实境横断面考核在年轻护士临床工作能力考评中的应用

目的：探讨实境横断面考核在年轻护士临床实际工作能力考核中的应用效果。方法选择工作年限3～10年的内科护士32名，进行规范化临床培训，每月随机抽取10名护士进行实境横断面考核。比较考核前后护士临床工作能力、护理质量和患者满意度。结果实境横断面考核培训前32名护士工作能力得分为（80．41±10．76）分，实施实境横断面考核后6个月、12个月护士工作能力得分分别为（90．78±5．71）分和（89．25±6．36）分，培训前后比较差异有统计学意义（F＝15．932，P＜0．01）；患者护理质量分别为（88．03±6．05）分和（88．22±5．98）分，均高于培训前，差异有统计学意义（F＝3．179， P＜0．05）。患者满意度从90．38％提高至100．00％，差异有统计学意义（χ2＝18．152， P ＜0．01）。结论实境横断面考核与实际工作有机结合，紧贴临床，考核出护士真正的工作状态和真实水平，促进了护士综合素质和临床实际工作能力的提高。

Application of reality cross-sectional assessment in the ability evaluation of young nurses

Objective To investigate the application of reality cross-sectional assessment （ RCA） in the ability evaluation of young nurses .Methods 32 young nurses, who had worked for 3-10 years, were enrolled in the study.Each month, we randomly selected 10 nurses to finish the RCA.The clinical ability, quality ofcare and patients ’ satisfaction were compared before and after the assessment .Results The score of clinical ability was （80.41 ±10.76） before the application of RCA .After applied the RCA for 6 and 12 month, the scores of clinical ability were （90.78 ±5.71） and （89.25 ±6.36）, the difference was significant （ F=15.932,P〈0.01）.After applied the RCA for 6 and 12 month, the scores of quality of care were （88.03 ±6.05） and （88.22 ±5.98）, the difference was significant （F=3.179,P〈0.05）.The patients’ satisfaction improved from 90.38%to 100.00%, which was significant different （χ2 =18.152,P〈0.05）.Conclusions RCA combine with practical work can reflect the state of real work of nurses and their true level , which promotes the overall quality of care and clinical practice of working ability .