运用PDCA循环提升实习生临床操作能力的研究——以外科换药为例  

Using the PDCA cycle to improve clinical medicine interns'operation ability—taking surgical dressing changes as an example

作　　者：谭慧 邱甜 周文浩 李军[4] 吴静燕[1] Tan Hui;Qiu Tian;Zhou Wenhao;Li Jun;Wu Jingyan(Department of Education and Training,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China;Department of Neurology,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China;Department of Neonatology,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China;Department of Surgery,Children's Hospital of Fudan University,National Children's Medical Center,Shanghai 201102,China)

机构地区：[1]国家儿童医学中心复旦大学附属儿科医院教育培训部,上海201102 [2]国家儿童医学中心复旦大学附属儿科医院神经内科,上海201102 [3]国家儿童医学中心复旦大学附属儿科医院新生儿科,上海201102 [4]国家儿童医学中心复旦大学附属儿科医院外科,上海201102

出　　处：《医学教育管理》2024年第1期63-68,共6页Medical Education Management

摘　　要：目的探讨“计划-执行-检查-处理”(plan-do-check-act,PDCA)循环法在外科实习生外科换药操作提升的有效性,为提高换药掌握率提供参考依据。方法选取2022年6-11月在国家儿童医学中心复旦大学附属儿科医院外科轮转实习的242名临床医学实习生,根据外科换药诊断性评价的理论与技能得分,了解轮转外科实习生外科换药掌握情况。采用PDCA循环法,建立完整的计划、实施、检查、处理流程,从而获得外科换药终结性评价。理论成绩采用问卷星的形式,操作成绩采用打分形式进行量化。统计并对比分析前后外科换药理论知识得分与操作的掌握率。结果经过PDCA循环法,实习生外科换药理论知识得分及操作的掌握率均明显高于诊断性评价(P<0.001)。结论采用PDCA循环法制定针对性的培训方案,形成科学有效的培训模式,注重理论与操作双提高,使全体外科实习生提升外科换药掌握率。Objective To investigate the effectiveness of the PDCA(plan-do-check-act)cycle method in improving surgical dressing change operations among surgical interns and to provide a reference basis for improving the rate of surgical dressing change mastery among interns.Methods Two hundred and forty-two clinical medicine interns in our surgical rotation from June to November 2022 were selected to find out their mastery of surgical dressing change based on the theoretical and technical scores of the diagnostic assessment of surgical dressing change.The PDCA cycle method was used to establish a complete planning,implementation,inspection,and treatment process so as to obtain a summative evaluation of surgical dressing changes.Theoretical scores were quantified in the form of questionnaire assessment,and operational scores were quantified in the form of scoring.The mastery rate of the theory and operation of surgical dressing change before and after the analysis was counted and compared.Results After the PDCA cycle method,the mastery rate of theoretical knowledge and operation of surgical dressing change of interns was significantly higher than the diagnostic evaluation(P<0.001).Conclusion The PDCA cycle method was used to develop a targeted training program,form a scientific and effective training model,and focus on both theory and operation to improve the mastery rate of surgical dressing changes for all surgical interns.

关 键 词：PDCA循环法 外科换药 实习生 技能培训 

分 类 号：R4[医药卫生—临床医学] G642[文化科学—高等教育学]