上海市产科专业护士实训基地教学实践效果评价

摘要

目的评价上海市产科专业护士实训基地培训效果。方法以柯氏四级效应评估模型作为实训教学评估工具，对2012年12月—2015年9月在复旦大学附属妇产科医院（上海市产科专业护士实训基地）接受实践培训的4轮共63名学员，采用问卷调查、专题小组访谈、笔试和实践操作等多形式相结合的方法进行实训基地教学效果评价。结果63名学员分15批次参加的专题小组访谈资料提炼出对实训教学质量的五大反应度评价主题：规范性、特色性、前沿性、实践性以及人文性。学员对实训教学计划安排满意度为100.0%，对实训教学师资满意度为96.8%，对实训教学环境满意度为95.2%，对教学形式内容的满意度为98.4%，对教学考核评价的满意度为100.0%。实训前产科知识技能总分为（50.83±11.37）分，实训后总分为（62.52±8.61）分，实训前后掌握度得分比较，差异有统计学意义（t=-6.508，P＜0.05）。实训后6个月内，89.7%的学员认为能将产科专业知识应用于临床实践，93.1%的学员认为能将实训护理技能有效应用于实际护理工作。实训后12个月内，25位学员担任病区带教，9位担任护士长，6位学员将实训基地的产科护理服务新理念和新技术应用于所在单位。结论上海市产科专业护士实训基地为护理学员提供了专业化的继续教育平台，提高了学员的产科护理知识技能水平，并对学员临床实际工作绩效产生积极影响。%Objective To evaluate the training effects of obstetric nurses in training center of Shanghai. Methods Totally 63 trainees of Obstetrics & Gynecology Hospital of Fudan University(Shanghai obstetric nurse training center) who received training from December 2012 to September 2015,were investigated by questionnaires,focus group interviews,written and practice examinations,etc. Kirkpatrick's four-level model of training evaluation was used to assess the training effects.Results Five themes were extracted from fifteen focus group discussions,and they were normative,characteristic,frontier,practical and humanistic. Satisfaction rate of trainees towards training schedules was 100.0%;satisfaction rate towards clinical teachers was 96.8%;satisfaction towards practical training environment was 95.2%;satisfaction towards instructional mode and content was 98.4%;and the satisfaction towards examination and evaluation was 100.0%. The total score of obstetric knowledge and skills was (50.83±11.37) before training and was (62.52±8.61) after training (t=-6.508, P<0.05). Within six months after practical training,89.7% of trainees thought that they could apply the learned professional knowledge into clinical practice,and 93.1% of trainees thought that they could apply the learned obstetric skills into nursing practice. Within 12 months after practical training,25 trainees worked as clinical teachers,nine trainees became head nurses,and six trainees implemented the learned new model of obstetric care and techniques into their clinical settings.Conclusions Shanghai obstetric nurse training center provides a resource platform for professional nurses' continuing education. The training improves trainees' obstetric knowledge and skills,and has a positive impact on nurses' actual job performance.