CAJ | 학술논문

目的：探讨核心能力教学模式在培养老年专科护士高级护理实践能力中的应用效果。方法以核心能力教学模式为培训框架，参考美国护理学院协会提出的高级实践护士核心能力和美国护理学家Hamric的高级护理实践模式，界定老年专科护士高级护理实践能力，并以此为导向设置培训课程，对49名护士进行培训，以自评得分及他评得分评价培训效果和满意度。结果培训前后，49名学员的7项高级护理实践能力自评总分分别为（89.18±15.73）分、（113.78±22.22）分，差异有统计学意义（t=7.10，P<0.01）；他评结果：学员护理个案得分（70.29±3.78）分，成组计划得分（73.46±2.60）分，全部学员圆满完成了老年专科护士的专业课程与临床实践，获得由香港老年专科护理学院和广东省护理教育中心联合颁发的“广东省老年专科护士课程培训合格证书”。95%的学员表示非常满意本课程的设置，认为课程设置科学、严谨、全面、实用且与国际老年护理接轨，有利于专科护士能力的发展。结论以核心能力教学模式为培训框架，高级护理实践能力为培养目标，以此设计的老年专科护士高级护理实践能力培养模式，可以达到预期目的。能实施基于科学的精细护理的老年专科护士是时代和现实的迫切需要；本探讨可为日后其他专科的护理人才在职培训提供借鉴。
목적：탐토핵심능력교학모식재배양노년전과호사고급호리실천능력중적응용효과。방법이핵심능력교학모식위배훈광가，삼고미국호이학원협회제출적고급실천호사핵심능력화미국호이학가Hamric적고급호리실천모식，계정노년전과호사고급호리실천능력，병이차위도향설치배훈과정，대49명호사진행배훈，이자평득분급타평득분평개배훈효과화만의도。결과배훈전후，49명학원적7항고급호리실천능력자평총분분별위（89.18±15.73）분、（113.78±22.22）분，차이유통계학의의（t=7.10，P<0.01）；타평결과：학원호리개안득분（70.29±3.78）분，성조계화득분（73.46±2.60）분，전부학원원만완성료노년전과호사적전업과정여림상실천，획득유향항노년전과호이학원화광동성호리교육중심연합반발적“광동성노년전과호사과정배훈합격증서”。95%적학원표시비상만의본과정적설치，인위과정설치과학、엄근、전면、실용차여국제노년호리접궤，유리우전과호사능력적발전。결론이핵심능력교학모식위배훈광가，고급호리실천능력위배양목표，이차설계적노년전과호사고급호리실천능력배양모식，가이체도예기목적。능실시기우과학적정세호리적노년전과호사시시대화현실적박절수요；본탐토가위일후기타전과적호리인재재직배훈제공차감。
Objective To discuss the effect of core competence-oriented teaching mode on the improvement of advanced nursing practice ability for geriatric nurse specialist. Methods After the content of advanced nursing practice ability for geriatric nurse specialist was defined in the reference of nurses’ advanced core competence proposed by AACN (The American Association of Colleges of Nursing) and advanced nursing practice by Hamric, 49 nurses were involved into the training based on the core competence-oriented teaching mode. Self-scoring and peer-scoring were applied to evaluate the training effect and nurses’ satisfaction with the training. Results The total score of advanced nursing practice ability was 89.18±15.73 and 113.78±22.22 respectively, which indicated statistical significance (t=7.10, P<0.01). In terms of peer assessment, the score of nursing case was 70.29±3.78 and that of group plan 73.46±2.60. All the trainees completed the course and practice and obtained the certificate. Totally 95.7%of the trainees were satisfied with the training and regarded the course was scientific and practical, which benefited their development as nurse specialists. Conclusion Scientific and meticulous nursing is in urgent need nowadays. Taking core competence-based teaching mode as training framework and advanced nursing practice ability as objective, the training mode of advanced nursing practice ability for geriatric nurse specialist is effective and provides a reference for future on-the-job training for nurse specialists.