基于提高护理专业学位研究生核心能力的实践模式研究  

Research on the Practice Model Based on Improving the Core Competence of Nursing Professional Degree Graduate Students

作　　者：徐佳慧 王慧虹[1] 顾丹凤[1] 钱源[1] XU Jiahui;WANG Huihong;GU Danfeng;QIAN Yuan(Department of Nursing,Affiliated Hospital of Jiangnan University,Wuxi Jiangsu 214100,China)

机构地区：[1]江南大学附属医院护理部,江苏无锡214100

出　　处：《中国继续医学教育》2024年第17期113-117,共5页China Continuing Medical Education

基　　金：2022年江南大学研究生教育教学改革研究与实践课题(YJSJGYB22_016)。

摘　　要：目的 针对护理专业学位研究生的核心能力培养和循证实践能力,构建临床培养模式。方法 采用方便抽样法于2019年9-10月选取江南大学的29名2019级护理专业学位研究生设为对照组,于2020年9-10月选取江南大学的32名2020级护理专业学位研究生设为试验组。对照组采用传统临床护理实践培养方法进行培养,试验组采用以核心能力与循证实践能力为中心的研究生临床实践新模式进行培养。2组护理专业学位研究生均于研究生一年级下半学期开始进入医院进行临床实践,轮转与自己研究方向相关的6个科室,每个科室轮转4个月,共24个月。比较2组护理专业学位研究生临床实践培养结束后的核心能力得分、循证实践能力得分、对教学的满意度情况。结果 试验组核心能力中的临床实践能力[(23.22±2.32)分]、评判性思维能力[(11.72±1.30)分]、专业发展能力[(15.66±1.68)分]、临床科研能力[(11.34±1.21)分]、教育能力[(15.41±1.78)分]、护理管理能力[(11.88±1.24)分]、核心能力总分[(89.22±7.39)分]均高于对照组[(18.72±2.68)分、(9.41±1.62)分、(11.93±1.60)分、(8.59±1.32)分、(11.66±2.09)分、(9.14±1.57)分、(69.45±9.15)分],差异有统计学意义(P <0.001)。试验组的循证实践态度[(30.25±9.19)分]、循证实践技能水平[(19.03±3.05)分]、循证实践知识水平[(15.88±2.80)分]及循证实践能力总分[(64.34±13.19)分]均高于对照组[(26.38±3.14)分、(16.90±3.18)分、(14.34±2.81)分、(57.62±5.89)分],差异有统计学意义(P <0.05)。试验组护理专业学位研究生对临床实践培养的教学满意度评分为(32.00±3.24)分,高于对照组的(28.14±2.37)分,差异有统计学意义(P <0.001)。结论 以核心能力与循证实践能力培养为导向的临床培养模式可将护理研究生临床实践纳入规范化和系统化的管理轨道,有助于培养其核心能力与循证实践能力,更好地适应临床护理工作�Objective To construct a clinical training model aiming at the core competence training and evidence-based practice abilities of nursing professional degree graduate students.Methods From September to October 2019,29 nursing professional degree graduate students of grade 2019 in Jiangnan University were selected as the control group by convenient sampling method,and 32 nursing professional degree graduate students of grade 2020 in Jiangnan University from September to October 2020 were selected as the experimental group.The control group was trained with traditional clinical nursing practice methods,while the experimental group was trained with the new model of graduate clinical practice centered on core competencies and evidence-based practice abilities.The nursing professional degree graduate students of the two groups entered the hospital for clinical practice starting from the second half of their first year of graduate school.They rotated through 6 departments related to their research direction,with each department rotating for four months,for a total of 24 months.The core competency scores,evidence-based practice ability scores,and the satisfaction degree with teaching of the two groups of nursing professional degree graduate students after clinical practice training were compared.Results The core abilities such as the clinical practice ability[(23.22±2.32)points],critical thinking ability[(11.72±1.30)points],professional development ability[(15.66±1.68)points],clinical research ability[(11.34±1.21)points],education ability[(15.41±1.78)points],nursing management ability[(11.88±1.24)points]and total core ability score[(89.22±7.39)points]of the experimental group were all higher than those of the control group[(18.72±2.68)points,(9.41±1.62)points,(11.93±1.60)points,(8.59±1.32)points,(11.66±2.09)points,(9.14±1.57)points,and(69.45±9.15)points],the differences were statistically significant(P<0.001).The attitude towards evidence-based practice[(30.25±9.19)points],the level of evidence-based pract

关 键 词：护理专业 研究生 核心能力 循证实践能力 培养模式 护理教育 

分 类 号：G643[文化科学—高等教育学]