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直接观察操作技能/微型临床评估练习对透析护理专业学生满意度及临床技能的影响

The effect of direct observation of procedural skills/mini-clinical evaluation exercise on the satisfaction and clinical skills of nursing students in dialysis.

作者信息

Jafarpoor Hasanali, Hosseini Meimanat, Sohrabi Maryam, Mehmannavazan Masoomeh

机构信息

Department of Anesthesia and Operating Room, Faculty of Paramedical Sciences, Babol University of Medical Sciences, Babol, Iran.

Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2021 Feb 27;10:74. doi: 10.4103/jehp.jehp_618_20. eCollection 2021.

Abstract

BACKGROUND

Since the purpose of medicine science is health promotion, education of this group is very important. The use of new evaluation methods is one of the first educational needs. Given that many conventional clinical evaluation methods are not able to fully evaluation students in the clinical settings and only evaluate limited information, This study is designed to evaluate the impact of direct observation of procedural skills (DOPS) and mini-clinical evaluation exercise (mini-CEX) on nursing students and their clinical satisfaction skills.

MATERIALS AND METHODS

This quasi-experimental study was conducted in 2018 to evaluate the dialysis unit of the 6 semester nursing students of Babol University of Medical Sciences in Iran. Samples were selected by the census method and then random allocation. Data collection was performed using two questionnaires and two checklists to evaluate the clinical skills and satisfaction of the two groups of testing and control. Moreover, the data were analysed with using the SPSS software (version 18, IBM SPSS Inc., Chicago, IL, USA) through the descriptive and analytical statistics (Chi-square test and -test).

RESULTS

The results showed that the intervention group compared with the control evaluation score of 13/73 ± 2/44, 11/74 ± 2/43, < 0.002, respectively. Furthermore, the mean score of satisfaction of the intervention group with the DOPS method compared to the traditional method of the control group was 72/50 ± 7/31, 63/48 ± 9/31, < 0.001, respectively. As well as, the mean score of satisfaction with the mini-CEX method of the intervention group compared to the traditional method of the control group was 73/28 ± 7/78, 63/48 ± 9/31, < 0.002, respectively.

CONCLUSIONS

The results of this study showed that students who were evaluated by DOPS and mini-CEX methods had a higher score of clinical performance evaluation and higher level of satisfaction. Nursing professors can improve the learning process and the satisfaction of nursing students by using direct feedback on such evaluation methods.

摘要

背景

由于医学的目的是促进健康,因此对这一群体的教育非常重要。采用新的评估方法是首要教育需求之一。鉴于许多传统临床评估方法无法在临床环境中全面评估学生,只能评估有限的信息,本研究旨在评估直接观察操作技能(DOPS)和迷你临床评估演练(mini-CEX)对护生及其临床技能满意度的影响。

材料与方法

本准实验研究于2018年进行,以评估伊朗马什哈德医科大学6年级护生的透析单元。采用普查法选取样本,然后随机分配。使用两份问卷和两份检查表收集数据,以评估测试组和对照组的两组临床技能和满意度。此外,通过描述性和分析性统计(卡方检验和t检验),使用SPSS软件(版本18,IBM SPSS公司,美国伊利诺伊州芝加哥)对数据进行分析。

结果

结果显示,干预组与对照组的评估得分分别为13.73±2.44、11.74±2.43,P<0.002。此外,干预组对DOPS方法的满意度平均得分与对照组的传统方法相比分别为72.50±7.31、63.48±9.31,P<0.001。同样,干预组对mini-CEX方法的满意度平均得分与对照组的传统方法相比分别为73.28±7.78、63.48±9.31,P<0.002。

结论

本研究结果表明,采用DOPS和mini-CEX方法评估的学生临床绩效评估得分更高,满意度水平更高。护理教授可以通过对这些评估方法提供直接反馈来改善护生的学习过程和满意度。

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