±5.96),P=0.002],self-efficacy[(28.17±5.03)vs.(24.38±3.39),P<0.001],and humble tutor perception[(37.04±4.34)vs.(26.33±6.63),P<0.001].Humble tutor perception was positively correlated with voice behavior(r=0.89,P<0.001),self-efficacy(r=0.72,P<0.001),operation skills(r=0.66,P<0.001),and score of theoretical knowledge(r=0.39,P=0.007).Conclusion The humble tutor mode has a significant effect in operating room teaching and can improve the assessment scores of theoretical knowledge and operation skills,promote the formation of humble tutors,and strengthen the teaching effect of voice behavior and self-efficacy in nursing interns.

关 键 词：谦卑型导师 建言行为 自我效能感 手术室带教 实习护生 

分 类 号：R61[医药卫生—外科学]