基于翻转课堂模式的护理查房在中医规培护士岗位胜任力中的应用  

Application of Nursing Ward Rounds Based on Flipped Class Model in Post Competency of Chinese Medicine Standardized Training Nurses

作　　者：杨丽君 刘文导 周春姣 邓华梅 廖文娟 丘美兰 梁好 陈捷晗 YANG Lijun;LIU Wendao;ZHOU Chunjiao;DENG Huamei;LIAO Wenjuan;QIU Meilan;LIANG Hao;CHEN Jiehan(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510120

出　　处：《新中医》2024年第14期170-173,共4页New Chinese Medicine

基　　金：广东省中医院院内专项(1YN2020HL02)。

摘　　要：目的:探索基于翻转课堂模式的护理查房在提高中医规培护士岗位胜任力中的应用效果。方法:将165名外科轮科的规培期护士按照查房模式的不同分为对照组87名和改革组78名。对照组采用常规方式查房,改革组采用基于翻转课堂的中医护理查房。方案实施结束后比较2组改良版中医护理迷你临床演练评估表评分,以及规培护士和指导带教老师满意度评分。结果:改良版中医护理迷你临床演练评估表及规培生满意度、带教老师满意度评分表有效回收率均为100%。改革组床边护理问诊与专科体查、健康咨询与宣教、护理诊断(问题)、护理计划与实施、中西医护理思维与方法、人文关怀、组织效能、整体胜任力等评分均高于对照组,差异有统计学意义(P<0.05);2组背景知识与病例报告评分比较,差异无统计学意义(P>0.05)。改革组规培护士、带教指导老师满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:基于翻转课堂模式的护理查房有助于提高中医规培护士的岗位胜任力和多项综合能力,并且规培护士和带教老师对此满意度更高。Objective:To explore the application effect of nursing ward rounds based on flipped class model in improving the post competency of Chinese medicine standardized training nurses.Methods:A total of 165 standardized training nurses in the rotation of surgical department were divided into the control group and the reform group according to different round models,with 87 and 78 cases in each group respectively.The control group used routine nursing ward rounds,and the reform group used Chinese medicine nursing ward rounds based on flipped class.After the implementation of the plan,the scores of modified nursing-specific Mini-Clinical Evaluation Exercise,as well as the satisfaction scores of the standardized training nurses and guidance teachers were compared between the two groups.Results:The effective collection rates of the modified nursing-specific Mini-Clinical Evaluation Exercise,as well as the satisfaction rating forms for trainees and teachers,were 100%.The bedside nursing consultation and specialized physical examination,health consultation and education,nursing diagnosis(problems),nursing plan and implementation,Chinese and western medicine nursing thinking and methods humanistic care, organizational efficiency, overall competency and other scores in the reform group werehigher than those in the control group, differences being significant (P<0.05). There was no significantdifference in the comparison of background knowledge and case report scores between the two groups (P>0.05). The satisfaction scores of the standardized training nurses and teaching instructors in the reformgroup were higher than those in the control group, the difference being significant (P< 0.05). Conclusion:The nursing ward rounds based on the flipped class model can help improve the post competency andcomprehensive abilities of Chinese medicine standardized training nurses , and their satisfaction is higher.

关 键 词：中医规培 护理查房 翻转课堂 迷你临床演练评估 岗位胜任力 

分 类 号：R47[医药卫生—护理学]