基于最佳实践标准的护理情景模拟教学学生评价方法研究  

Research of student evaluation method for nursing scene simulation teaching based on the best practice standards

作　　者：聂栾骁 赵娟娟[1] 曹希 程丽 白杨 李琨[1] Nie Luanxiao;Zhao Juanjuan;Cao Xi;Cheng Li;Bai Yang;Li Kun(School of Nursing,Sun Yat-sen University,Guangzhou 510089,China)

机构地区：[1]中山大学护理学院,广东广州510089

出　　处：《护理学杂志》2024年第18期77-81,共5页Journal of Nursing Science

基　　金：国家自然科学基金面上项目(71974213);广东省本科高校教学质量与教学改革工程建设项目(粤教高函[2023]4号)。

摘　　要：目的研制适用于护理情景模拟教学的学生评价方法,为护理情景模拟教学质量评价提供参考。方法在文献回顾基础上,依据《国际护理临床模拟教学协会最佳实践标准:学员评价》拟定初始评价方法,通过2轮专家面对面会议形成护理情景模拟教学学生评价方法。将此评价方法用于肝硬化案例情景模拟护理教学中,对评价方法的区分度、评价者间一致性进行评价,同时对2名教师进行半结构化访谈了解应用体验。结果研制的评价方法根据情景模拟教学参与度将学生分为四类,每类学生有相应的评价标准。评价标准涵盖情景模拟演练与引导性反馈2个环节,包含情景模拟演练参与、知识和技能、态度、引导性反馈讨论参与4个维度。该评价方法区分度系数为0.332;2名教师评价结果高度相关(r=0.780,P<0.05),一致性良好(ICC=0.825,P<0.05)。教师认为该评价方法具有普适性、便捷性。结论研制的护理情景模拟教学学生评价方法具有较好的区分度和评价者间一致性,可用于护理情景模拟教学质量评价。Objective To develop a student evaluation method suitable for nursing scene simulation teaching,and to provide a reference for the evaluation of nursing scene simulation teaching quality.Methods On the basis of literature review,a draft evaluation method was developed according to the International Nursing Association of Clinical Simulation Learning Standards of Best Practice:Simulation SM Participants Evaluation,which was improved after two rounds of face-to-face meeting with experts to form the student evaluation method for nursing scene simulation teaching.Then the evaluation method was used in the nursing scene simulation teaching of a liver cirrhosis case to assess its discrimination and inter-rater reliability,and semi-structured interviews were conducted in two teachers to understand their application experience.Results By using the evaluation method,the students were divided into four categories according to their participation in scene simulation teaching,with corresponding evaluation criteria for each category.The evaluation criteria included two links(scene simulation drilling and guided feedback)and four dimensions(scene simulation drilling participation,knowledge and skills,attitude,and guided feedback discussion participation).The discrimination coefficient of the evaluation method was 0.332,and the evaluation results of the two teachers were highly correlated(r=0.780,P<0.05),with good consistency(ICC=0.825,P<0.05).Teachers believed that the evaluation method was universal and convenient.Conclusion The developed student evaluation method for nursing scene simulation teaching has good discrimination and inter-rater reliability,so it can be used to evaluate the quality of nursing scene simulation teaching.

关 键 词：护理学生 护理教育 护理实践教学 情景模拟教学 教学评价 评价方法 教学质量 

分 类 号：R47[医药卫生—护理学] G424.2[医药卫生—临床医学]