CAJ | 학술논문

目的：探讨个体化多模式教学在脑血管重症监护病房培养进修护士综合技能的效果。方法将2013年1月～2014年12月在首都医科大学附属北京天坛医院脑血管重症监护病房的进修护士分为两组，2013年72人为对照组，采用“一对一”传统临床带教模式，2014年74人为实验组，采用个体化多模式教学模式。采用临床带教老师评价、结业综合技能考核对教学效果进行综合评价。结果实验组进修护士结业综合技能考核结果及各项临床护理核心胜任力评分显著高于对照组（P＜0.01）。结论个体化多模式教学不仅能有效提高进修护士所应具备的各项临床护理能力，而且能有效提高其评判性思维能力。
목적：탐토개체화다모식교학재뇌혈관중증감호병방배양진수호사종합기능적효과。방법장2013년1월～2014년12월재수도의과대학부속북경천단의원뇌혈관중증감호병방적진수호사분위량조，2013년72인위대조조，채용“일대일”전통림상대교모식，2014년74인위실험조，채용개체화다모식교학모식。채용림상대교로사평개、결업종합기능고핵대교학효과진행종합평개。결과실험조진수호사결업종합기능고핵결과급각항림상호리핵심성임력평분현저고우대조조（P＜0.01）。결론개체화다모식교학불부능유효제고진수호사소응구비적각항림상호리능력，이차능유효제고기평판성사유능력。
Objective To investigate the effects of individualized instruction model on improving clinical techniques of refresher nurses in an intensive care unit for cerebrovascular diseases. Methods One hundred and forty-six refresher nurses enrolled in a tertiary hospital in Beijing from January 2013 to December 2014 were included. Seventy-two were admitted to the control group, which received a traditional 'one-to-one' clinical teaching model. Other 74 were allocated to the test group, which acquired the individualized instruction model. Clinical nursing instructors evaluated nurses in both groups, and standard examination was performed to test the clinical techniques of everyone. Results Nurses in the test group achieved signiifcantly higher scores compared with those in the control group in clinical technique test (P<0.01). Conclusion Individualized instruction model is superior to the traditional 'one-to-one' model based on the improvement of clinical techniques, clinical judgment and problem-solving ability in refresher nurses.