首页|基于Mini-CEX的临床实境教学模式在急诊ICU护生带教中的应用及对其综合思维能力的影响

基于Mini-CEX的临床实境教学模式在急诊ICU护生带教中的应用及对其综合思维能力的影响

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目的:探讨基于迷你临床演练评估(Mini-CEX)的临床实境教学模式在急诊ICU护生带教中的应用及对其综合思维能力的影响。方法:选取2021年7月至2023年6月进入本院急诊ICU实习的护生80名,以Mini-CEX开展时间为截点(2022年7月),分为对照组(n=40,2021年7月至2022年6月)和观察组(n=40,2022年7月~2023年6月)。对照组采取常规护生带教,观察组在对照组基础上采取基于Mini-CEX的临床实境教学。对比两组护生ICU护理技能考核成绩、护生核心能力量表(CINS)评分、批判性思维能力测量表(CTDI-CV)评分、综合能力评分及Mini-CEX评分。结果:观察组护生心肺复苏、吸痰法、除颤技术、呼吸球囊技术、动脉血气采集考核成绩高于对照组(P<0。05)。观察组护生实习结束时的CINS、CTDI-CV分值高于对照组(P<0。05)。观察组护生综合能力各维度得分及Mini-CE评分均高于对照组(P<0。05)。结论:在急诊ICU护生带教中采取基于Mini-CEX的临床实境教学模式可提高护生护理技能考核成绩,提升其核心能力、思维能力及综合护理能力。
The application of Mini-CEX based clinical reality teaching mode in nursing students in emergency ICU and its influence on their comprehensive thinking ability
Objective:To explore the application of clinical reality teaching model based on Mini-clinical Exercise Assessment(Mini-CEX)in the teaching of nursing students in emergency ICU and its influence on their comprehensive thinking ability.Methods A total of 80 nursing students admitted to the emergency ICU from July 2021 to June 2023 were selected and divided into control group(n=40,July 2021 to June 2022)and observation group(n=40,July 2022 to June 2023)with the implemen-tation time of Mini-CEX as the cut-off point(July 2022).The control group received routine nursing teaching,and the observa-tion group received Mini-CEX based clinical reality teaching.The scores of ICU nursing skills assessment,Core Ability Scale(CINS)score,Critical Thinking Ability Scale(CTDI-CV)score,comprehensive ability score and Mini-CEX score were com-pared between the two groups.Results The results of cardiopulmonary resuscitation,sputum aspiration,defibrillation,balloon technique and arterial blood gas collection in observation group were higher than those in control group(P<0.05).The CINS and CTDI-CV scores in the observation group were higher than those in the control group at the end of practice(P<0.05).The scores of all dimensions of comprehensive ability and Mini-CE scores of nursing students in observation group were higher than those in control group(P<0.05).Conclusion The Mini-CEX based clinical reality teaching model can improve the nurs-ing skills assessment,core ability,thinking ability and comprehensive nursing ability of nursing students in emergency ICU.

Nursing studentsTeachMini clinical exercise evaluationClinical reality teachingEmergency ICUCompre-hensive thinking ability

周甜、范梅花、王猛霞、李贞

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济宁医学院附属金乡县人民医院,山东济宁 272200

护生 带教 迷你临床演练评估 临床实境教学 急诊ICU 综合思维能力

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(7)