摘要
目的 探讨以问题为基础（problem based learning,PBL）联合病例为引导（case basedstudy,CBS）的教育对护理人员不良事件报告认知及报告意向的影响.方法 采用便利抽样方法,抽取从事护理工作6个月以上的注册护士66名作为研究对象.成立培训小组并建立培训档案,于2013年3～8月对研究对象实施PBL联合CBS模式培训6个月,每个月培训1次,2 h/次.授课者设计及撰写培训案例,组织培训人员授课、培训课上提出问题并现场讨论.课后培训人员查找资料、收集信息,之后再次集中讨论并总结.采用《不良事件报告认知问卷》及《护士对不良事件报告意向问卷》分别评估培训前后研究对象的报告认知及报告意向的状况.结果 采用PBL联合CBS的教学方法实施教育干预后,护士对护理不良事件认识得分为（7.23±1.20）分,高于干预前的（6.48±1.46）分,t=3.17,P＜ 0.01.干预前护理人员对潜在漏洞和未造成伤害的不良事件报告人数分别为42、45人,教育干预后分别为53、56人.结论 采用PBL联合CBS的模式实施教育干预,能提高护士对护理不良事件报告认知与报告意向.
Objective To investigate the influence of PBL combined with CBS education on reporting cognition and reporting intention of adverse events.Methods Using convenience sampling method,66 registered nurses working for over 6 months were extracted as the study object.The training group was set up and the training files were established,PBL combined with CBS mode were implemented for 6 months from March to August 2013,once a month,2 hours per time.Training cases were designed and written,teaching staff was organized to carry out the training,problems were raised in class and discussed on site.Training staff looked up relevant data,collected information,organized another focused discussion and summarized the results.The Adverse Event Reporting Cognitive Questionnaire and Adverse Nursing Event Reporting Intention Questionnaire were adopted to evaluate reporting cognition and reporting intention before and after the training.Results After the implementation of PBL combined with CBS education,cognition of nurses for adverse events scored （7.23±1.20）,higher than that before the intervention,（6.48±1.49）,t=3.17,P 〈 0.01.The numbers of nurses to report adverse events such as potential vulnerabilities and not doing any harm were 42 and 45 before the intervention,while 53 and 56 after the intervention.Conclusions Using PBL combined with CBS model to implement educational interventions can improve reporting cognition and report intention on nursing adverse events of nurses.
出处
《中国实用护理杂志》
2015年第13期941-945,共5页
Chinese Journal of Practical Nursing
基金
河北省二〇〇九年医学科学研究重点课题计划（20090064）
关键词
护士
教育
专业
再培训
干预性研究
不良事件
报告意向
Nurses
Education,professional,retraining
Intervention studies
Adverse events
Report intention
