Application of Mini-CEX in standardized training of the first year for new nurses

中华现代护理杂志 Pub Date : 2020-03-16 DOI:10.3760/CMA.J.CN115682-20190911-03303

Caiping Song, Jing He, Ling-ling Chu, X. She, Lei Dong

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Abstract

Objective To improve the standardized training effects of the first year graduate new nurses by the mini clinical evaluation exercise (Mini-CEX) . Methods By cluster sampling, a total of 91 new nurses hired in 2017 of Xinqiao Hospital Affiliated to Army Medical University were in control group; and 120 new nurses hired in 2018 were in experimental group. Control group carried out routine training method. On the basis of that, experimental group implemented the Mini-CEX based clinical nursing core competence training and operational skill training once a month after changing routine teaching rounds and operational training, lasting 12 times. The scores of Mini-CEX for the first and twelfth time of experimental group were compared by paired sample t-test, the theoretical achievements and skill performances of new nurses between two groups were compared by independent sample t-test. Results The scores of Mini-CEX of clinical nursing core competence training and operational skill training in experimental group for the twelfth time were (6.27±0.46) and (6.73±1.10) respectively, higher than those for the first time with statistical differences (t=-8.48, -7.64; P<0.01) . Among new nurses in standardized training of the first year, the theoretical achievements and skill performances of department in experimental group were (87.70±11.32) and (92.90±8.22) , those of hospital were (85.50±11.83) and (89.67±8.99) respectively, higher than those in control group with statistical differences (t=-2.71, -2.09, -2.24, -3.22; P<0.05) . Conclusions Mini-CEX has significant effects in training for the first year among new nurses . Key words: Nurses; Inservice training; New nurses; Mini-clinical evaluation exercise; Standardized training

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Mini-CEX在新护士第一年标准化培训中的应用

目的通过小型临床评估练习（mini-CEX）提高一年级应届护士规范化培训效果。方法采用整群抽样方法，将陆军医科大学附属新桥医院2017年新聘用的91名护士作为对照组；实验组为2018年新聘用的120名护士。对照组采用常规训练方法。在此基础上，实验组在改变常规教学轮次和操作培训后，每月进行一次基于Mini-CEX的临床护理核心能力培训和操作技能培训，持续12次。采用配对样本t检验对实验组第一次和第十二次Mini-CEX的得分进行比较，采用独立样本t检验比较两组新护士的理论成就和技能表现。结果实验组第十二次临床护理核心能力训练和操作技能训练的Mini-CEX得分分别为（6.27±0.46）和（6.73±1.10），高于第一次，差异有统计学意义（t=-8.48，-7.64；P<0.01），实验组科室的理论成绩和技能表现分别为（87.70±11.32）和（92.90±8.22）、医院分别为（85.50±11.83）和（89.67±8.99），结论Mini-CEX在新护士第一年培训中效果显著。关键词：护士；在职培训；新护士；小型临床评估练习；标准化培训

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中华现代护理杂志

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