护理学专业课程考核体系的改革与实践  

Reform and Practice of Nursing Curriculum Assessment System

作　　者：任永莲 段爱旭[1] 康明丽 张蓓 刘彩霞 REN Yonglian;DUAN Aixu;KANG Mingli;ZHANG Bei;LIU Caixia(School of Nursing,Shanxi Datong University,Datong Shanxi 037009,China)

机构地区：[1]山西大同大学护理学院,山西大同037009

出　　处：《中国继续医学教育》2024年第9期15-20,共6页China Continuing Medical Education

基　　金：山西省高等学校教学改革创新项目(J2021502);山西大同大学教学改革创新项目(XJG2020Z101)。

摘　　要：目的探讨以核心胜任力为导向的护理专业课程考核体系的实践效果。方法选取2022年1—12月山西大同大学护理学院321名护理本科生为研究对象。采用便利抽样法将2018级护理本科生163人作为试验组,2017级护理本科生158人作为对照组。以RE-AIM模型评价实践效果,其中RE-AIM是5个重要评价维度的首字母组合,即可及性(reach)、有效性(effectiveness)、采纳性(adoption)、应用性(implementation)和持续性(maintenance)。结果试验组良好的个人特质、临床护理能力、支持和人际沟通能力、专业建设和自我发展能力及核心胜任力总分[(32.11±1.22)分、(39.98±1.33)分、(20.12±3.32)分、(33.23±0.22)分、(134.12±2.22)分]均高于对照组[(30.54±1.65)分、(36.23±2.11)分、(17.78±3.11)分、(30.23±1.23)分、(129.98±2.10)分],差异有统计学意义(P<0.05),试验组理论成绩和技能考核成绩均高于对照组,差异有统计学意义(P<0.05);访谈结果中,新型考核方式夯实了学生的理论知识和实践技能,有助于提升学生核心胜任力,符合OBE教育理念,但未来需与人工智能、虚拟仿真等手段相融合。结论以核心胜任力为导向的护理专业课程考核体系符合新时代以学生为中心的教学理念,夯实了学生的理论知识水平和临床实践技能,增强学生岗位胜任力。Objective To explore the practical effect of core competence-oriented nursing curriculum assessment system.Methods A total of 321 nursing undergraduates from the Shanxi Datong University were selected as the research objects.A total of 163 nursing undergraduates from grade 2018 were selected as the experimental group and 158 nursing undergraduates from grade 2017 were selected as the control group by convenience sampling method.The practice effect was evaluated by RE-AIM model.Results The total scores of good personal traits,clinical nursing ability,support and interpersonal communication ability,professional construction and self-development ability and core competency of experimental group[(32.11±1.22)points,(39.98±1.33)points,(20.12±3.32)points,(33.23±0.22)points,(134.12±2.22)points]were higher than those of control group[(30.54±1.65)points,(36.23±2.11)points,(17.78±3.11)points,(30.23±1.23)points,(129.98±2.10)points]and the difference was statistically significant(P<0.05),and the scores of theoretical and skill assessment of experimental group were higher than those of control group,and the difference was statistically significant(P<0.05).In the interview results,the new assessment method strengthened theoretical knowledge and practical skills of students,helped to improve core competence of students,and is in line with the OBE education concept,but the future needed to be integrated with artificial intelligence,virtual simulation and other means.Conclusion The core competencity-oriented nursing curriculum assessment system conforms to the student-centered teaching concept in the new era,strengthens the theoretical knowledge level and clinical practice skills of students,and enhances the competency of students.

关 键 词：核心胜任力 RE-AIM模型 考核体系 护理 课程 教学改革 

分 类 号：G642[文化科学—高等教育学]