Objective To explore the effectiveness of a multi-dimensional joint teaching model based on failure mode and effect analysis(FMEA)in the teaching of hospital infection in surgical nursing interns.Methods Totally 39 surgi-cal nursing students from Ningbo Traditional Chinese Medicine Hospital from July 2021 to March 2022 were selected as the control group,and another 42 surgical nursing students from July 2022 to March 2023 were selected as the observa-tion group.The control group adopted the traditional teaching model,while the observation group analyzed failure modes through the FMEA model,and calculated the risk priority number(RPN)from the three dimensions of occurrence possi-bility,detection possibility,and severity to select high-risk factors.Based on these high-risk factors,a teaching improve-ment plan was developed and implemented.The RPN scores of nursing interns in the observation group before and after the implementation of FMEA were compared,as well as the theoretical evaluation,operation evaluation,hand hygiene im-plementation rate and hand hygiene accuracy of students in the two groups.Results The RPN value decreased from 1534 to 185,with the decrease rate of 87.94%.The scores of theory examination and operation examination of nursing students in the observation group were higher than those in the control group,and the differences were statistically signifi-cant(t=9.51,6.35,P<0.05).In addition,the imple-mentation rate of hand hygiene and the accuracy rate of hand hygiene in the observation group were higher than those in the control group(χ2=5.81,6.34,P<0.05).Conclusion The application of multi-dimensional joint teaching model based on FMEA in the teaching of hospital infection in surgi-cal nursing interns not only enhances the compre-hensive learning ability and infection control awareness of nursing interns,but also reduces the operational risk of the de-partment.
关键词
失效模式与效应分析/多维联合教学模式/外科/医院感染
Key words
failure mode and effect analysis/multi-dimensional joint teaching model/department of surgery/hospital infection