护理硕士专业学位研究生教学临床案例库评价指标体系的构建

doi:10.3761/j.issn.1672-9234.2023.06.005

摘要/Abstract

摘要：

目的构建护理硕士专业学位（master of nursing specialist，MNS）研究生教学临床案例库评价指标体系。方法以三维质量结构模型为理论基础，通过文献分析法初步构建MNS教学案例库评价指标体系，通过德尔菲法和优序图法，确定指标和权重。结果构建的指标体系包括3项一级指标，12项二级指标，72项三级指标。2轮问卷回收率分别为92%（22/24）、100%（22/22）；专家的权威系数分别为0.888、0.902；肯德尔和谐系数分别为0.157、0.258；第2轮专家函询的87项指标的重要性评分的均值为4.23~5.00分。结论本研究构建的评价指标体系从案例结构，内容的选题、系统性与设计性、跨学科性、科学性、基于循证，以及案例的实践性与职业道德、知识、能力素养的提升等对案例库进行全面测评，具有较高的科学性和可靠性，可为MNS教学案例库的构建提供参考依据。

关键词: 教育，护理，研究生, 德尔菲技术, 评价体系, 案例库

Abstract:

Objective To establish the evaluation system of clinical case database and provide a scientific tool for master of nursing specialist（MNS） education. Methods The evaluation system of MNS case database was initially formed by literature analysis based on 3D quality structure model. The system and weight were eventually determined through Delphi Technique and Optimal Sequence Diagram. Results The index system included 3 first-level indicators，12 second-level indicators，and 72 third-level indicators. The recovery rates of the two rounds of questionnaires were 92% and 100%；The authoritative coefficients of experts were 0.888 and 0.902；The Kendall’s W coordination coefficient were 0.157、0.258；The mean value of the 87 indicators in the second round inquiry were 4.23~5.00 points. Conclusion The evaluation system comprehensively evaluates the case database from the aspects of case structure，topic selection，systematicness and design，interdisciplinarity，scientificity and evidence-based，as well as the practicality and the improvement of professional ethics，knowledge and competence. It’s reasonable in design with high scientificity and practicability which can provide a reference for the establishment of MNS case database.

Key words: Education，Nursing，Graduate, Delphi Technique, System of evaluation, Case database

欧阳子瑶,樊德净,潘晓,李小红,潘琪妮,陶品月,黄惠桥. 护理硕士专业学位研究生教学临床案例库评价指标体系的构建[J]. 中华护理教育, 2023, 20(6): 665-671.

OUYANG Ziyao,FAN Dejing,PAN Xiao,LI Xiaohong,PAN Qini,TAO Pinyue,HUANG Huiqiao. Development of the evaluation system of clinical case database for master of nursing specialist postgraduate teaching[J]. Chinese Journal of Nursing Education, 2023, 20(6): 665-671.

图/表 2

参考文献 20

[1]	国务院学位委员会. 关于印发金融硕士等19种专业学位设置方案的通知[EB/OL]. [2021-11-15]. http://www.moe.gov.cn/srcsite/A22/moe_833/201005/t20100513_92739.html.
[2]	张学敏, 侯佛钢. 从理论到实践有多远?—专业学位研究生案例教学的知识转化机制探讨[J]. 现代大学教育, 2020(1):103-109,112.
[3]	杨琳, 金瑞华, 淮盼盼, 等. 护理资源案例库在教学与考核中的应用[J]. 中华护理教育, 2018, 15(2):141-144.
[4]	周敏, 王玲, 马志英, 等. 护理专业学位研究生职业素养培养现况调查[J]. 全科护理, 2021, 19(12):1585-1588.
	Zhou M, Wang L, Ma ZY, et al. Investigation on the status quo of professional quality cultivation of nursing postgraduates with Master of Nursing Specialist[J]. Chin Gen Pract Nurs, 2021, 19(12):1585-1588.
[5]	Alfes CM, Rutherford-Hemming T, Schroeder-Jenkinson CM, et al. Promoting interprofessional collaborative practice through simulation[J]. Nurs Educ Perspect, 2018, 39(5):322-323. doi: 10.1097/01.NEP.0000000000000285 pmid: 29420330
[6]	寇京莉, 岳敏, 马丽娜, 等. 基于Donabedian模型的护理教学案例库评价指标体系的构建[J]. 中华现代护理杂志, 2021, 27(16):2107-2112.
	Kou JL, Yue M, Ma LN, et al. Construction of evaluation index system for nursing teaching case base based on the Donabedian model[J]. Chin J Mod Nurs, 2021, 27(16):2107-2112.
[7]	刘莺, 肖惠敏, 张旋, 等. 护理专业案例库网络教学平台评价指标体系的构建[J]. 中华护理教育, 2021, 18(1):30-34.
	Liu Y, Xiao HM, Zhang X, et al. The evaluation index system of network teaching platform based on nursing cases database[J]. Chin J Nurs Educ, 2021, 18(1):30-34.
[8]	滕国杰, 聂秀红, 张连国, 等. 阶梯渐进式案例教学在住院医师呼吸机培训的应用[J]. 医学研究杂志, 2017, 46(7):186-188,120.
[9]	蒋琪霞, 张爱琴, 王桂玲, 等. 阶梯渐进式培训模式在伤口护理进修护士教学中的应用[J]. 护理学杂志, 2015, 30(14):5-8.
	Jiang QX, Zhang AQ, Wang GL, et al. A step ladder training model for nurses attending a continuing education program regarding wound care[J]. J Nurs Sci, 2015, 30(14):5-8.
[10]	朱军文, 邵玲芝. 高等教育评价中的案例指标及其标准化[J]. 高等教育研究, 2021, 42(1):33-38.
	Zhu JW, Shao LZ. The case index in higher education evaluation and its standardization[J]. J High Educ, 2021, 42(1):33-38.
[11]	崔茂森. 专业硕士研究生案例创作质量评价体系研究——以青岛农业大学管理学院专业硕士研究生为例[J]. 高等农业教育, 2020(3):110-115.
	Cui MS. Research on the quality evaluation system of case creation for professional postgraduates:taking the master’s degree of management college of Qingdao Agricultural University as an example[J]. J Higher Agric Educ, 2020(3):110-115.
[12]	佘廉, 黄超. 我国突发事件案例库建设评价分析[J]. 电子科技大学学报(社会科学版), 2015, 17(6):24-31.
	She L, Huang C. Construction and evaluation of the emergency case base[J]. J Univ Electron Sci Technol China Soc Sci Ed, 2015, 17(6):24-31.
[13]	谢晓专. 案例教学法的升华:案例教学与情景模拟的融合[J]. 学位与研究生教育, 2017(1):32-36.
[14]	王卫红, 钟贵良, 董彩梅, 等. 循证护理案例库的构建与应用[J]. 中华护理教育, 2017, 14(12):912-915.
	Wang WH, Zhong GL, Dong CM, et al. Construction and application of evidence-based case base in nursing[J]. Chin J Nurs Educ, 2017, 14(12):912-915.
[15]	卢婷, 应燕萍, 赵慧函, 等. 护理硕士专业学位研究生跨学科教育需求调查[J]. 护理研究, 2020, 34(11):2001-2003.
	Lu T, Ying YP, Zhao HH, et al. Survey on needs of interprofessional education in master of nursing specialist[J]. Chin Nurs Res, 2020, 34(11):2001-2003.
[16]	张婧婧, 高明, 张汉杰. 跨学科课程体系多样性与聚合性评价研究:以MOOCs为例[J]. 复旦教育论坛, 2019, 17(5):47-54,61.
	Zhang JJ, Gao M, Zhang HJ. Measuring the diversity and cohesion of the interdisciplinarity of curriculum:the MOOC case[J]. Fudan Educ Forum, 2019, 17(5):47-54,61.
[17]	范波, 钟清玲, 鄢鸿雁, 等. 跨专业教育在护理硕士专业学位研究生培养中的态势分析[J]. 中华护理教育, 2022, 19(7):604-608.
	Fan B, Zhong QL, Yan HY, et al. SWOT analysis of the interprofessional education for master of nursing specialist[J]. Chin J Nurs Educ, 2022, 19(7):604-608.
[18]	Yaylaci S, Ulman YI, Vatansever K, et al. Integrating patient management,reflective practice,and ethical decision-making in an emergency medicine intern boot camp[J]. BMC Med Educ, 2021, 21:536. doi: 10.1186/s12909-021-02970-8 pmid: 34686161
[19]	Leathers JS, Davidson H, Desai N. Interprofessional education between medical students and nurse practitioner students in a Global Health course[J]. BMC Med Educ, 2018, 18(1):200. doi: 10.1186/s12909-018-1307-y pmid: 30119625
[20]	Zhou XY, Wang YF, Dou CX, et al. Evaluating the effects of simulated interprofessional teaching on the development of clinical core competence in nursing students:a mixed methods study[J]. BMC Nurs, 2022, 21:362. doi: 10.1186/s12912-022-01108-5