Analysis of the effectiveness of using the OSCE model to improve the core competencies of ICU nurses
运用OSCE模式提升ICU护士核心能力的效果分析

摘要

目的 探讨运用客观结构化临床考试（OSCE）模式在提升重症监护室（ICU）护士核心能力中的应用价值。方法 选择2020年1月至2022年1月于我院接受培训的62名ICU护士作为研究对象，其中2020年1月至2021年1月行传统培训的31名ICU护士为对照组，2021年2月至2022年1月行OSCE模式培训的31名ICU护士为观察组，两组均培训1个月。对比两组临床护理综合能力、核心能力、行为态度、评判性思维能力及岗位胜任能力。结果 培训前，两组临床护理综合能力（基础护理技能、专科护理技能、监护技能、团队救援合作）、注册护士核心能力测评量表、行为态度、评判性思维能力测量表（CTDI-CV）评分及岗位胜任能力量表中护士的沟通协调能力、解决问题能力等各维度评分相当，差异无统计学意义（P＞0.05）；培训后，观察组基础护理技能、专科护理技能、监护技能、团队救援合作评分、注册护士核心能力测评量表评分、行为态度评分、CTDI-CV评分及岗位胜任能力量表中护士的沟通协调能力、解决问题能力等各维度评分高于对照组，差异有统计学意义（P＜0.05）。结论 OSCE模式能够有效提升ICU护士核心能力、评判性思维能力及临床护理综合能力，改善行为态度，从而促使患者更好的适应工作岗位。

Abstract

Objective To explore the application value of objective structured clinical examination (OSCE) model in improving the core competence of nurses in intensive care unit (ICU).
Methods: 62 ICU nurses who received training in our hospital from January 2020 to January 2022 were selected as the research object, including 31 ICU nurses who received traditional training from January 2020 to January 2021 as the control group and 31 ICU nurses who received OSCE mode training from February 2021 to January 2022 as the observation group. Both groups were trained for one month. The comprehensive ability, core ability, behavior attitude, critical thinking ability and post competence of the two groups were compared.
Results: before training, the scores of clinical nursing comprehensive ability (basic nursing skills, specialized nursing skills, monitoring skills, team rescue cooperation), registered nurse core ability evaluation scale, behavior attitude, critical thinking ability measurement scale (ctdi-cv) and nurses' communication and coordination ability and problem-solving ability in Post Competency Scale were the same in the two groups, and there was no significant difference(P>0.05); After training, the scores of basic nursing skills, specialized nursing skills, monitoring skills, team rescue cooperation score, registered nurse core competence evaluation scale score, behavior attitude score, ctdi-cv score and nurses' communication and coordination ability and problem-solving ability in the Post Competency Scale in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05).
Conclusion  : OSCE mode can effectively improve the core competence, critical thinking ability and clinical nursing comprehensive ability of ICU nurses, improve their behavior and attitude, and promote patients to better adapt to their jobs.