Mini-CEX在新护士第一年标准化培训中的应用

Caiping Song, Jing He, Ling-ling Chu, X. She, Lei Dong
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引用次数: 0

摘要

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
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of Mini-CEX in standardized training of the first year for new nurses
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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