发展护理专业迷你临床演练评估并评估台湾研究生培训计划中新护士的核心能力。
Development of a nursing-specific Mini-CEX and evaluation of the core competencies of new nurses in postgraduate year training programs in Taiwan.
机构信息
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
School of Health Care Administration, Taipei Medical University, 250 Wu-hsing St., Taipei, Taiwan.
出版信息
BMC Med Educ. 2019 Jul 18;19(1):270. doi: 10.1186/s12909-019-1705-9.
BACKGROUND
Modern nursing requires a broad set of academic and practical skills, and an effective nurse must integrate these skills in a wide range of healthcare contexts. Cultivation of core competencies has recently become a key issue globally in the development of nursing education. To assess the performance of new nurses, this study developed a nursing-specific Mini-Clinical Evaluation Exercise (Mini-CEX) to evaluate the effect of postgraduate year (PGY) nurse training programs in Taiwan.
METHODS
A nursing-specific Mini-CEX was developed based on the required core competencies of nurses. Reliability and validity were confirmed in evaluator workshops carried out prior to the administration of the pilot test and final test. Thirty-two PYG trainees were recruited with a supervisor-to-trainee ratio of 1:1.94. Data were collected from February to June 2012 and analyzed using the Kruskal-Wallis test.
RESULTS
The 32 PGY trainees scored highest in the "nursing professionalism" dimension and the lowest in the "physical examination" dimension. The overall competency score was satisfactory. The trainee nurses with 19-24 months of experience scored higher than the other two groups in overall performance.
CONCLUSION
The results of this research indicate the feasibility of using our Mini-CEX tool to evaluate the competencies of PGY trainees.
背景
现代护理需要广泛的学术和实践技能，有效的护士必须将这些技能整合到各种医疗保健环境中。培养核心能力最近已成为全球护理教育发展的一个关键问题。为了评估新护士的表现，本研究开发了一种特定于护理的 Mini-CEX（Mini-Clinical Evaluation Exercise），以评估台湾研究生护士培训计划的效果。
方法
根据护士的核心能力要求，开发了一种特定于护理的 Mini-CEX。在进行试点测试和最终测试之前，通过评估员研讨会确认了可靠性和有效性。招募了 32 名 PYG 受训者，导师与受训者的比例为 1:1.94。数据收集于 2012 年 2 月至 6 月，采用 Kruskal-Wallis 检验进行分析。
结果
32 名 PYG 受训者在“护理专业精神”维度得分最高，在“体检”维度得分最低。整体能力得分令人满意。有 19-24 个月经验的受训护士在整体表现方面的得分高于其他两组。
结论
本研究结果表明，使用我们的 Mini-CEX 工具评估 PYG 受训者的能力是可行的。
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