个体化多模式教学在脑血管重症监护病房进修护士培养中的临床实践

目的   探讨个体化多模式教学在脑血管重症监护病房培养进修护士综合技能的效果。 方法  将2013年1月～2014年12月在首都医科大学附属北京天坛医院脑血管重症监护病房的进修护士分为两组，2013年72人为对照组，采用“一对一”传统临床带教模式，2014年74人为实验组，采用个体化多模式教学模式。采用临床带教老师评价、结业综合技能考核对教学效果进行综合评价。 结果  实验组进修护士结业综合技能考核结果及各项临床护理核心胜任力评分显著高于对照组（P＜0.01）。 结论  个体化多模式教学不仅能有效提高进修护士所应具备的各项临床护理能力，而且能有效提高其评判性思维能力。

Evaluation of Clinical Teaching Model for Nursing Practice in Intensive Care Unit for Cerebrovascular Disease: an Individualized Instruction Model

Objective To investigate the effects of individualized instruction model on improving clinical techniques of refresher nurses in an intensive care unit for cerebrovascular diseases.
Methods One hundred and forty-six refresher nurses enrolled in a tertiary hospital in Beijing from January 2013 to December 2014 were included. Seventy-two were admitted to the control group, which received a traditional 'one-to-one' clinical teaching model. Other 74 were allocated to the test group, which acquired the individualized instruction model. Clinical nursing instructors evaluated nurses in both groups, and standard examination was performed to test the clinical techniques of everyone.
Results Nurses in the test group achieved significantly higher scores compared with those in the control group in clinical technique test (P<0.01).
Conclusion Individualized instruction model is superior to the traditional 'one-to-one' model based on the improvement of clinical techniques, clinical judgment and problem-solving ability in refresher nurses.