本科生外科护理实践教学OSCE案例库的编写与评价

doi:10.3761/j.issn.1672-9234.2023.12.011

摘要/Abstract

摘要：

目的基于欧洲医学教育协会第81号指南（AMEE Guide No. 81）构建护理本科实习生外科实践教学客观结构化临床考试（objective structured clinical examination，OSCE）案例库，以期为外科实践教学提供参考。方法基于AMEE Guide No. 81，于2021年12月—2023年1月开展案例库构建，通过组建专家审查小组、绘制编写框架、确定编写主题、选定编写团队、开发案例模板、制订评分标准初步构建外科实践教学OSCE案例库；通过德尔菲法邀请19名专家进行2轮函询，评价案例质量，并根据专家意见进行修改。结果形成由16个外科护理实践教学OSCE专科案例组成的外科实践教学OSCE案例库。每个案例包括考站信息、考生指引、考官说明、标准化病人说明、考核用物与设备、案例其他信息6部分内容。16个案例质量评分均值为87.63~91.47分。结论基于AMEE Guide No. 81指南编制的护理本科实习生外科护理实践教学OSCE案例库质量较高，适用于外科护理临床实践教学。

关键词: 外科护理学, 评价, 教育, 德尔菲技术, 案例库, 客观结构化考试

Abstract:

Objective Based on the construction an OSCE case base for the teaching of surgical nursing practice based on the Association for Medical Education in Europe Guide No. 81（AMEE Guide No. 81），this study aims to explore its usage for standardizing the construction of an OSCE case base for teaching surgical practice in the future. Methods Based on the AMEE Guide No. 81 guidance，the case library construction was carried out from December 2021 to January 2023，including the formation of an expert review panel，the drawing of an authoring framework，the identification of authoring topics，the selection of an authoring team，and the development of a case library template. Then，we invited 19 experts for two rounds of correspondence using the Delphi method to revise the OSCE case base based on the experts’ opinions. Finally，we analyzed the results of the case quality scores from the 2nd round of consultation. Results The study has developed a surgical practice teaching OSCE case base consisting of 16 categories of surgical nursing practice teaching OSCE specialty cases. Each category of case was based on a developed authoring template that included six specific sections：information about the examination station，candidate guidelines，examiner guidelines，standardized patient instructions，assessment supplies and equipment，and other information about the case. Quality scores for each case were ranged from 87.63 to 91.47. Conclusion Based on AMEE Guide No. 81，a high quality OSCE case bank for teaching surgical nursing practice is suitable for the teaching in surgical nursing clinical practice.

Key words: Surgical Nursing, Assessment, Educational, Delphi Technique, Case Library, Objective structured clinical examination

李小洁, 于秉洋, 王心慰, 柏基香, 黄娇华. 本科生外科护理实践教学OSCE案例库的编写与评价[J]. 中华护理教育, 2023, 20(12): 1470-1474.

LI Xiaojie, YU Bingyang, WANG Xinwei, BO Jixiang, HUANG Jiaohua. Development and evaluation of an OSCE case base for surgical nursing practice of interns[J]. Chinese Journal of Nursing Education, 2023, 20(12): 1470-1474.

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