基于能力的教育（CBE）联合多学科团队（MDT）教学模式在呼吸康复护理教学中的效果评价：一项随机对照试验。

Effect evaluation of competency-based education (CBE) combined with multi-disciplinary team (MDT) teaching mode in respiratory rehabilitation nursing teaching：A randomized controlled trial.

机构信息

Department of Respiration and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China.

Medical Examination Center, China-Japan Friendship Hospital, Beijing 100029, China.

出版信息

Nurse Educ Pract. 2024 Mar;76:103896. doi: 10.1016/j.nepr.2024.103896. Epub 2024 Feb 10.

DOI:10.1016/j.nepr.2024.103896

PMID:38377933

Abstract

AIM

To explore the application effect of competency-based education (CBE) combined with multi-disciplinary team (MDT) teaching mode in respiratory rehabilitation nursing teaching.

BACKGROUND

Respiratory rehabilitation, as an important non drug treatment for chronic respiratory disease, started late in China, with low implementation rate in hospitals and insufficient knowledge of nursing staff. Therefore, it is urgent to cultivate high professional level nurses with strong professional ability.

DESIGN

A randomized controlled trial.

METHODS

We selected nurses from the respiratory and critical care department at a Grade III, Level A hospital in Beijing, who participated in the respiratory rehabilitation training program between March 2020 and August 2022, as our study participants. Participants were grouped using a random number method. Nurses who participated in the study from March 2020 to May 2021 were set as the control group, and the nurses who participated in the study from June 2021 to August 2022 were set as the test group. The control group used traditional teaching methods, and the test group used the CBE combined MDT teaching model. At the end of the test, the theory, operating skills, satisfaction and core competence were assessed.

RESULTS

After training, the theoretical examination score of the test group (93.71 ± 1.94) was higher than that of the control group (92.37 ± 1.92), the operational examination score of the test group (93.11 ± 2.12) was higher than that of the control group (91.61 ± 1.93), the overall teaching satisfaction of the test group (4.45 ± 0.50) was higher than that of the control group (4.13 ± 0.57), and the total score of the core competence of the test group (148.73 ± 7.08) was higher than that of the control group (141.02 ± 6.41). The difference between the two groups was statistically significant (P<0.05).

CONCLUSION

CBE combined with MDT teaching mode has a good effect in Pulmonary and Critical Care Medicine (PCCM) respiratory rehabilitation nursing teaching.

摘要

目的

探讨以能力为基础的教育（CBE）联合多学科团队（MDT）教学模式在呼吸康复护理教学中的应用效果。

背景

呼吸康复作为慢性呼吸系统疾病的重要非药物治疗手段，在我国起步较晚，医院实施率低，护理人员知识掌握不足，因此迫切需要培养具有较强专业能力的高专业水平护士。

设计

随机对照试验。

方法

选取 2020 年 3 月至 2022 年 8 月在北京某三级甲等医院呼吸与危重症医学科参加呼吸康复培训项目的护士作为研究对象。采用随机数字法分组，将 2020 年 3 月至 2021 年 5 月参加研究的护士设为对照组，将 2021 年 6 月至 2022 年 8 月参加研究的护士设为试验组。对照组采用传统教学方法，试验组采用 CBE 联合 MDT 教学模式。试验结束后进行理论、操作技能考核及教学满意度和核心能力测评。

结果

培训后，试验组理论考试成绩（93.71±1.94）高于对照组（92.37±1.92），操作考试成绩（93.11±2.12）高于对照组（91.61±1.93），试验组总体教学满意度（4.45±0.50）高于对照组（4.13±0.57），试验组核心能力总分（148.73±7.08）高于对照组（141.02±6.41），差异均有统计学意义（P<0.05）。