主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 护理教育 • 上一篇    下一篇

技能直接观察考核法在新护士规范化培训技能考核中的应用实践

罗健 杨柳 杨丹 钱英 丁颖 胡娟娟   

  1. 华中科技大学同济医学院附属协和医院护理教研室
  • 出版日期:2017-01-25 发布日期:2017-01-25

The application of Direct Observation of Procedural Skills in the assessment of new nurses' skills in standardized training

  • Online:2017-01-25 Published:2017-01-25

摘要: 目的:探索临床实际情境下新护士规范化培训技能考核的客观评价方法。方法:采取技能直接观察考核法(Direct Observation of Procedural Skills,DOPS),在临床实际情境下对新护士从技能操作中所展现的行为与能力共10 个指标进行考核。结果:除“操作前的解释和知情同意”超出预期目标外,其余9 项指标均为接近或达到预期目标;其中“操作中相关制度、法律、行业标准的执行”“患者体验”“操作后处置”是新护士临床技能中最薄弱的项目,未达到预期目标的人员比例> 17% ;传统考核法与DOPS 考核法在平均成绩上无统计学差异(P >0.05),但DOPS 考核法对技能中行为与能力的评价较传统考核法更敏感。结论:DOPS考核法是临床实际情境下客观多维度评价新护士临床技能中行为与能力的方法。

Abstract: Objective: To explore an effective method to assess the ability of new nurses' skills in standardized training under the real clinical situation. Methods: Use Direct Observation or Procedural Skills (DOPS) to evaluate the ability of new nurses' skills using 10 indicators. Results: Only the item of interpretation and informed consent before operation exceeded targets, the other nine items close to or reaching the goals. And the three aspects that are in implementation of the relevant systems, laws and industry standards, patient experience and dealing with goods after operation are the weakest spots to new nurses. The proportion no reaching the goals is more than 17%. There isn't difference in average scores between the DOPS test and traditional assessment (P>0.05). Conclusion: The DOPS examination is an objective and multidimensional assessment tool in evaluating new nurses' clinical skills from their behaviors and abilities.