医学教育管理

• 临床教学 • 上一篇    下一篇

核心能力带教模式在血液净化进修护士临床教学中的应用

  

  1. 郑州大学第一附属医院血液净化中心,郑州 450052
  • 收稿日期:2025-07-07 修回日期:2025-09-28 出版日期:2026-07-01 发布日期:2026-07-01
  • 基金资助:
    郑州大学2022年度校级教育教学改革研究与实践项目:护教协同背景下护理本科生专业辅修课程的探索与实践——以血液净化专科为例(2022ZZUJG287)

Effectiveness of core competence teaching model in clinical teaching of blood purification training nurses

  1. Blood Purification Center, the First Hospital affiliated to Zhengzhou University, Zhengzhou 450052, China
  • Received:2025-07-07 Revised:2025-09-28 Online:2026-07-01 Published:2026-07-01

摘要:  目的 探讨核心能力带教模式在血液净化进修护士中的应用效果。方法 选取郑州大学第一附属医院2023年3月—2024年10月血液净化中心160名进修护士作为研究对象。将2023年3—2023年12月纳入的76名进修护士作为对照组,采用传统进修护士带教模式;将2024年1—10月纳入的84名进修护士作为试验组,采用核心能力带教模式。在血液净化进修护士培训开始前与结束后分别使用护生核心能力量表(competency inventory for nursing students, CINS)和临床满意度量表对其展开测评,并对比两组的理论和操作技能考核成绩。结果 试验组的理论考核成绩[(80.93±6.07)分]、操作技能考核成绩[90.00(88.00,93.00)]均高于对照组[(70.71±7.41),88.50(86.00,91.00)],差异有统计学意义(t=9.572,Z=-2.611,P<0.01)。培训结束后,试验组的临床生物医学科学角度、一般临床技能维度、批判性思维推理能力维度、关心维度、道德和责任维度、终身学习维度得分均高于对照组,差异具有统计学意义(t分别=6.576、6.528、6.415、4.843、3.930、5.680,P<0.01);试验组进修护士对学习环境、学习管理、教学内容、带教素质、学习效果的满意度均高于对照组,差异具有统计学意义(t分别=6.449、7.857、8.146、6.868、6.741,P<0.01)。结论 核心能力带教模式被应用于血液净化进修护士临床教学,可提升其学习效果、教学满意度和核心能力。

关键词:

 , 血液透析;护士;进修;带教模式;核心能力

Abstract:

Objective To explore the effectiveness of core competence teaching model in blood purification training nurses.Methods Convenience sampling was used to select 160 training nurses from the Blood Purification Center of the First Affiliated Hospital of Zhengzhou University from March 2023 to October 2024 as research subjects. Seventy-six training nurses enrolled from March to December 2023 were selected as the control group, and the traditional clinical nurse teaching mode was adopted; 84 training nurses enrolled from January to October 2024 were selected as the experimental group, and the core competency teaching mode was adopted. The Core Competency Inventory for Nursing Students (CINS) and Clinical Satisfaction Scale were used for evaluation before and after the training. The theoretical and operative skill assessment scores were compared between the two groups.Results The theoretical assessment scores (80.93±6.07) and operational skills assessment scores [90.00(88.00,93.00)] of the experimental group are higher than those of the control group [(70.71±7.41), 88.50(86.00,91.00)], with statistically significant differences (t=9.572, Z=-2.611, P<0.01). After training, the experimental group obtained higher scores in clinical biomedical science, general clinical skills, critical thinking and reasoning, care competence, ethics and responsibility, and lifelong learning than the control group, with significant differences (t=6.576, 6.528, 6.415, 4.843, 3.930, 5.680, P<0.01). The experimental group also showed higher satisfaction with learning environment, learning management, teaching content, tutor quality and learning outcome, and the differences were statistically significant (t=6.449, 7.857, 8.146, 6.868, 6.741, P<0.01).Conclusion The core competency teaching model applied in clinical training of blood purification nurses can help improve the training effectiveness, teaching satisfaction and core competencies.

Key words:

hemodialysis, nurse, training, teaching model; core competence