迷你临床演练评估方法在新护士第1年规范化培训中的应用

目的:观察迷你临床演练评估(Mini-CEX)方法提高毕业第1年新护士规范化培训的效果。方法:采用整群抽样法,以陆军军医大学新桥医院2017年入职的新护士91名为对照组,2018年入职的新护士120名为试验组。对照组采用常规培训方法。试验组在此基础上,将常规教学查房和操作训练改为每月1次Mini-CEX方法下的临床护理核心能力训练和临床护理操作技能培训,连续12次。采用配对样本t检验比较试验组第1次和第12次训练的Mini-CEX得分,采用独立样本t检验比较两组新护士理论和操作考核成绩。结果:试验组第12次的临床护理核心能力训练和临床护理操作技能训练的Mini-CEX得分分别为(6.27±0.46)、(6.73±1.10)分,均高于第1次得分,差异有统计学意义(t值分别为-8.48、-7.64;P<0.01);试验组新护士在1年规范化培训中,科室理论考核和操作考核成绩分别为(87.70±11.32)、(92.90±8.22)分,院级理论考核和操作考核成绩分别为(85.50±11.83)、(89.67±8.99)分,均高于对照组,差异有统计学意义(t值分别为-2.71、-2.09、-2.24、-3.22;P<0.05)。结论:Mini-CEX对提高毕业第1年新护士培训效果作用显著。

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.