参照系培训法在迷你临床演练评估考评者培训中的实践

目的评价参照系培训法在护理硕士专业学位研究生迷你临床演练评估考评者培训中的应用效果。方法采用目的抽样法,选取南京市某三级甲等医院护理硕士专业学位研究生带教教师22名,采用参照系培训法对其进行培训,培训过程中要求考评者采用迷你临床演练评估量表对护理硕士专业学位研究生临床实境考核进行评分,比较其对2次考核评分的准确性、一致性和离散程度。结果经培训后,考评者对考核Ⅱ的评分与标准分差异无统计学意义;考核Ⅱ的肯德尔和谐系数为0.404,评分一致性高于考核Ⅰ,离散程度也趋于降低,但一致程度仍呈一般水平。结论参照系培训法提高了迷你临床演练评估中考评者的评分准确性和一致性;但评分一致程度仍呈一般水平,提示有必要进行多次、严格的培训。

The application of Frame-of-Reference training in the evaluator training of mini-clinical evaluation exercise for master of nursing specialist

Objective To evaluate the effects of Frame-of-Reference Training in the evaluator training of Miniclinical evaluation exercise for master of nursing specialist(MNS).Methods Purposive sampling was used to select 22 clinical teachers who was responsible for training of MNS in a tertiary hospital in Nanjing.We used Frame-of-Reference Training to train the evaluators.The evaluators were required to assess MNS with mini-clinical evaluation exercise scale and compared the rating accuracy,consistency and measures of dispersion of the two assessments.Results After training,there was no statistical differences between evaluators'score and the standard score of assessment.Ⅱ Kendall's W of assessment Ⅱ was 0.404 after training,and the score consistency of assessment Ⅱ was higher than that of assessment Ⅰ.The measures of dispersion tended to decrease,but the level of score consistency was still on a general level.Conclusion The Frame-of-Reference Training improves the rating accuracy and the score consistency of the evaluators in the mini-clinical evaluation exercise.However,the level of score consistency is still on a general level,suggesting that repeated and rigorous training is extremely important and necessary.