视频案例结合OSCE模式下的情景模拟教学在肿瘤科规培护士中的应用  

Application of scenario simulation teaching combining video case studies and OSCE model in oncology resident nurses

作　　者：柯婧婧 葛晓霞[1] 徐燕飞[1] 马卫平 顾莉 Ke Jingjing;Ge Xiaoxia;Xu Yanfei;Ma Weiping;Gu Li(Department of Oncology,Tumor Hospital Affiliated to Nantong University,Nantong Jiangsu 226000,China)

机构地区：[1]南通大学附属肿瘤医院肿瘤科,江苏南通226000

出　　处：《保健医学研究与实践》2024年第1期126-131,共6页Health Medicine Research and Practice

基　　金：江苏省南通市科技局项目(MSZ18259)。

摘　　要：目的探讨视频案例结合客观结构化临床考试(OSCE)模式下的情景模拟教学在肿瘤科规培护士中的应用效果,以期为规培护士教学提供参考。方法选择2020年6月—2021年5月在南通大学附属肿瘤医院采用常规教学结合视频案例的规培护士42名作为常规组,选择2021年6月—2022年5月在肿瘤内科采用视频案例结合OSCE模式的情景模拟教学法的规培护士42名作为联合组。常规组护士采用常规教学结合视频案例法教学,联合组护士在常规组教学基础上进行OSCE模式下的情景模拟教学。比较2组护士在肿瘤科规培前及规培结束后的理论考核成绩和实践技能考核成绩及护士核心胜任力评价量表、批判性思维能力测量表、自主学习能力测评量表评分;规培结束后,采用教学满意度评估量表评估护士满意度。结果规培前,2组护士理论考核成绩、实践操作考核成绩比较,差异无统计学意义(P>0.05)。规培后,2组护士理论考核成绩、实践操作考核成绩均高于规培前,且联合组高于常规组,差异均有统计学意义(P<0.05)。规培前,2组护士个人特质、临床护理能力、沟通能力、临床判断能力、专业发展能力评分比较,差异无统计学意义(P>0.05)。规培后,2组护士个人特质、临床护理能力、沟通能力、临床判断能力、专业发展能力评分均高于规培前,且联合组高于常规组,差异均有统计学意义(P<0.05)。规培前,2组护士分析能力、系统化能力、开放思维、寻找真相、求知欲、自信心和认知成熟度评分比较,差异无统计学意义(P>0.05)。规培后,2组护士分析能力、系统化能力、开放思维、寻找真相、求知欲、自信心和认知成熟度评分均高于规培前,且联合组高于常规组,差异均有统计学意义(P<0.05)。规培前,2组护士自主学习能力测评量表中自我管理能力、学习动机、合作学习能力和信息素质评分比较,差异无统计Objective To explore the application of scenario simulation teaching combining video case studies and the Objec-tive Structured Clinical Examination(OSCE)model in oncology resident nurses,aiming to provide a reference for the teach-ing of resident nurses.Methods Forty-two resident nurses who received conventional teaching combined with video case studies from June 2020 to May 2021 at the Tumor Hospital Affiliated to Nantong University were selected as the convention-al group,and 42 resident nurses who received scenario simulation teaching combining video case studies and the OSCE model in the Department of Oncology from June 2021 to May 2022 were selected as the combined group.The conventional group received conventional teaching combined with video case studies,while the combined group received scenario simulation teaching combining video case studies and the OSCE model based on the conventional teaching of the conventional group.The theoretical examination scores,practical skills assessment scores,Nurse Core Competency Evaluation Scale scores,Critical Thinking Ability Measurement Scale scores,and Autonomous Learning Ability Assessment Scale scores of the two groups of nurses before and after the residency training were compared.After the residency training,the nurses'degree of satisfaction was evaluated using an evaluation scale on the degree of satisfaction with teaching.Results Before the residency training,no significant difference was observed in the theoretical examination scores and practical skills assessment scores between the two groups(P>0.05).After residency training,the theoretical examination scores and practical skills assess-ment scores of both groups of nurses were higher than before the residency training,and the combined group was higher than the conventional group,with statistically significant differences(P<0.05).Before the residency training,no signifi-cant difference was found in the scores of personal traits,clinical nursing ability,communication ability,clinical judgment ability,and prof

关 键 词：视频案例 客观结构化临床考试 情景模拟教学 肿瘤内科 岗位胜任力 

分 类 号：R730.9[医药卫生—肿瘤] G424.1[医药卫生—临床医学]