标准化病人在伤口造口失禁专科护士操作考核中的应用

doi:10.3761/j.issn.1672-9234.2020.08.004

摘要/Abstract

摘要： 目的探讨标准化病人（standardized patient,SP）在伤口造口失禁专科护士操作考核中的应用效果。方法编制操作考核案例,对获得伤口造口失禁专科护士资质的人员进行培训,将其作为标准化病人,应用于伤口造口失禁专科护士操作考核中,考核结束后由学员对这种考核方式进行评价。结果学员操作考核成绩为（88.97±5.17）分,大部分学员认同SP考核形式,认为应用SP考核能发现自身不足之处。结论将SP考核应用于专科护士培训操作考核能够评估学员的临床综合能力,发现学员的不足之处。

关键词: 专业, 护理, 伤口, 造口, 失禁, 病人模拟

Abstract: Objective To explore the effects of standardized patient（SP） in skill assessment of specialty nurses in wound stoma incontinence care.Methods Nurses who have obtained the qualification of specialty nurses for wound stoma incontinence care were screened and trained. They made the assessment cases and acted as the SP in the skill assessment of specialty nurses in wound stoma incontinence care. After the assessment,nurses evaluated this assessment method.Results The mean score of skill assessment was（88.97±5.17）. Most of the nurses accepted SP as the examination tool and agreed that SP could help them find the their limitations during the assessment process.Conclusion SP applied in the skill assessment of specialty nurses in wound stoma incontinence care can help assess the clinical comprehensive ability of the nurses and find their limitations.

Key words: Specialties, Nursing, Wound, Ostomy, Incontinence, Patient Simulation

周玉洁, 傅晓瑾, 霍天依, 王泠, 裴琛, 王思思, 邓俊, 马明. 标准化病人在伤口造口失禁专科护士操作考核中的应用[J]. 中华护理教育, 2020, 17(8): 690-692.

ZHOU Yu-jie, FU Xiao-jin, HUO Tian-yi, WANG Ling, PEI Chen, WANG Si-si, DENG Jun, MA Ming. Application of standardized patient in skill assessment of specialty nurses in wound ostomy incontinence care[J]. Chinese Journal of Nursing Education, 2020, 17(8): 690-692.

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参考文献 15

[1]	国家卫生计生委. 全国护理事业发展规划(2016 -2020年)[EB/OL]. [2019-07-01]. http://www.gov.cn/.
[2]	李瑞华, 刘海妮, 杨群草 , 等. 伤口造口失禁专科护士培养的研究进展[J]. 中华护理教育, 2019,16(7):551-554.
[3]	李晶, 芦桂芝 . 造口伤口专科护士培训及考核现状与展望[J]. 现代临床护理, 2018,17(6):70-74.
[4]	Ryan CA, Walshe N, Gaffney R , et al. Using standardized patients to assess communication skills in medical and nursing students[J]. BMC Med Educ, 2010,10:24. doi: 10.1186/1472-6920-10-24 pmid: 20236526
[5]	孙自红, 苏会港, 刘桂阳 , 等. 标准化病人结合反馈性任务报告在助产学模拟教学的应用[J]. 护理学杂志,2019,34(23):8-11.
[6]	司联晶, 马娇, 甄怡,等. 标准化病人的培训及在护理学基础教学中的应用[J]. 中华护理教育, 2019,16(10):792-794.
[7]	沐菊, 黄萍, 钱珺 , 等. 雨课堂及学生标准化病人用于基础护理教学研究[J]. 齐齐哈尔医学院学报, 2019,40(11):1425-1428.
[8]	王郁, 何成雨 . 标准化病人结合站点式护理技能考核在规培护士临床能力考核中的应用[J]. 中国高等医学教育, 2019(7):33-34.
[9]	曾文, 周菊, 钟瑶 , 等. 综合病例站点式培训对临床护士老年专科护理能力培养的效果观察[J]. 护理学报, 2019,26(23):16-20.
[10]	韦迪, 朱小妹, 谌永毅 , 等. 伤口造口失禁专科护士培训体系的构建[J]. 中华护理教育, 2020,17(2):101-107.
[11]	翟晓萍, 戴新娟, 张文杰 , 等. 标准化病人在临床护理评估培训及考核中的应用[J]. 中国护理管理, 2012,12(5):69-71.
[12]	杨文燕, 汪珺, 陈华梅 , 等. 用学生标准化病人模拟临床场景进行麻醉前访视培训的研究[J]. 继续医学教育, 2017,31(5):35-36.
[13]	吴艳, 司小毛 . 结肠造口常见并发症护理干预研究进展[J]. 齐鲁护理杂志, 2014,20(6):53-54.
[14]	Liu XL, Wang L . A review of the development and current status of wound ostomy continence nurses in the mainland of China[J]. Int J Nurs Sci, 2018,5(2):105-109. doi: 10.1016/j.ijnss.2018.03.002 pmid: 31406810
[15]	洪涵涵, 卢根娣, 王蓓 , 等. 教师标准化病人在呼吸内科护理临床教学中的应用研究[J]. 护理管理杂志, 2010,10(10):731-732,742.