节点文献
医教协同下护理专业案例资源库的建设与研究
The Construction and Research of Nursing Case Database under the Coordination of Medical Education
【作者】 杨琳;
【导师】 金瑞华;
【作者基本信息】 山西医科大学 , 护理学, 2019, 硕士
【摘要】 目的:1.通过查阅大量文献,探讨护理专业案例资源的评价指标,从而构建符合护理专业的案例资源评价指标体系;2.根据评价指标进行护理案例的评审,从而完成对护理专业案例资源库的初步建设,为今后护理专业教学提供丰富的案例素材。方法:1.采用文献回顾法,查找和分析目前国内外护理专业案例的相关研究,确定了护理专业案例资源评价的基本框架,为后期研究奠定基础;2.通过半结构访谈法,对初步制定的护理专业案例资源评价框架进行临床护理专家访谈,听取专家建议,整理访谈结果,进一步完善了护理专业案例资源评价指标,从而形成第一轮专家咨询问卷;3.通过德尔菲咨询法,从省内外选取具有护理多年临床或教育经验的护理工作者28名,对护理专业案例资源评价指标进行专家咨询,采用Excel 2010数据库和SPSS17.0统计软件对咨询结果进行统计分析,结合指标纳入标准和专家意见,构建了护理专业案例资源的评价指标。结果:1.根据两轮专家咨询确定了护理专业案例资源评价指标,完成了对护理专业案例资源评价指标体系的构建,包括一级指标5个,二级指标27个。两轮问卷的回收率分别为93.33%和100%,专家对此有较高的积极性,两轮专家咨询的权威系数分别是0.761和0.808,第二轮专家咨询的Kendall W协调系数为0.095,专家对指标有较高的认同度,因此该指标可信度较好;2.根据护理专业案例资源评价指标,初步构建了护理专业案例资源库,共上传护理案例37个,包括内科护理学11个,外科护理学15个,妇产科护理学9个,儿科护理学2个。结论:1.通过德尔菲专家咨询建立的护理专业案例资源评价指标体系保证了指标体系构建的科学性、实用性和合理性,突出了护理教学案例的特色,为有效评价护理专业教学案例提供了基础;2.护理专业案例资源库的建设为护理专业开展多种教学提供了丰富的案例资源和质量保证。
【Abstract】 Objective:1.Through consulting a large number of literature,discuss the evaluation index of nursing professional case resources,so as to construct the evaluation index system of nursing professional case resources;2.The evaluation of nursing cases according to the evaluation indicators,so as to complete the preliminary construction of nursing professional case database,for the future teaching of nursing professional provide rich case materials.Methods:1.Literature review was used to find and analyze the relevant researches on nursing cases at home and abroad,and the framework for the compilation of nursing cases and the evaluation of nursing professional case resources was determined,which laid a foundation for the later research.2.Through semi-structured interview,clinical nursing experts were interviewed on the framework of nursing professional case resource evaluation,opinions were listened to,the interview results were analyzed,and the evaluation indexes of nursing professional case resource were further improved.Thus the first round of expert consultation questionnaire was formed.3.Through the Delphi method,from the selection of both with nursing many years clinical experience or education of nursing workers,28 cases of nursing resources evaluation index for expert advice,using Excel 2010 database and statistical software SPSS17.0 statistical analysis,the result of the consultation are combined into the standard and expert advice,nursing case resources evaluation index is constructed.Results:1.According to two rounds of expert consultation,the evaluation index of nursing professional case resources was determined,and the construction of the evaluation indexsystem of nursing professional case resources was completed,including 5 first-level indexes and 27 second-level indexes.The recovery rate of the two rounds of questionnaire was 93.33% and 100% respectively,and the experts were highly motivated.The authority coefficients of the two rounds of expert consultation were 0.761 and 0.808 respectively,and the Kendall W coordination coefficient of the second round of expert consultation was0.095.Experts have a high degree of recognition of the index,so the index has a good credibility;.2.According to the evaluation index of nursing case resources,a preliminary construction of nursing professional case database,37 nursing cases were screened and revised,including 11 in internal medicine nursing,15 in surgery nursing,9 in obstetrics and gynecology nursing and 2 in pediatrics nursing.Conclusion:1.The evaluation index system of nursing case resources established by Delphi expert consultation ensures the scientific,practical and rational construction of the index system,highlights the characteristics of nursing teaching cases,and provides a basis for effective evaluation of nursing teaching cases.2.The construction of nursing case database provides rich case resources and quality assurance for nursing teaching.
【Key words】 nursing; case resource database; indicator; Delphi method; psychiatry synergy;