CAJ | 학술논문

目的：探讨实境横断面考核在年轻护士临床实际工作能力考核中的应用效果。方法选择工作年限3～10年的内科护士32名，进行规范化临床培训，每月随机抽取10名护士进行实境横断面考核。比较考核前后护士临床工作能力、护理质量和患者满意度。结果实境横断面考核培训前32名护士工作能力得分为（80．41±10．76）分，实施实境横断面考核后6个月、12个月护士工作能力得分分别为（90．78±5．71）分和（89．25±6．36）分，培训前后比较差异有统计学意义（F＝15．932，P＜0．01）；患者护理质量分别为（88．03±6．05）分和（88．22±5．98）分，均高于培训前，差异有统计学意义（F＝3．179， P＜0．05）。患者满意度从90．38％提高至100．00％，差异有统计学意义（χ2＝18．152， P ＜0．01）。结论实境横断面考核与实际工作有机结合，紧贴临床，考核出护士真正的工作状态和真实水平，促进了护士综合素质和临床实际工作能力的提高。
목적：탐토실경횡단면고핵재년경호사림상실제공작능력고핵중적응용효과。방법선택공작년한3～10년적내과호사32명，진행규범화림상배훈，매월수궤추취10명호사진행실경횡단면고핵。비교고핵전후호사림상공작능력、호리질량화환자만의도。결과실경횡단면고핵배훈전32명호사공작능력득분위（80．41±10．76）분，실시실경횡단면고핵후6개월、12개월호사공작능력득분분별위（90．78±5．71）분화（89．25±6．36）분，배훈전후비교차이유통계학의의（F＝15．932，P＜0．01）；환자호리질량분별위（88．03±6．05）분화（88．22±5．98）분，균고우배훈전，차이유통계학의의（F＝3．179， P＜0．05）。환자만의도종90．38％제고지100．00％，차이유통계학의의（χ2＝18．152， P ＜0．01）。결론실경횡단면고핵여실제공작유궤결합，긴첩림상，고핵출호사진정적공작상태화진실수평，촉진료호사종합소질화림상실제공작능력적제고。
Objective To investigate the application of reality cross-sectional assessment ( RCA) in the ability evaluation of young nurses .Methods 32 young nurses, who had worked for 3-10 years, were enrolled in the study.Each month, we randomly selected 10 nurses to finish the RCA.The clinical ability, quality ofcare and patients ’ satisfaction were compared before and after the assessment .Results The score of clinical ability was (80.41 ±10.76) before the application of RCA .After applied the RCA for 6 and 12 month, the scores of clinical ability were (90.78 ±5.71) and (89.25 ±6.36), the difference was significant ( F=15.932,P<0.01).After applied the RCA for 6 and 12 month, the scores of quality of care were (88.03 ±6.05) and (88.22 ±5.98), the difference was significant (F=3.179,P<0.05).The patients’ satisfaction improved from 90.38%to 100.00%, which was significant different (χ2 =18.152,P<0.05).Conclusions RCA combine with practical work can reflect the state of real work of nurses and their true level , which promotes the overall quality of care and clinical practice of working ability .