活页式教材在新入职护士培训中的应用研究  

Application of loose-leaf textbooks in the training of newly recruited nurses

作　　者：陈芸 杨扬 顾海燕 范本芳 崔佰红 王丽华 CHEN Yun;YANG Yang;GU Haiyan;FAN Benfang;CUI Baihong;WANG Lihua

机构地区：[1]南通大学第二附属医院/南通市第一人民医院,南通市226001

出　　处：《中华护理教育》2025年第2期133-139,共7页Chinese Journal of Nursing Education

基　　金：南京医科大学康达学院2022年度教育研究课题立项重点项目(KD2022JYYJZD003);南通市卫健委指导性课题(MSZ2023019);南通市科技局临床医学研究中心(HS2022004)。

摘　　要：目的探讨活页式教材在新入职护士培训中的应用效果。方法以常见症状及体征为切入点编写活页式教材。采用便利抽样法,选取2021年入职某三级甲等医院的50名新入职护士作为对照组,对其实施常规的新入职护士培训;选取2022年入职该医院的58名新入职护士作为试验组,在常规新入职护士培训的基础上对其实施基于活页式教材的培训。比较两组临床带教培训前及培训12个月后的评判性思维能力量表得分,临床带教培训12个月后的客观结构化临床考核(Objective Structured Clinical Examination,OSCE)成绩,临床带教培训前及培训3、6、12个月后的临床实践能力考核成绩,以及临床带教培训12个月后的培训满意度得分。结果临床带教培训12个月后试验组评判性思维能力量表得分、OSCE成绩及培训满意度得分均优于对照组(P<0.05)。两组在临床带教培训前及培训3、6、12个月后的临床实践能力考核成绩存在组间与时间的交互效应(F_(交互)=6.804,P<0.001),试验组培训6、12个月后的临床实践能力考核成绩高于对照组(P<0.05)。结论将活页式教材应用于新入职护士培训可有效提高新入职护士的评判性思维能力、临床实践能力及培训满意度。Objective To explore the application effect of loose-leaf textbooks in the training of newly recruited nurses.Methods Loose-leaf textbooks were compiled based on common symptoms and signs.A convenience sampling method was used to select 50 newly recruited nurses who joined a tertiary hospital in 2021 as the control group.They received conventional new nurse training.Fifty-eight newly recruited nurses who joined the same hospital in 2022 were assigned to the experimental group and received training based on loose-leaf textbooks in addition to the conventional new nurse training.The scores on the Critical Thinking Dispositions Inventory-Chinese version(CTDI-CV)before and 12 months after clinical teaching training,the scores on the Objective Structured Clinical Examination(OSCE)12 months after clinical teaching training,the scores on clinical practice ability assessments at baseline and at 3,6,and 12 months after clinical teaching training,and training satisfaction 12 months after clinical teaching training were compared between the two groups.Results Twelve months after clinical teaching training,the experimental group scored higher than the control group on the CTDI-CV,OSCE,and training satisfaction(P<0.05).There was an interaction effect between group and time on the scores of clinical practice ability assessments at baseline and at 3,6,and 12 months after clinical teaching training(F_(interaction)=6.804,P<0.001),the scores of the experimental group after 6 and 12 months of training were higher than those of the control group.Conclusion The application of loose-leaf textbooks in the training of newly recruited nurses can effectively improve their critical thinking skills,clinical practice abilities,and training satisfaction.

关 键 词：新入职护士培训 活页式教材 在职培训 评判性思维能力 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]