|
|
Application of Mini-CEX teaching mode in first aid skills training for junior nurses |
YING Ying ZHAN Wangzhen▲ |
Department of Emergency, Shanghai Tenth People’s Hospital, Shanghai 200072, China |
|
|
Abstract Objective To explore the application effect of mini-clinical evaluation exercise (Mini-CEX) teaching mode in first aid skills training for junior nurses. Methods From July 2017 to June 2018, 81 junior nurses from 10 wards of Shanghai Tenth People’s Hospital were selected as the research subjects, and they were divided into 42 cases of control group and 39 cases of experimental group by single-blind random sampling. The control group adopted traditional training modes such as case analysis, explanation, demonstration, situational exercises and guidance feedback, while the experimental group adopted the Mini-CEX teaching mode. The clinical nursing skills, first aid nursing abilities and critical thinking abilities of the two groups of junior nurses were compared. Results The nursing consultation, nursing examination, nursing diagnosis, nursing measures, health consultation, human relations, organizational effectiveness and overall evaluation scores of junior nurses in the experimental group were higher than those in the control group (all P < 0.05). The theoretical scores of cardiopulmonary resuscitation, electrocardiogram monitoring, sputum suction, syringe pump use, infusion pump use, gastric lavage and emergency care of junior nurses in the experimental group were higher than those of the control group (all P < 0.05). The total score of open thinking, analytical ability, systematic ability, self-confidence, curiosity and critical thinking ability of junior nurses in the experimental group were higher than those of the control group (all P < 0.05). Conclusion The Mini-CEX teaching model can improve the clinical nursing skills and first aid nursing abilities of junior nurses, and promote the development of critical thinking abilities.
|
|
|
|
|
[1] 张桂芳,刘真亚,高石娟,等.情景模拟演练在低年资护士应急能力培训中的应用[J].中华护理教育,2019,16(7):532-535.
[2] 袁文文,俞夏娣.基于危机管理的缺陷情景模拟在低年资非急救科护士CPR技能培训中的应用[J].中国中西医结合急救杂志,2018,25(2):201-204.
[3] 李彬寅,陈施吾,王刚.简易临床评估演练(Mini-CEX)在神经病学临床教学师生双向评估中的应用研究[J].中华医学教育探索杂志,2018,17(10):1037-1041.
[4] 索佩珩,徐翠荣.基于迷你临床演练评估(Mini-CEX)的新护士规范化培训评价体系的构建[J].中华现代护理杂志,2019,25(19):2487-2492.
[5] Lee V,Brain K,Martin J. Factors influencing mini-CEX rater judgments and their practical implications:a systematic literature review [J]. Acad Med,2017,92(6):880-887.
[6] 罗健,王培红,杨柳,等.现场追踪与mini-CEX考核在新护士独立上岗前考核中的应用[J].护理学杂志,2017, 32(6):55-58.
[7] 伊静,沙丽艳,董建俐,等.德尔菲法在编制护理迷你临床演练评量表中的应用[J].护理研究,2015,29(5):1680-1683.
[8] 彭美慈,汪国成,陈基乐,等.批判性思维能力测量表的信效度测试研究[J].中华护理杂志,2004,39(9):644-647.
[9] 蔡洪,陈巍,刘芙蓉,等.基于失效模式与效应分析的急性冠状动脉综合征患者急救护理流程风险管控的研究[J].中华现代护理杂志,2019,25(6):737-742.
[10] 胡文静,李芸芸,万文璐,等.低年资护士面对危急重症抢救时的内心感受、应对方式及职业倦怠感研究[J].护理实践与研究,2018,15(16):24-26.
[11] 唐琦,周依群,廖坚,等.案例学习情景模拟在低年资护士培训中的应用[J].上海护理,2016,16(2):81-84.
[12] 王耀吟,操基玉,李静.双主体教学模式下三年制医学专科生岗位胜任力评价[J].安徽医学,2019,40(5):578-580.
[13] Haghani F,Fatef Khorami M,Fakhari M. Effects of structured written feedback by cards on mdeical students’ performance at mini clinical evaluation exercise(mini-CEX)in an outpatient clinic [J]. Adv Med Educ Prof,2016, 4(3):135-140.
[14] 王丽朵,王晓芬,黄蓉,等.迷低临床演练评估量表在护理学基础操作技能教学中的应用[J].中国护理管理,2016, 16(10):1367-1370.
[15] 张艳燕,许天亮,谢冰柯,等.综合模拟实训在高职高专急救护理教学中的应用[J].广西医学,2018,40(5):604-606.
[16] 郭中献,沙丽艳,张建华,等.基于护理迷低临床演练评估量表的临床教学模式的设计与实施[J].护理学杂志,2017,32(6):74-77.
[17] 祝秋萍,姚凌峰,周佳琦.基于急诊实训基地的培训模式在灾害储备护士中的应用[J].护士进修杂志,2019, 34(8):759-761.
[18] Parvicini I,Peterson CK. Introduction,development,and evalation of the mini clinical evaluation excrcise in postgraduate education of chiropractors [J]. J Chiropr Educ,2015,29(1):21-28.
[19] Yusuf L,Ahmed A,Yasmin R. Educational impact of Mini-Clinical Evaluation Exercise:A game changer [J]. Pakistan J Med Sci,2018,34(2).
[20] 晋雅丽,金瑞华,淮盼盼,等.MiniQuest教学模式在高职外科护理学中的应用研究[J].中华护理教育,2019, 16(7):493-496.
[21] Berendonk C,Rogausch A,Gemperli A,et al. Variability and dimensionality of students’ and supervisors’ mini-CEX scores in undergraduate medical clerkships-a multilevel factor analysis [J]. BMC Med Educ,2018,18(1):100.
[22] 张艳燕,李丹,李星锐.Mini-CEX教学模式在高职护生急救护理实训中的应用[J].中华现代护理杂志,2018, 24(7):853-855.
[23] 叶燕婷.系统化评估与风险预判培训对提高低年资护理人员评判性思维能力的效果评价[J].护理实践与研究,2019,16(6):126-128.
[24] 刘继平,杨敏,高晓馨.蒙授护理本科生评判性思维能力调查及影响因素分析[J].护士进修杂志,2018,33(3):273-277.
[25] Edwin M,David D,Aparna S,et al. Review of mini-clinical evaluation exercise(mini-CEX)in a psychiatry clerkship [J]. Adv Med Educ Pract,2018,9:279-283.
[26] 肖晶晶,王旭辉,潘继红,等.Mini-CEX在临床护理双向互动教学模式评估中的应用及意义[J].国际医药卫生导报,2019,25(22):3667-3670.
[27] 林春梅,史文莉,廖红莉.基于Mini-CEX和CbD法的评价量表对新疆地区规培护士问题解决能力及评判性思维的影响[J].卫生职业教育,2018,36(5):99-100.
[28] 胡鹏,徐蓉.非糖尿病专科护士培训应用Nursing-mini-CEX效果观察[J].护理学报,2018,25(6):5-9. |
|
|
|