双向评价体系在神经内科临床护理带教中的应用

目的 建立双向评价体系,探讨双向测评在临床护理教学中的应用效果.方法 对2012年在我院神经内科实习的40名护生和负责带教工作的20名教师开展双向评价与单向评价试验.护生、带教教师采用信封法随机分为两组,实验组：护生20名,教师10名;对照组：护生20名,教师10名.制定护生实习情况评价表和带教教师带教水平评价表,两组教师均采用护生实习情况评价表每两周对护生表现进行一次评分,并将评分情况反馈给实验组护生.同时,实验组护生采用教师带教水平评价表每两周对同组教师进行一次评分,并反馈评分情况.采用SPSS13.0进行统计学分析,两组护生、带教教师得分与自身上一次得分比较采用配对样本均数t检验;实验组与对照组护生同期成绩比较采用两独立样本均数的t检验.结果 两组护生得分与自身上一次比较,差异均有统计学意义（P＜0.05）;实验组带教教师得分与自身上一次比较,差异均有统计学意义（P＜0.05）;从第4周起,实验组与对照组护生同期得分比较,差异均有统计学意义（P＜0.05）.结论 双向评价体系有利于提高护生和带教教师的教学积极性与主动性,双向评价、双向互动利于及时发现教学问题并调整改进,可有效提升神经内科临床护理带教质量.

Application of two-way evaluation system in clinical nursing teaching in neurological department of internal medicine

Objective To establish a two-way evaluation system and to explore the application effect of two-way evaluation method in clinical nursing teaching.Methods We carried out two-way evaluation and individual evaluation test to 40 nursing students practicing in the Department of Inter nal Medicine of our hospital in 2012 and 20 teachers responsible for teaching.By using the envelope method,nursing students and teachers were randomly divided into two groups,with 20 nursing students and 10 teachers in the experimental group and the control group respectively.Students＇ assessment form and the teachers teaching level evaluation table were made,and teachers of both group gave scores every two weeks to the nursing students by nursing students＇ evaluation sheet,and the score of feedback were given to the nursing students in experimental group.At the same time,the nursing students in experimental group gave scores every two weeks to the teachers of the same group by the teachers＇ teaching evaluation sheet,and feedback the results.SPSS 13.0 was used to make statistical analysis and the scores of nursing students and teachers of both groups and the last scores were compared with paired sample T test of mean.The results of the experimental group and the control group in the same period were compared with two independent samples T test of mean.Results Comparing the nursing students＇scores of both groups with the scores they themselves got last time,the scores of the fourth,sixth,and the eighth week were statistically significant（P〈0.05）and comparing the experimental group teachers＇ score with and the scores they themselves got last time,the scores of the fourth,sixth,and the eighth week were also statistically significant（P〈0.05）; from the fourth week on,nursing students＇ scores in experimental group compared with those in control group in the same period,show the differences statistically significant（P〈0.05）.Conclusion Two-way evaluation system is beneficial to improving the enthusiasm and initiativ