摘要
目的探讨项目式学习在护理实习生岗前培训中对锐器伤防护技能培训的效果及其对实习期间锐器伤发生率的影响。方法采用便利抽样法选取2023年3月南昌理工学院医学院护理专业A、B两个班级为研究对象。采用掷硬币法将A班设为常规组,B班设为干预组。常规组接受以回顾性强化训练护理操作技能为主的常规岗前培训;干预组在此基础上融入锐器伤防护技能的项目式学习补偿教育。采用柯氏四级培训评估模式在相应阶段自“反应、学习、行为、结果”四个递进的层面全方位评估教育效果。结果A班常规组和B班干预组各纳入56名护理实习生。干预组护理实习生的课程评价评分(128.67±4.39 VS 117.28±6.55)、针刺伤防护知识认知评分(109.11±4.38 VS 96.44±6.72)、安全注射行为评分(38.45±4.91 VS 32.30±5.62)、职业认同感评分(58.02±8.55 VS 51.77±15.86)、岗位胜任力评分(82.59±13.35 VS 75.61±15.09)均高于常规组,差异均有统计学意义(均P<0.05)。干预组护理实习生锐器伤发生率(19.64%VS 57.14%)及平均发生频次(1.45 VS 2.13)均低于常规组;锐器伤后例次干预率(87.50%VS 45.59%)和例次上报率(93.75%VS 32.35%)均高于常规组,差异均有统计学意义(均P<0.05)。结论在护生岗前培训中引入项目式学习的锐器伤防护培训,能有效提升防护技能掌握程度,降低实习期间锐器伤发生率,对培养护生职业防护能力具有重要实践价值。
Objective To explore the effect of project-based learning on the training of sharp injury prevention skills in the pre-job training for nursing interns and its impact on the incidence of sharp injuries during internship.MethodsTwo classes(class A and B),majoring in nursing at Medical College of Nanchang Institute of Technology in March 2023 were selected as the research subjects by convenience sampling method.Coin flipping method was used to designate class A as the routine group and class B as the intervention group.The routine group received routine pre-job training which mainly focused on retrospective intensive training on nursing operation skills.On this basis,the intervention group integrated project-based learning as compensation education on sharp injury prevention skills.Kirkpatrick’s four level training evaluation model was adopted to comprehensively evaluate the educational effectiveness at the four progressive levels of“reaction,learning,behavior,and outcome”at corresponding stages.Results56 nursing interns were included in the class A routine group and class B intervention group,respectively.The course evaluation score(128.67±4.39 vs 117.28±6.55),needlestick protection knowledge cognition score(109.11±4.38 vs 96.44±6.72),safe injection behavior score(38.45±4.91 vs 32.30±5.62),occupational identity score(58.02±8.55 vs 51.77±15.86),and job competency score(82.59±13.35 vs 75.61±15.09)of nursing interns in the intervention group were all higher than those in the routine group,differences were all statistically significant(all P<0.05).The incidence of sharp injuries(19.64%vs 57.14%)and the average frequency of occu-rrence(1.45 vs 2.13)in nursing interns in the intervention group were both lower than those in the control group.The case intervention rate(87.50%vs 45.59%)and case reporting rate(93.75%vs 32.35%)after sharp injury were both higher than those in the routine group,and the differences were both statistically significant(both P<0.05).ConclusionIntroducing project-based learning in pre-job training for nursing interns can effectively improve their mastery of protection skills,reduce the incidence of sharp injuries during internships,and have important practical value in cultivating their occupational protection abilities.
作者
刘颖
彭黄芳
刘萌
张敏
万琼
LIU Ying;PENG Huangfang;LIU Meng;ZHANG Min;WAN Qiong(Department of Hepatobiliary Pancreatic Surgery,The First Hospital of Nanchang,Nanchang 330008,China;Medical College,Nanchang Institute of Technology,Nanchang 330044,China;Department of Healthcare-associated Infection Management,The First Hospital of Nanchang,Nanchang 330008,China)
出处
《中国感染控制杂志》
北大核心
2025年第7期993-1000,共8页
Chinese Journal of Infection Control
关键词
锐器伤
职业防护
项目式学习
职业暴露
护理实习生
sharp injury
occupational protection
project-based learning
occupational exposure
nursing intern
作者简介
刘颖(1973-),女(汉族),江西省南昌市人,副主任护师,主要从事护理管理、临床教学及职业暴露防护相关研究;通信作者:万琼,E-mail:13870865137@163.com。
