护理学报
護理學報
호이학보
JOURNAL OF NURSING
2015年
8期
8-11
,共4页
ICU%专科护士%考核体系%客观结构化临床考试
ICU%專科護士%攷覈體繫%客觀結構化臨床攷試
ICU%전과호사%고핵체계%객관결구화림상고시
ICU%specialist nurses%inspection system%objective structured clinical examination
目的：探讨简化客观结构化临床考试模式应用于ICU专科护士培训综合能力测评的可行性。方法在ICU专科护士培训考核体系中应用简化客观结构化临床考试考核模式，入学、结业均给予理论考试，结业前给予简化客观结构化临床考试多站式考核，结合培训内容设置情景，编写考核病例，选拔及培训标准化病人和设置客观结构化临床考试考核站点考核2012—2014年3届共100名培训学员并进行成绩分析和问卷调查。结果受各学员学历、资历的影响，入学时理论考试及格率仅为44%。结业考试时，客观结构化临床考试各站点考核合格率为100%，90%的学员认为此次客观结构化临床考试病例结构安排合理，93%的学员认为考站及时间安排合理；86%的学员表示该考核适应临床实际；88%的学员认为能反映临床护理综合能力；89%的学员认为该考核模式公平。结论应用简化客观结构化临床考试能检验学员理论知识、操作技能、沟通能力及应变能力等，能客观检验学员是否具有能够胜任紧张而繁琐的ICU工作的综合能力。但该考核成绩受培训场地、培训时间及主考老师和标准化病人的主观影响较大，尚有待改进。
目的：探討簡化客觀結構化臨床攷試模式應用于ICU專科護士培訓綜閤能力測評的可行性。方法在ICU專科護士培訓攷覈體繫中應用簡化客觀結構化臨床攷試攷覈模式，入學、結業均給予理論攷試，結業前給予簡化客觀結構化臨床攷試多站式攷覈，結閤培訓內容設置情景，編寫攷覈病例，選拔及培訓標準化病人和設置客觀結構化臨床攷試攷覈站點攷覈2012—2014年3屆共100名培訓學員併進行成績分析和問捲調查。結果受各學員學歷、資歷的影響，入學時理論攷試及格率僅為44%。結業攷試時，客觀結構化臨床攷試各站點攷覈閤格率為100%，90%的學員認為此次客觀結構化臨床攷試病例結構安排閤理，93%的學員認為攷站及時間安排閤理；86%的學員錶示該攷覈適應臨床實際；88%的學員認為能反映臨床護理綜閤能力；89%的學員認為該攷覈模式公平。結論應用簡化客觀結構化臨床攷試能檢驗學員理論知識、操作技能、溝通能力及應變能力等，能客觀檢驗學員是否具有能夠勝任緊張而繁瑣的ICU工作的綜閤能力。但該攷覈成績受培訓場地、培訓時間及主攷老師和標準化病人的主觀影響較大，尚有待改進。
목적：탐토간화객관결구화림상고시모식응용우ICU전과호사배훈종합능력측평적가행성。방법재ICU전과호사배훈고핵체계중응용간화객관결구화림상고시고핵모식，입학、결업균급여이론고시，결업전급여간화객관결구화림상고시다참식고핵，결합배훈내용설치정경，편사고핵병례，선발급배훈표준화병인화설치객관결구화림상고시고핵참점고핵2012—2014년3계공100명배훈학원병진행성적분석화문권조사。결과수각학원학력、자력적영향，입학시이론고시급격솔부위44%。결업고시시，객관결구화림상고시각참점고핵합격솔위100%，90%적학원인위차차객관결구화림상고시병례결구안배합리，93%적학원인위고참급시간안배합리；86%적학원표시해고핵괄응림상실제；88%적학원인위능반영림상호리종합능력；89%적학원인위해고핵모식공평。결론응용간화객관결구화림상고시능검험학원이론지식、조작기능、구통능력급응변능력등，능객관검험학원시부구유능구성임긴장이번쇄적ICU공작적종합능력。단해고핵성적수배훈장지、배훈시간급주고로사화표준화병인적주관영향교대，상유대개진。
Objective To explore the feasibility of simplified OSCE (objective structured clinical examination) in comprehensive competence assessment of ICU nurse specialists. Methods We introduced simplified OSCE into training and assessment system for ICU nurse specialists. There were two theory examinations and simplified OSCE after training. Based on training contents for ICU nurse specialists, we set up scenarios, composed the medical records for the scenarios, chose and trained standardized patients (SPs), and developed several OSCE stations which were sequentially entered by 100 ICU nurse specialists from 2012 to 2014 for competence assessment after receiving training. OSCE scores were analyzed and nurses were surveyed about the effect of OSCE. ResuIts For different educational background and qualification of nurses, the pass rate of the first theory exam was only 44% while that of every testing reached 100% after training. Of the total, 90% of the nurses thought case structure arrangement of OSCE reasonable and 93% of them test station and time arrangement reasonable. For 86% of the participants, OSCE was practical for clinical practice and 88%of the nurses regarded it could reflect the comprehensive ability in clinical practice meanwhile 89%of them thought it was fair for participants. ConcIusion The simplified OSCE can test students’ integrated ability and is effective for choosing a qualified nurse specialist in ICU. But the test result is influenced by training site, training time, the examiner and the SPs so it remains to be improved.
