0 | 0 | 4 |
下载次数 | 被引频次 | 阅读次数 |
目的 评估针对本科护生构建的传染病突发事件防控能力培训体系的有效性。方法 通过Delphi法和层次分析法构建基于柯氏模型的培训指标体系,选取本科护生60名,采用随机数字表法将其平均分成对照组和观察组,对照组采用传统的培训模式,观察组采用基于柯氏模型的培训体系,并对两组的培训效果进行全面评价。结果 两轮函询有效问卷回收率均为100%,权威系数分别为0.865和0.890,肯德尔和谐系数分别为0.215和0.173(P<0.01)。最终确定传染病突发事件防控能力培训干预方案包括4个一级指标、12个二级指标和83个三级指标。观察组在防控理论、防护操作技能、临床实践能力以及满意度评价等多个维度的表现均优于对照组(P<0.05)。结论 基于柯氏模型构建的培训体系在反应、学习、行为和结果4个层面上均展现出更高的效能,能够有效提升本科护生对传染病突发事件的防控意识及应对能力,对未来护理人才的教育和培养具有很强的针对性和适用性。
Abstract:Objective To evaluate a training system for undergraduate nursing students in preventing and controlling infectious disease emergencies.Methods A training indicator system based on Kirkpatrick model was constructed by the Delphi method and analytic hierarchy process.Sixty undergraduate nursing students were selected and divided equally into a control group and an observation group by the random number table method, the former receiving the traditional training and the latter receiving the proposed training system.The training outcomes were compared and evaluated comprehensively.Results The effective questionnaire response rate for both rounds of expert correspondence were 100%,with authority coefficients of 0.865 and 0.890 respectively.The Kendall concordance coefficients were 0.215 and 0.173(P<0.01).The finalized training intervention plan for the prevention and control of infectious disease emergencies included 4 first-level indicators, 12 second-level indicators, and 83 third-level indicators.Compared with the control group, the observation group demonstrated significantly higher scores in prevention and control theories, operational skills, clinical practice, satisfaction evaluations(P<0.05).Conclusion The training system based on the Kirkpatrick model was more effective than the traditional training mode across the reaction level, learning level, behavioral level and results level.And the training system can effectively enhance the awareness of the prevention and control of infectious disease emergencies in undergraduate nursing students and improve their coping abilities.It exhibits strong pertinence and applicability in the education and preparation of future nursing personnel.
[1] PALACIOS C M,SANTOS E,VELAZQUEZ CERVANTES M A,et al.COVID-19,a worldwide public health emergency[J].Revista Clinica Espanola,2021,221(1):55-61.DOI:10.1016/j.rceng.2020.03.001.
[2] ZHOU Y,SUN Z,WANG Y,et al.The prevalence of PTSS under the influence of public health emergencies in last two decades:a systematic review and Meta-analysis[J].Clinical Psychology Review,2021,83:101938.DOI:10.1016/j.cpr.2020.101938.
[3] World Health Organization.Global report on infection prevention and control:executive summary.World Health Organization[EB/OL].(2022-05-26)[2025-01-12].https://iris.who.int/handle/10665/354553.
[4] JIN Y,CUI F,WANG R,et al.Stress overload,influencing factors,and psychological experiences of nurse managers during early stages of the COVID-19 pandemic:a sequential explanatory mixed method study[J].Frontiers in Psychology,2023,14:1187433.DOI:10.3389/fpsyg.2023.1187433.
[5] ZHANG X,ZHOU Y,FAN C,et al.Visualization and bibliometric analysis of occupational exposure among nurses in Asia[J].Heliyon,2023,9(11):e21289.DOI:10.1016/j.heliyon.2023.e21289.
[6] ALSHARARI A S,KERARI A.Factors influencing occupational health and safety among nursing students in their clinical placements:a cross-sectional study[J].Healthcare(Basel,Switzerland),2024,12(9):884.DOI:10.3390/healthcare12090884.
[7] ALOUFI M A,JARDEN R J,GERDTZ M F,et al.Reducing stress,anxiety and depression in undergraduate nursing students:a systematic review[J].Nurse Education Today,2021,102:104877.DOI:10.1016/j.nedt.2021.104877.
[8] LINDIG A,MIELKE K,FRERICHS W,et al.Evaluation of a patient-centered communication skills training for nurses(KOMPAT):study protocol of a randomized controlled trial[J].BMC Nursing,2024,23(1):2.DOI:10.1186/s12912-023-01660-8.
[9] 吕美娜,姜云霞,李兵晖,等.基于柯氏模型的军队医务人员战伤救治培训评价指标体系的构建[J].护理管理杂志,2023,23(1):66-70.DOI:10.3969/j.issn.1671-315x.2023.01.014.
[10] 沈颖,王蓓,陈小艳,等.护理三级质量控制人员核心能力评价问卷编制及信效度检验[J].护理管理杂志,2025,25(5):455-460.DOI:10.3969/j.issn.1671-315x.2025.05.017.
[11] BAI X,GAN X,YANG R,et al.Construction of a competency evaluation index system for front-line nurses during the outbreak of major infectious diseases:a Delphi study[J].PloS One,2022,17(7):e0270902.DOI:10.1371/journal.pone.0270902.
[12] 杨贵云,赵梅珍,姚平.基于德尔菲法和层次分析法的三甲医院护士心理干预模型构建研究[J].医学与社会,2023,36(7):139-144.DOI:10.13723/j.yxysh.2023.07.025.
[13] ZHOU X,DING P,YANG Q,et al.Construction of an index system for evaluating the effectiveness of transitional care in kidney transplant recipients[J].BMC Medical Informatics and Decision Making,2021,21(1):132.DOI:10.1186/s12911-021-01496-9.
[14] 王荟苹,田瑞杰,史娟娟,等.新入职护士重大传染病疫情核心应急能力的现状及其影响因素分析[J].中国临床护理,2022,14(11):671-675.DOI:10.3969/j.issn.1674-3768.2022.11.003.
[15] 李莉,焦静,朱晨,等.柯氏四级评估模式在新护士规范化培训效果评价中的应用研究[J].中国实用护理杂志,2020,36(15):1140-1144.DOI:10.3760/cma.j.cn211501-20190719-02031.
[16] 罗维,罗佳,黄玉群,等.情景模拟联合清单式教学在烧伤科护理实习生临床决策能力培训中的应用效果[J].中华烧伤与创面修复杂志,2024,40(9):876-884.DOI:10.3760/cma.j.cn501225-20240425-00152.
[17] 宁晓明,陈锐进,陈芳,等.OBE及柯氏四级培训在脑血管病实习教学中的应用[J].新教育时代电子杂志(教师版),2025(5):107-110.DOI:10.12218j.issn.2095-4743.2025.05.107.
[18] 陈桂兰,瞿艳,王敏,等.基于柯氏模型的临床护士辨证施术培训评价体系的构建[J].护理管理杂志,2022,22(2):148-152.DOI:10.3969/j.issn.1671-315x.2022.02.015.
[19] 杨三会,刘茂菊,孙雯,等.以柯氏模型为基础的规范化培训对实习护生综合能力及护理质量的影响[J].国际护理学杂志,2023,42(8):1360-1364.DOI:10.3760/cma.j.cn221370-20200329-00337.
[20] KELLEY L,BROADFOOT K,MCCREIGHT M,et al.Implementation and evaluation of a training curriculum for experienced nurses in care coordination:the VA rural transitions nurse training program[J].Journal of Nursing Care Quality,2023,38(3):286-292.DOI:10.1097/NCQ.00000 00000000698.
[21] 简福霞,商璀,姚娟,等.模块化教学法在援鄂抗疫护士岗前培训的应用[J].护理学杂志,2020,35(8):11-14.DOI:10.3870/j.issn.1001-4152.2020.08.011.
[22] 咸亚静,沙鑫,贺苗,等.不同教学策略对护理专业《健康评估》课程教学效果影响的网状Meta分析[J].护理管理杂志,2025,25(2):155-160.DOI:10.3969/j.issn.1671-315x.2025.02.012.
[23] 卢莹,李燕玲,靳小雯,等.以情景案例为前导的培训方式在消化内科规培护士中的应用[J].临床消化病杂志,2024,36(4):275-279.DOI:10.3870/lcxh.j.issn.1005-541X.2024.04.011.
[24] 王曼,张梦,刘春锋,等.基于BOPPPS模型的情景模拟教学法在护士急救培训中的应用[J].护理学杂志,2023,38(11):77-79.DOI:10.3870/j.issn.1001-4152.2023.11.077.
[25] 王秀华,陈雪莲,刘晓云,等.援鄂抗击新型冠状病毒肺炎护理人员管理和培训实践[J].中华护理杂志,2020,55(增2):698-700.DOI:10.3761/j.issn.0254-1769.2020.S1.274.
[26] 万雅莉,刘云访,陈怿,等.护理人员传染病突发事件防控能力的研究进展[J].护理学杂志,2024,39(2):126-129.DOI:10.3870/j.issn.1001-4152.2024.02.126.
[27] 孔妍,郑英花,刘莹,等.职业认同和应对方式在临床护士个人掌控感与心理授权间的链式中介效应[J].护理管理杂志,2025,25(5):397-403.DOI:10.3969/j.issn.1671-315x.2025.05.007.
基本信息:
DOI:
中图分类号:R47-4;G642
引用信息:
[1]陈思,朱丽丹,张琳等.传染病突发事件中本科护生防控能力培训体系的构建与应用[J].护理管理杂志,2025,25(08):661-667.
基金信息:
2022年度福建医科大学教育教学研究项目(J22038)