International Journal of Nursing Research
International Journal of Nursing Research. 2023; 5: (4) ; 10.12208/j.ijnr.20230173 .
总浏览量: 361
北京和睦家医院 北京
*通讯作者： 常春华,单位：北京和睦家医院 北京；
目的 探求MDT（多学科团队）联合OSCE（客观结构化临床考核）的式教学提升老年专科护士核心能力的应用效果及启示。方法 2021年32名老年相关科室护士参加培训。第一批17名护士为对照组接受了传统教学与考核方式；第二批15名护士为实验组，应用基于MDT（多学科团队）式教学和OSCE考核方式，采用老年专科护士核心能力评估标准，护士对培训的满意度调查问卷与老年理论知识考核。结果 实验组在培训和考核的满意度，老年专科护士核心能力评估及笔试成绩均高于对照组。差异有统计学意义（P<0.05）。结论 护士对基于OSCE的MDT式教学满意度高，加深了护士们理论知识的基础。并应用还原临床情景的方式大大促进了各团队之间的协作，提升了老年专科护士核心能力，提升综合素质，更加自信从容应对老年专科护理工作中的压力。
Objective To explore the application effect and significance of MDT combined with Objective Structured Clinical Examination (OSCE) Mode in the Practice of the Nursing of the Aged. Methods A total 32 nurses from Geriatric related departments participated in this training. Batch 1 with 17 nurses as controlled group received traditional teaching method and routine examination. Batch 2 with 15 nurses as experimental group received MDT combined with OSCE mode, the satisfaction of training by two groups, core competence for Geriatric specialized nurses and written test of Geriatric Nursing. Results The satisfaction of training, evaluation of core competency for Geriatric specialized nurses and written tests in the experimental group are higher than control group, and the differences were statistically significant(P<0.05). Conclusion Nurses are satisfied with MDT combined with OSCE Mode in the Practice of the Nursing of the Aged and their Geriatric nursing knowledge are improved. Cooperation between MDT, the core competency for Geriatric specialized Nurse and the nurses’ overall qualities are enhanced comprehensively by simulations which restoring clinical practice. Therefore nurses’ working stress from Geriatric nursing care are handled more confidently.
[1] 十四个五年规划［EB/OL]. http://www.mca.gov.cn/article/xw/mtbd/202203/20220300039973.shtml. 2022-03-02
[2] Dai J , Xu Y , Yin Q , et al. Effect of Systematic Holistic Nursing Combined with the MDT Teaching Method in the Nursing of Neonatal Jaundice and Its Impact on the Recovery of the Newborns' Physiological Function[J]. Journal of healthcare engineering. 2021.
[3] 周诗雪,姜兆权.MDT教学法在老年护理学实践教学中应用[J].中国继续医学教育,2019,11(35):37-39.
[4] Lee KC, Ho CH, Yu CC, Chao YF. The development of a six-station OSCE for evaluating the clinical competency of the student nurses before graduation: A validity and reliability analysis. Nurse Educ Today. 2020 Jan; 84:104247. Epub 2019 Oct 31. PMID: 31689585.
[5] 钟晓红，袁志玲. OSCE 在儿科护士急救技能培训考核中的应用[J]. 齐鲁护理杂志，2019, 18( 25) : 102-104．
[6] 刘秀,顾志娥.MDT培训体系构建在灾害护士培训中的应用与研究[J].当代护士（上旬刊）,2020,27(10):185-187.
[7] 姜莹.基于MDT的多学科护理团队教学在眼科护理教学中的应用[J].当代护士(下旬刊),2021,28(08):158-160.
[8] 许丽云,黄宝珠,谢艳芳等.客观结构化临床考试在规范化培训护士晋级考核中的应用[J].护理实践与研究,2020,17(21):133-135.
[9] 崔丽萍,冯晓芳.老年专科护士核心能力评价指标体系的构建[J].护理研究,2019,33(04):556-559.
[10] Lebdai Souhil et al. Objective structured clinical examina-tion versus traditional written examinations: a prospective observational study[J]. BMC Medical Education, 2023, 23(1) : 69-69.
[11] 黄郁兰,张娟,江罗筠等.客观结构化临床考试与传统考试在护士培训中的应用对比[J].吉林医学,2022,43(08):2262-2264.
[12] 赵韵怡,赖晓纯,王纯等.客观结构化临床考试用于腹膜透析患者培训的效果[J].护理学杂志,2022,37(13):5-8.
[13] 刘家红,张静,朴美萤等.客观结构化临床考试在ICU护士层级考核中的应用[J].护理实践与研究,2021,18(24):3766-3770.
[14] 徐薇,王升儒,杜悠等. MDT联合CBL教学模式在手术室护士骨科专科护理能力培养中的应用[J].护理研究,2022,36(20):3758-3760.
[15] 狄恒丹,陈璐,王芳等.客观结构化临床考试考核模式在神经外科专科护士培训中的应用[J].中国实用护理杂志,2022,38(28):2196-2202.
[16] 赵甦,傅聿铭,李晓勇等.腹腔镜技术融合MDT教学模式在肝肿瘤住培带教中的应用[J].中国继续医学教育,2022,14(02):71-74.
[17] 彭文成,汪萍,甄秀坤等基于多学科团队协作的手术室流程优化在腹腔镜下胃减容术治疗病态性肥胖症患者中的应用[J].齐鲁护理杂志,2021,27(04):55-57.
[18] 孙思楠,姚寒晖.MDT理念下思维导图联合PBL教学模式在胃肠外科规培中的应用[J].中国继续医学教育,2021,13(27):14-17.