双轮驱动视域下临床带教教师评价指标体系应用成效研究

Research on Application Effectiveness of Clinical Teaching Teacher Evaluation Index System from the Perspective of Dual-Wheel Drive

摘要: 目的：探讨适配“医教协同、校院联动”双轮驱动型教师发展需求的实习指导教师评价指标体系的临床适用性与应用成效。方法：以新疆某医科院校附属医院为研究现场，选取2023届(评价体系实施前)与2024届(评价体系实施后)高校护理学专业临床指导教师60名及实习学生各170名为研究对象，采用笔试、客观结构化临床考试(OSCE)、标准化量表等多元评价工具，并开展师生专项满意度调查，前后对照研究，系统评估体系应用成效。结果：实施后带教教师笔试成绩、评判性思维及核心能力得分均显著高于实施前(P < 0.001)；实习生理论、OSCE技能、自主学习、评判性思维等能力得分显著提升(P < 0.001)；实习生对教学内容与方法满意度93.20 ± 1.84分，带教教师对实习生及指标体系满意度分别为88.56 ± 4.10分、88.68 ± 4.20分，整体满意度高。结论：该评价指标体系可有效提升带教教师教学能力与实习生综合素养，能够为院校协同开展带教教师遴选、培训、考核与激励提供科学依据，协同了传统评价体系与岗位需求脱节、协同性不足的突出问题，贴合临床实际、操作性强，适合在护理临床带教中推广应用，为产教协同育人与护理带教质量规范化管理提供科学依据。

Abstract: Objective: To verify the clinical applicability and application effect of the evaluation index system for nursing clinical teaching instructors under the dual-wheel driven mechanism of industry-education collaboration and medical-education collaboration. Methods: Taking an affiliated hospital of a medical college in Xinjiang as the research site, 60 clinical teaching instructors and 170 nursing interns were selected as research subjects. The self-pre-post control method and inter-session comparative study were adopted to compare differences in instructors’ professional competence and interns’ comprehensive literacy before (Grade 2023) and after (Grade 2024) the implementation of the evaluation system, and a special satisfaction survey was conducted among teachers and students. Results: After implementation, instructors’ written examination scores, critical thinking ability and core competency scores were significantly higher than those before implementation (P < 0.001). Interns’ scores in theoretical knowledge, OSCE skills, autonomous learning ability and critical thinking ability were markedly improved (P < 0.001). The interns’ satisfaction with teaching content and methods was 93.20 ± 1.84; instructors’ satisfaction with interns and the indicator system was 88.56 ± 4.10 and 88.68 ± 4.20 respectively, showing overall high satisfaction. Conclusion: The evaluation index system can effectively improve the teaching ability of clinical instructors and comprehensive literacy of nursing interns. It is highly consistent with clinical practice and highly operable, suitable for popularization and application in nursing clinical teaching, and provides scientific evidence for standardized management of industry-education collaborative education and nursing clinical teaching quality.