目的 探讨基于核心能力的临床带教模式在实习护生中的应用效果.方法 采用目的抽样法,选取2015年8月—2017年7月在某医院实习的80名护生为研究对象.将2015年8月—2016年7月实习的护生设为对照组(n=38),2016年8月—2017年7月实习的护生设为观察组(n=42).对照组护生采用传统实习带教模式,观察组护生采用基于核心能力的临床带教模式.分别于护生实习前、实习结束时采用护生核心能力量表(CINS)、护生临床实习满意度量表对其进行测评.结果 实习结束时观察组护生CINS总分、临床生物医学科学、一般临床技能、评判性思维推理能力、道德/责任、终身学习维度得分均高于对照组,差异有统计学意义(P<0.01).实习结束时观察组护生满意度量表中教学内容、实习效果、实习管理、带教素质、实习环境评分均高于对照组,差异有统计学意义(P<0.01).结论 在临床护理带教中应用基于核心能力的带教模式能有效提高实习护生核心能力及满意度.%Objective To explore the application effects of clinical teaching model based on core competence in nursing interns.Methods From August 2015 to July 2017, we selected 80 nursing interns at a hospital as subjects by purposive sampling. Nursing interns from August 2015 to July 2016 were set in control group (n=38);another from August 2016 to July 2017 were set in observation group (n=42). Nursing students of control group received routine practice teaching model. Nursing students of observation group were treated with the clinical teaching model based on core competence. All of the nursing students were evaluated with the competency inventory for nursing students (CINS) and clinical practice satisfaction scale of nursing intern before and at the end of internship.Results At the end of internship, the total score of CINS and dimension scores in clinical biomedical science, general clinical skills, critical thinking inferential capability, morality/responsibility and lifelong learning of nursing students in observation group were higher than those in control group with statistical differences (P<0.01). At the end of internship, the scores of teaching content, practice effects, practice management, teaching diathesis and practice environment in clinical practice satisfaction scale of nursing intern of nursing students in observation group were higher than those in control group with statistical differences (P<0.01).Conclusions The application of teaching model based on core competence in clinical nursing teaching can effectively improve nursing students' core competence and satisfaction.
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