护理本科生临床实习形成性评价指标体系的构建

doi:10.3761/j.issn.1672-9234.2024.01.010

摘要/Abstract

摘要：

目的制订护理本科生临床实习形成性评价指标体系。方法采用文献回顾法构建护理本科生临床实习形成性评价指标体系初稿。采用专家函询法对专家进行2轮函询，最终构建护理本科生临床实习形成性评价指标体系。结果构建的护理本科生临床实习形成性评价指标体系包含2个一级指标、8个二级指标、41个三级指标。2轮专家函询的专家积极系数分别为100%（19/19）和95%（18/19）；专家权威系数分别为0.83、0.84；肯德尔协调系数分别为0.123和0.209（P<0.05）。2轮专家函询后各级指标变异系数分别为0、0.05~0.16和0~0.16。结论本研究中专家函询结果可信度高，构建的护理本科生临床实习形成性评价指标体系科学、可靠，能够为护理本科生临床实习形成性评价提供参考。

关键词: 教育, 护理, 临床实习, 德尔菲法, 形成性评价

Abstract:

Objective The study aimed at establishing a formative assessment system for clinical practice of nursing undergraduates. Methods Literature review was used to develop a preliminary formative evaluation index system for clinical practice of nursing undergraduates. Two-round expert consultation was conducted among experts to construct the formative evaluation system for clinical practice of nursing undergraduates. Results The constructed formative evaluation index system for clinical practice of nursing undergraduates included two first-level indicators, eight second-level indicators, and 41 third-level indicators. The recovery rate of questionnaires of the two rounds were 100%(19/19) and 95%(18/19), respectively; the expert authority coefficient were 0.83 and 0.84, respectively；and the Kendall coordination coefficient were 0.123 and 0.209, respectively(P<0.05). The coefficients of variation for each level of indicators after the two rounds of expert consultation were 0, 0.05-0.16, and 0-0.16, respectively. Conclusion The expert consultation results in this study are highly credible, and the constructed formative evaluation index system for clinical practice of nursing undergraduates is scientific and reliable, which can provide reference for the formative evaluation of clinical practice of nursing undergraduates.

Key words: Education, Nursing, Clinical Clerkship, Delphi Method, Formative evaluation

侯天姣, 杨红军, 侯淑肖. 护理本科生临床实习形成性评价指标体系的构建[J]. 中华护理教育, 2024, 21(1): 57-61.

HOU Tianjiao, YANG Hongjun, HOU Shuxiao. Construction of a formative evaluation index system for clinical practice of nursing undergraduates[J]. Chinese Journal of Nursing Education, 2024, 21(1): 57-61.

图/表 1

参考文献 15

[1]	Taylor I, Bing-Jonsson PC, Johansen E, et al. The Objective Struc-tured Clinical Examination in evolving nurse practitioner educa-tion:a study of students’ and examiners’ experiences[J]. Nurse Educ Pract, 2019, 37:115-123. doi: 10.1016/j.nepr.2019.04.001
[2]	侯淑肖, 谢阿娜. 我国护理学本科教育改革研究进展[J]. 中国护理管理, 2020, 20(7):971-975.
	Hou SX, Xie AN. Research progress of nursing undergraduate education reform in China[J]. Chin Nurs Manag, 2020, 20(7):971-975.
[3]	王瑞, 逄冬, 隋树杰. 表现性评价在高等护理教育中的应用现状与展望[J]. 中国继续医学教育, 2020, 12(26):83-86.
	Wang R, Pang D, Sui SJ. Application status and prospect of performance evaluation in higher nursing education[J]. Chin Contin Med Educ, 2020, 12(26):83-86.
[4]	侯淑肖, 孙静, 郭桂芳. 护理专业本科生社区护理实习过程师生双向评价的研究[J]. 中华护理教育, 2018, 15(10):748-751.
	Hou SX, Sun J, Guo GF. Two-way evaluation between teachers and undergraduate nursing students during community nursing practice[J]. Chin J Nurs Educ, 2018, 15(10):748-751.
[5]	刘雅玲, 冯华栋, 李青文, 等. 运用全过程形成性评价提高护理学生实践能力的实证研究[J]. 中国实用护理杂志, 2015, 31(17):1278-1281.
	Liu YL, Feng HD, Li QW, et al. An empirical study on improving nursing students’ practical ability by using whole-process formative evaluation[J]. Chin J Pract Nurs, 2015, 31(17):1278-1281.
[6]	陈晓兵, 李烨, 常文燕, 等. 护理临床实习教学形成性评价的Meta分析[J]. 护理实践与研究, 2022, 19(9):1404-1409.
[7]	Rebecca H, John W, Rebecca T. Formative assessment and its impact on student success[J]. Nurse Educ, 2019, 44(1):4. doi: 10.1097/NNE.0000000000000530 pmid: 30499873
[8]	Arrogante O, González-Romero GM, López-Torre EM, et al. Comparing formative and summative simulation-based assessment in undergraduate nursing students:nursing competency acquisition and clinical simulation satisfaction[J]. BMC Nurs, 2021, 20(1):92. doi: 10.1186/s12912-021-00614-2 pmid: 34103020
[9]	Msosa A, Bruce J, Crouch R. Effect of a formative assessment intervention on nursing skills laboratory learning in a resource-constrained country[J]. Nurse Educ Today, 2021, 97:104677. doi: 10.1016/j.nedt.2020.104677
[10]	陈晓兵. 护理本科生临床实习形成性评价指标体系的构建[D]. 石河子: 石河子大学, 2022.
[11]	叶桂连, 高国贞, 陈涵瑜, 等. 护理本科实习生形成性评价指标体系的构建与应用[J]. 中国现代医生, 2019, 57(29):132-136.
[12]	曾光. 现代流行病学方法与应用[M]. 北京: 北京医科大学中国协和医科大学联合出版社, 1994.
[13]	Salminen L, Stolt M, Metsämäki R, et al. Ethical principles in the work of nurse educator—a cross-sectional study[J]. Nurse Educ Today, 2016, 36:18-22. doi: 10.1016/j.nedt.2015.07.001
[14]	崔丽艳, 丁淑贞, 张端凤, 等. 本科护生人文关怀能力和职业价值观的相关性研究[J]. 护理管理杂志, 2016, 16(4):266-267.
	Cui LY, Ding SZ, Zhang DF, et al. Study on correlation between humanistic caring abilities and professional values among undergraduate nursing students[J]. J Nurs Adm, 2016, 16(4):266-267.
[15]	Wong FMF, Tang ACY, Cheng WLS. Factors associated with self-directed learning among undergraduate nursing students:a systematic review[J]. Nurse Educ Today, 2021, 104:104998. doi: 10.1016/j.nedt.2021.104998